Frequently Asked Questions

I work with Adults and Adolescents age 13-17. Teens today have an enormous level of peer pressure in large part due to social media. They are driven to create versions of themselves that are often very different from their authentic selves to try and compete in a world where everyone seems to have perfect lives. This can lead to substance abuse issues, self-harm, family conflict, promiscuity which doesn’t align with true core values, depression, anxiety, academic underachievement, failure to launch, and suicidal ideation.

Adult pressures often result from work and family demands, relationship conflict, living a life with a sense of not being true to one’s self, grief & loss, and phase of life changes. Any of these can lead to major life stuckage, often in the form of a“mid-life crisis”. Unhealthy ways of coping such as substance abuse or escapism/avoidance tactics often lead to digging an even deeper hole.

If I feel your issues are outside my scope, I will do my best to refer you to a therapist I know and trust.

If you are a new client, you can schedule a free 15-minute phone consultation here on the website. You may also contact me using my email or phone number on my “Contact” page.

If you are a current client, you can login to your secure portal to schedule a session, text me via the Spruce Health app, email, or phone.

Standard sessions are 50 mins. I have a 25 min. option for those in a time crunch. Initial assessments for new clients are 90 minutes so I can gather enough background information to see your life through your eyes.

Yes. I accept Aetna, United Healthcare, Oscar, Oxford, and Blue Cross Blue Shield of Massachusetts (not Texas). I can provide a Superbill that can be sent to your insurance for possible out-of-network reimbursement for services paid for out-of-pocket.

Katy, TX (a suburb 25 miles west of Houston). My office is located on Interstate 10 East feeder road between Highway 99 and Mason Rd in Tower Executive Suites. I also offer virtual telehealth via phone or video for any residents of TX that prefer to get their therapy on in the comfort of their own space.

There is no “one size fits all” answer for this one. Therapy can last anywhere from one session to several months or even years. It all depends on what you want and need. Some people come to therapy with a very specific problem they need to solve and might find that a few sessions are sufficient. Others have complex issues that require intensive life archaeology. We will talk it through. You are under no obligation to commit to any time frame.

If you late cancel (less than 24 hours notice) or no-show to any session, you will be charged the full cost of your scheduled session.

I view therapy as an investment not an expense. What would you pay to fundamentally improve the relationship you have with your thinking, your self-image, and the world around you? If you could have fixed your problems on your own, you would have already done it. The potential transformations that can happen in therapy are priceless.

That being said, I can’t guarantee that it will “work” for you. If I could do that I would be working in the stock market.

We use a HIPAA-secure system that is similar to FaceTime or Skype called Simple Practice.

You can use a laptop, computer, or smart device like an iPad or phone. If using a smartphone or iPad, you’ll need to download an app (just once).

Before each session, you are emailed a link to click and log into our session. Super simple.

If you are having the thought that you need to do something about your loved one’s problem, you probably do. You have options which may, or may not, include an intervention. Call me and we can discuss the options and what might be best for your specific situation.

Consider these signs that an intervention may be necessary.

#1: Your Loved One Is Denying a Problem That's Evident to You

#2: Unexplained Mood Changes

#3: Destructive Behavior Is Leading to High Risks

#4: Your Loved One Refuses Treatment

#5: Lying & Manipulative Behavior

#6: Their Health Is Deteriorating/Changes to Physical Body

#7: Neglecting Responsibilities/Radical Shift in Priorities

#8: Isolating

#9: Forgetfulness

#10: They Always Need More

#11: You Just Can’t Do It Anymore

Onion rings (don’t forget the ranch!)

Documentary

Napoleon Dynamite

A snake!