How therapy works, and whether it’s right for you
Not necessarily. Many people come to therapy because they feel stuck, overwhelmed, anxious, or disconnected from themselves — without a single defining traumatic event. Patterns of self-doubt, chronic stress, difficulty in relationships, or a persistent sense that something is off are all valid reasons to seek support. You don’t need to meet any threshold of suffering to deserve help.
We tend to work best with adults who are curious about themselves and open to exploring the roots of their patterns — not just managing symptoms. If you’re drawn to understanding why you feel the way you do, and willing to engage with that question at your own pace, we’re likely a good fit. The free 15-minute consultation is the best place to find out — there’s no commitment, and you’ll come away with a clearer sense of whether this feels right.
IFS is a therapy approach developed by Dr. Richard Schwartz that sees each person as containing multiple inner parts — voices, emotions, or protective patterns that developed to help you cope with difficult experiences. Rather than labeling these parts as problems, IFS works to understand them with curiosity and compassion. The goal is to help your core Self lead your inner world, rather than being driven by parts that are still responding to old pain or fear.
EMDR (Eye Movement Desensitization and Reprocessing) is an evidence-based therapy developed to help people process distressing memories and experiences that continue to affect daily life. It uses bilateral stimulation — such as guided eye movements or gentle tapping — while you briefly attend to a difficult memory. This helps the brain reprocess and integrate the experience in a way that reduces its emotional charge. EMDR is widely researched and particularly effective for trauma, anxiety, and phobias.
What therapy costs and how insurance works
We’re currently in-network with Providence Health Plan. If you have a Providence plan, we’ll help you understand your benefits and estimated out-of-pocket costs before you begin. For all other insurance plans, we work as an out-of-network provider and can provide a monthly superbill for potential reimbursement.
A superbill is a detailed receipt from your therapist that includes the service codes your insurance company needs to process an out-of-network claim. You submit it to your insurance directly, and depending on your plan and deductible, you may receive partial reimbursement. Many clients with PPO plans receive 50–80% back. We recommend calling your insurance company before your first session to ask specifically about your out-of-network mental health benefits.
Working primarily out-of-network lets us provide more flexible, personalized, and responsive care. Insurance often limits the type of therapy covered, the pace of sessions, and the total number of sessions — constraints that can interfere with the thoughtful, attuned approach that makes trauma therapy effective. By staying out-of-network, we can honor your pace, use approaches that genuinely fit your needs, and maintain the collaborative relationship that’s central to how we work.
What to expect when you reach out
15 minutes. It’s a phone call — no commitment required. You’ll have a chance to share what’s going on, ask questions about the process or fees, and get a sense of whether this feels like the right fit. We’ll be honest with you if we think another provider would serve you better.
We’ll spend a few minutes hearing what brought you to therapy, share a bit about how we work and what a first session typically looks like, and answer any questions you have. You don’t need to prepare anything — just come as you are. There’s no pressure to decide on the spot.
We offer therapy online for adults in Oregon and Washington. If you’re in Oregon, you’re eligible to work with either Rachelle or Taylor. If you’re in Washington, Rachelle is currently the therapist licensed to practice there — Taylor holds her Oregon license only. We don’t currently serve other states.
Research consistently shows that telehealth therapy is as effective as in-person therapy for most concerns, including trauma, anxiety, and depression. Many clients find it easier to engage in difficult conversations from a familiar environment. All sessions are conducted via a secure, HIPAA-compliant video platform.
