Frequently Asked Questions

How long will it take to get better?

Because treatment depends on so many individual factors, knowing treatment duration is not a perfect science. However, the treatment techniques we use are not intended to be long-term therapy techniques. A “Course of Treatment” includes between 18-25 sessions, although research finds that those who attend just six sessions, complete weekly assignments, and engage in exposure exercises show improvement in their anxiety up 18 months later (Glenn et al., 2013). Over a span of 18-25 sessions (which would work out to 4-6 months), there is generally enough time to build a trusting relationship with a therapist, learn new skills for how to manage anxiety and stress, and to practice them in your day to day life. However, each person is different, and we will individual care based on each persons needs, which might mean you need fewer or more sessions.

Do you take insurance?

First, it is helpful to remember that the healthcare system is complicated. We do contract with some insurance plans, and others we work with as out-of-network providers. While we strive to make our services affordable, at the same time we want to offer what we think is A+ quality care, which is not always covered by insurance. For example, exposure support you receive outside of session, phone support you receive, and technological support we offer are not covered by insurance, and will be an out of pocket expense.

We are currently in-network with the following insurance providers: Kaiser. Blue Cross Blue Shield, Pacificsource, First Choice Health, and Moda. We are considered out-of-network for all other insurance plans. We bill insurance companies directly on behalf of our clients with their permission, and will bill the client directly for the copay/coinsurance and the difference between what the insurance company covers and our rates (for out of network).

More information about mental health coverage and insurance can be found here.

What are your rates?

Our out-of-pocket rates differ depending on the level of training the therapist has (whether they are a Ph.D. or Master’s level therapist, or if they are a trainee) and whether the session will be in-office or in the community (for example, in a client’s car for Driving Phobia, or at the grocery store for Agoraphobia). We also have a select number of sliding scale available options. We provide different rates to provide more options for affordable care.

For services that are covered by insurance and that we are in-network with, the rates are set by the insurance panel.

Our administrative staff will be happy to discuss our rates with you.

Learn More about Anxiety and Stress

International Foundation website:

Anxiety disorders: National Association of Mental Illness

Posttraumatic Stress Disorder: Veterans Affairs PTSD information

Distress related to discrimination/bias: Psychology today

Recommended Workbooks