What are the differences between counseling and coaching?

Coaches work with their clients to reach specific life goals that enhance their growth in the absence of limiting emotional difficulties. For example a coach may help a client set a plan to change their lifestyle, improve their business, plan for a career change, cultivate new relationships, etc. On the other hand, counselors work with people who have thinking, emotional difficulties, or ingrained behavioral problems due to past or recent wounds, trauma, or to a chemical imbalance. 

If you are experiencing stress caused by your lifestyle choices, coaching may help you best; but if you have anxiety or depression caused by emotions and thoughts that emerge from how you see and interpret the world, counseling will be a better choice for you.

Do you see children, couples and families?

I specialize in adults, couples, and caregiver families. While I am licensed to see children and adolescents, I know several highly competent counselors who work well with the younger age group and I can give you their contact information.

If I see a counselor, does that mean I have to have a mental illness?



The idea that counselors and psychotherapists work only with people who have a mental disorder is a myth. Insurance companies require that the counselor give a diagnosis for reimbursement. If you do not use insurance, no diagnosis is given. Why? Because you are not the diagnosis. We work with the person and his/her concerns, not the diagnosis. Our approach to your situation and the strategies that we employ are based on how you experience problems in your life, not how the insurance companies see it.

Do you accept Medicare clients?

My license as an LPC does not allow me to bill Medicare directly for services. Medicare, by federal law, currently authorizes payments only to psychologists (PhDs) and Social Workers (LCSW) at this time. 

The population of the U.S. is getting older (1 in 8 people in the US are over 65) and there are not enough mental health professionals trained and experienced in older adult concerns. Many of these folks are on fixed income, which also creates barriers to effective treatment.  We are lobbying Congress to change that because there is such a substantial need for qualified mental health providers for our aging population. There are several bills in Congress that want to expand to include other trained professionals. 

That said, if you are 65+ and on Medicare, we accept a limited number of 65+ clients at a sliding-scale rate. When you call for a consultation, let us know that you are interested in this program.

How long will my therapy take?

The length of time spent in counseling varies on several factors: (1) The quality of our working relationship; (2) the complexity of the problem to be addressed; (3) the effort you invest in working on the issue outside the session time.

What is telehealth and how does it work?



Telehealth allows us to meet through audio and video over the internet. Once your appointment is scheduled, you’ll be sent a link for the video session. Click on it when our session is scheduled to start. A mobile app is also available for download if they prefer to use a mobile device rather than a laptop or desktop for their session. They can find the free app in the app store by searching for Telehealth by SimplePractice on their mobile device. You can use the camera and audio on your computer or mobile device. More instructions is available under the Telehealth menu.

Do you offer sliding scale?

I offer a limited number of appointments through a program called Open Path Collective (go to OpenPathCollective.org). This is a non-profit organization that connects qualified mental health professionals with people who cannot afford to pay my full fee AND have no insurance. You can look at my profile on that site to see if I am currently accepting new clients for sliding scale before you register for Open Path. To help you understand why I offer a program like this, to my article that helps explain the “why” of the program.

Before you consider “shopping for ‘best price’” please read my article on “Choosing the right Counselor for You” on the Resources Page of this website.