Why I don’t take *many* insurances

And why that’s a good thing for our work together.

If you’ve spent any time searching for a therapist, and if you’re reading this, I imagine you have, you’ve likely encountered a wide range of approaches, fee structures, and offerings. Some therapists accept insurance. Some don’t. Some offer consultations. Some don’t.

I don’t take many insurance plans, and I do offer free consultations. I want to share why.

This decision wasn’t made lightly, and it certainly wasn’t about being elitist, inaccessible, or rigid. It was about creating a space where meaningful, thoughtful work can happen. Work that is clear, grounded, and respectful to both of us: you as the client, and me as the professional.

I’ve worked in trauma therapy for the entirety of my career. Over time, I’ve seen again and again how insurance structures can interfere with the depth and continuity that this work requires.

For clients navigating complex trauma, high-functioning burnout, or the aftermath of narcissistic relationships, these barriers are not minor, they’re often the very things that prevent care from being effective. Requirements for diagnoses, limitations on the number of sessions, and requests for deeply personal information to determine “medical necessity” can disrupt the therapeutic process in ways that are not only frustrating but harmful.

There have been many times when I’ve begun meaningful trauma work with someone, gently opening long-held wounds, only to have treatment interrupted because it was no longer deemed “necessary” by an insurance provider. That kind of disruption is not just inconvenient. It can be destabilizing.

Therapy, especially trauma work, requires consistency, safety, and time. It asks you to go to places that are often tender, layered, and deeply personal. It should not come with the looming uncertainty of whether that space will suddenly be taken away.

In my private practice, I’ve chosen a different model.

Together, we decide how often to meet, what we focus on, and how we move forward. We consider your life, your capacity, your goals… and we move at a pace that honors all of it. Not an external system.

Therapy is a commitment, and I take that seriously. That’s why I offer consultation calls—not as a sales tool, but as a way for both of us to pause, connect, and determine whether this is the right fit.

You’re welcome to ask questions, to get a sense of how I work, and to decide if this is the kind of support you’re ready to engage with. I’m not here to persuade you. I’m here to offer expertise, presence, and guidance.

If that resonates, you get to choose what happens next.