FAQS

Individual clients typically see me once a week for 45-minute sessions. Depeneding on my availability, I am able to see some clients twice a week. I allow long-standing clients who are approaching feeling ready to stop therapy to go down to once every other week or once a month before fully stopping. I typically see new clients on a weekly basis for at least the first two months.

Couples typically see me once a week for 60-minute sessions.

The length of time overall that we see each other is dependent on a number of things, including the severity of the presenting problem and your dedication to your own healing. A number of my OCD clients find that they have improved significantly after 15-20 sessions, but some choose to continue therapy to address other aspects of their lives. The length of time I see clients who come to me for anxiety and relationship issues varies significantly depending on whether they are going through a crisis or simply seeking to maintain long-term mental health.

Individuals:

$350 for 45-minute sessions.

$375 for 60-minute sessions.

$375 for initial 60-minute intake session.

Couples:

$400 for 60-minute sessions.

$450 for initial 75-minute intake session.

Please see information about insurance and reimbursement in the answer to the next question.

Update: I am in the process of hiring two other OCD therapists to join my team! They have both been trained by me in I-CBT and will be using all of my materials. If I am unavailable or my rates are not feasible for you, please let me know if you would like to schedule a complimentary 15-minute consultation call with either of them.

Rachel Jenkins, LCSW is licensed in Florida, New Jersey, North Carolina, South Carolina, and Virginia. Her rates are $250 for 45-minute sessions and $275 for the initial 60-minute intake session.

Allison Perez, LCSW is licensed in California and Florida. Her rates are $225 for 45-minute sessions and $250 for the initial 60-minute intake session.

I am an out-of-network provider, so I do not accept insurance directly and require payment in full at the end of each session. However, you may still have the option of utilizing your insurance by seeking out-of-network benefits for our sessions together. Out-of-network benefits are usually quite easy to navigate.

For using your insurance on an out-of-network basis, sessions will be charged directly to you at the time of our appointment. If you would like, I can electronically send out out-of-network claims on your behalf (in most cases), and then your insurance company may reimburse you directly for some portion of the cost based on coverage that your plan may have for therapy on an out-of network basis.

When we talk, I am more than happy to help you understand and navigate the out-of-network benefits process however I can. But I always still recommend that you contact your insurance directly to find out more information about out-of-network benefits with your particular plan. Nonetheless, if it's helpful for us to chat first before you call them, don't hesitate to reach out to me as a first step.

Also, please note that you can use an FSA and HSA card to pay for sessions.

I accept all major credit cards, including FSA and HSA cards, making it easy and flexible for you to pay.

The therapies I use with each client depend on their specific needs. I have specialized training in the following:

For OCD, I have training in and utilize the following therapies:

Inference-Based Cognitive Behavioral Therapy (I-CBT)*

Exposure & Response Prevention (ERP)

Metacognitive Therapy (MCT)

Rumination-focused ERP (RF-ERP)

For couples work, I have training in and utilize the following therapies:

The Gottman Method

Emotionally-Focused Therapy (EFT)

Relational Life Therapy (RLT)

For other issues, I have training in and utilize the following therapies:

Acceptance and Commitment Therapy (ACT)

Cognitive Behavioral Therapy (CBT)

Internal Family Systems (IFS)

Narrative Therapy

Psychodynamic Therapy

I have also been studying the Enneagram for years and use it with clients who are interested.

* I am one of the few clinicians in the United States trained by the creator of I-CBT, an evidence-based treatment for OCD. I also teach classes on I-CBT to other clinicians and provide consultation. (See Training section.)

I offer therapy sessions exclusively online, so I can work with clients in California, Florida, Maine, and Massachusetts. If you're outside these states, we can explore consultation or coaching options based on your location's licensing rules.

Update: My new associates, Rachel Jenkins and Allison Perez, are licensed in California, Florida, New Jersey, North Carolina, South Carolina, and Virginia.

Typically, clinicians need to be licensed in the state in which a client is physically located. Post-COVID, however, some states have adjusted their rules and may allow me to work with you even if you are in a state in which I am not licensed. If you do not live in Maine, Massachusetts, Florida, or California, please go online to your state's social work licensing board and find out their rules on providing telehealth with an out-of-state license. If it's clear on your state's website that I cannot provide you psychotherapy services, then we can discuss consultation and coaching services.

While psychotherapists are only legally able to practice in the states in which they are licensed, coaches can practice anywhere because you don't need a license to be a coach. This means that if you wanted to try to get reimbursed for our sessions by your insurance company you wouldn't be able to because insurance companies don't cover coaching services. My fees for coaching and consulting are the same as they are for psychotherapy. (See question above about fees.)

Update: I have recently hired additional clinicians who have been trained by me and are licensed in additional states including New Jersey, North Carolina, South Carolina, and Virginia.

Actually, yes. Even before the pandemic, research found that teletherapy was an effective way of providing care for a range of issues with a variety of populations. Since the pandemic, the amount of research has skyrocketed and it is clearer than ever that teletherapy works just as well as in-person therapy and that, in fact, it has a lot of advantages that in-person therapy doesn’t. Clients don’t have to deal with getting off enough time at work to drive to a therapist’s office, find parking, have a session, and drive back. Instead, they can skip the commute entirely and use their lunch breaks or another time that fits with their work schedules.

Plus, people are generally more comfortable and more themselves in places they know well, like their offices and homes. I’ve also found there to be a huge benefit in seeing people in the places where they spend a lot of their time because it helps give me a fuller picture of what their day-to-day lives are like.

Not at all! Whether you're at home, in your office, or even in your car, what matters most is that you have a private space where you feel comfortable opening up. You can use a laptop or your phone—whatever works best for you.

Absolutely! Many of my clients with busy schedules or long commutes find phone sessions to be a convenient and effective option.

Yes. I am able to offer one-on-one consultations for I-CBT to clinicians who specialize in OCD. My rate is the same as my fee for clients. (See above)

I will be offering a 9-week-long didactic course on I-CBT to help clinicians deepen their understanding of the what, why, and how of I-CBT. There will be two cohorts; one that starts in January and one that starts in May. If you would like to sign up for either of this, reach out to me ASAP because they are limited to 15 people per cohort. Each class breaks down to under $90, for a total of $800. (The course must be purchased in full.)

For more info, see here.

Yes. I am able to offer my knowledge and professional opinion for a 60-minute consultation. Most frequently people seek out consultations to learn more about I-CBT and to get my professional opinion on whether it would be a good fit for themselves or their loved one. I can do this regardless of the state you are in because it is not technically therapy.

60-minute consultation session: $375

Yes! Please contact me and we can discuss the details.

Catherine Goldhouse works only with clients over 18 and out of high school. Rachel Jenkins and Allison Perez both work with teens. Rachel is licensed in Florida, New Jersey, North Carolina, South Carolina, and Virginia. Allison is licensed in California and Florida.

I do. Please reach out to find out if I currently have availability, and if I don't, I can put you on my waitlist. I encourage people on my waitlist to keep inquiring about other therapists because I am usually unable to predict how long the wait will be.

Update: I am in the process of hiring another OCD therapist to join my team! She has been trained by me in I-CBT and will be using all of my materials. If I am unavailable or my rates are not feasible for you, please let me know if you would like to schedule a complimentary 15-minute consultation call with her. Her rates are $225 for 45-minute sessions and $265 for the initial 60-minute intake session.

Life happens, and I understand that plans can change. To avoid a cancellation fee, please let me know at least 48 hours before your appointment. If you cancel within 48 hours, the full session fee will apply.