I offer a free 25-minute initial evaluation in person or via phone, email, or videoconference (using Zoom, a HIPAA-compliant videoconferencing platform). This gives us a chance to meet each other and get a sense of whether we might work well together. During this time, we can talk about what challenges you are facing, and I can answer any questions you have about how I work.  If you prefer a full session for our first meeting, I offer a 50% discount on the fee. Please see the "New Clients" page for availability and to make an appointment request.

My rate is $130 per 50-minute session. Couples often find that 80-minute sessions ($195) give more time to discuss complex and challenging issues.  Many couples choose to attend 80-minute therapy sessions every-other-week.


My therapy practice is out-of-network.  This means that you pay the full fee at the time of our session, and your insurance company may reimburse you a portion of that fee once your deductible is met.  See below for more details.

I am happy to file your out-of-network claims for you on a monthly basis so you don't have to deal with it.  This is a free service, available upon request.

Options for affording therapy

Sliding Scale: I offer a limited number of recurring appointments at a variety of rates. Priority is given to current or returning clients who are undergoing financial hardship.  All my sliding scale spots are currently full, but I'm happy to refer you to other therapists who may have this option.

Flexible Spending Accounts: If your employer offers a Flexible Spending Account/Health Savings Account and you contribute to it, you can be reimbursed for your therapy fees as a health expense, or you an use your HSA card as payment at the time of service. This allows you to pay for therapy out of pre-tax dollars and reduce the cost by 20-30%.

Out-of-Network Insurance: Although I do not accept insurance, some plans will reimburse you for your therapy fees. If you would like to file out-of-network claims, I would be happy to submit monthly claims on your behalf. Here are the things to consider:

  • What is your deductible?

    You won’t receive any reimbursement until your deductible is met. However, it can be a good idea to apply these expenses even if you don’t anticipate meeting your deductible, just in case something unexpected happens.

  • How much will your insurance cover for an out-of-network mental health/specialist visit?

    The approved covered amount is usually priced well below standard therapy rates. This means you may pay $130, but only $90 of that will go towards your deductible. Insurance often won’t share their maximum rates in advance, but if you want to ask, you can inquire with insurance about the maximum reimbursable fee for CPT code 90834 (individual therapy, 45-50 minute session.)

  • Do you have any concerns about having a mental health diagnosis on your permanent health record?
    All insurance plans require a diagnosis to cover mental health care, and that diagnosis becomes a part of your permanent health record. After we meet, we can discuss a potential diagnosis and any concerns you have BEFORE you file with insurance.

Does my insurance pay for couples counseling?

Most plans do not cover couples counseling. However, it may be appropriate to have your partner or family attend sessions to support you in your individual therapy, and that may be covered under certain circumstances. I am happy to talk with you about whether this is appropriate for your situation. Please contact me at sheffaariens@gmail.com with any questions or concerns you have.




This may look strange if you're not familiar with traditional therapy timing. This time frame allows me to start each session on the hour (or half hour), and have a few minutes afterwards to write notes about what might be helpful in our future work. It also gives us a few minutes of flexibility to wrap up, so we don't have a "hard stop" right when the clock hits the allotted time.