Your Questions, Answered

Currently, I have the following openings:

Thursday 2:30pm

Friday 8:30am

(updated- 10/30/18)

What form of payments do you take?

You may pay for counseling with me using cash, check, or credit card. Funds from a Health Savings Account may be used.

I do not take insurance (…read below to learn why). Of course, if you have out of network benefits, I am happy to provide you with the documentation for you to submit to your insurance company for reimbursement.

If you are interested in working with me but cannot afford my fees, please do reach out. I so strongly believe in the work I do that I offer a few sliding scale spots in my caseload.

Great question! The answer to this has many parts that all boil down to: not taking insurance allows me to provide you with a better service and typically produces a greater motivation and commitment from clients.

Still, there are more pros and cons…

Pros

• Cost. If you see a therapist that is in your network, you only have to pay your copay.

• Monitoring. Your insurance company will closely monitor your progress to insure that you are making progress and getting the appropriate treatment.

• Ease of referral. Your insurance company will provide you with a list of their approved therapists in your area

Cons

• Limited sessions. Your insurance company will authorize a limited number of therapy sessions and then based on your progress, will either authorize continued treatment or not. If you decide to continue past this point, you will be responsible for the full cost of continued sessions.

• Diagnosis. In order to access your insurance benefit, your assigned therapist is required to diagnose you with a mental disorder. The record of this diagnosis can follow you for years to come and may make it more difficult to obtain insurance in the future. It will also become part of your MIB profile. MIB is the Medical Information Bureau and is the centralized clearing house for health insurance usage – performing essentially the same task as the credit bureaus do for you financial information.

• Loss of confidentiality. If you are using your insurance to pay for therapy, you should be aware that they have the right to know why you are going to therapy and what progress you are making. They have the right to audit your therapist’s files and notes and ask questions of him/her regarding your issues.

• Lack of availability. Due to several of the above issues, many therapists limit the number of their clients who are using managed care benefits and usually reserve their most convenient time slots for private pay clients.

• Limited specialties. Many therapists who have developed a specialty in treating a certain type of problem resign from insurance panels in order to focus on client care and developing the niche. This may make it difficult for someone using their insurance benefits to find a particular specialty or a certain level of experience.

Something in you led you find this website and to begin reading. That ‘something’ is what I like to call wisdom. And I believe we must honor and support our wisdom so it can continue to guide us. Your wisdom asks you questions and urges you to find answers. If your wisdom brought you here, I’d encourage you to get curious about why. If you clearly know why but are unsure if your problem is “big enough” for you to need a therapist, why don’t you give me a call and we can talk about it?

Though pain and challenges in life are most often temporary, they are also painful and challenging. Your world need not be falling apart for you to seek counseling. Wherever you are in your journey through life’s pain and challenges, I would love to meet you there and support you as you move forward.

Not immediately, no. For most folks I’ve treated, their eating disorder helps them regulate their emotions and feel like they can get through life. I wouldn’t dream of asking you to give up that capability immediately. We have to build other, more effective ways of managing your emotions and navigating life first. Eating disorder treatment is tough, some of the toughest out there, and I believe in taking it slow. We will talk about what feels safe and doable and always strive to agree on our goals and action steps. I want to set you up for success not for failure! And, bottom line, you are always in charge. I will never make you do something you don’t want to do.

First, I want to honor your courage for even asking and for continuing to search for help and healing. From my personal experience in trauma therapy, hope slips in and out of our hands like a wet bar of soap. Being here, reading this, shows me you still have hope, even if it’s just a sliver.

Yes, I can offer you some different types of therapy that can help when talking doesn’t. I’ll have a few questions to ask first to figure out what will be a good fit.

From my neuroscience education and background as a collegiate athlete, I have always been fascinated in the mind-body connection and in my personal trauma story, I have seen how disruptions in that connection can disrupt life entirely. EMDR, IFS, and expressive arts therapy can move us humans into a deeper space of healing than words alone. Sometimes words are just inadequate and other times we lack the vocabulary to describe what we so desperately need to say.

Additionally, for some people, talk therapy doesn’t work well because our emotions feel like they are too intense and we act out on them through risky behaviors and ineffective communication–DBT helps with this by offering a foundation for regulating emotion, tolerating distress, and attending to relationships in an effective manner even when emotions are intense.

As a human, not only as a therapist, I am naturally oriented toward change. If you’re looking for a therapist, life probably isn’t all sunshine and unicorns–you’ve got questions and a need for things to change. I believe you have the power within yourself to change your life into the life you so desire. Together we will harness that power and motivate the change.

For different therapists, DBT-informed therapy, can look really different, so it’s fabulous that you asked. I can tell you a little bit here and if you’d like to talk more at length, please give me a call. I’d be happy to answer your questions.
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Some of my past clinical experience came from working in a full-fidelity DBT clinic–a therapy clinic where all the therapists do is DBT and the goal is to do DBT aligned as closely as possible with the model that has been written about and researched. As a private practitioner, I cannot do that for a number of reasons; the biggest of which are that I’m simply unable to provide two of the four components of full-fidelity DBT–group skills training and the therapist consultation group. I can and certainly do refer clients to DBT groups in the community. Also, I do attend a consultation group, however it is not focused on DBT. For these reasons, I cannot ethically present myself as a DBT therapist. If full-fidelity DBT is what you are looking for, I can refer you to a local clinic for that service.
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The DBT-informed therapy I do provide is steeped in the learning I engaged while working in the full-fidelity program and bolstered by other techniques I’ve experienced to be helpful in therapy.

Here’s what I can help you do:

• introduce the skills and review practical applications with them
• incorporate and teach dialectical (not black-and-white) thinking
• develop a crisis plan and willingness to use it
• decrease problematic behavior
• increase self-confidence and other positive emotions

No problem! Just let me know and Morgan will scoot out.

Every person’s story is so different and so I can’t really compare. I’m just happy you’re here and I want to try and help.

Well, first of all, dear reader, that is not a question and therefore doesn’t really belong on this page, now does it?

Second, hell yes I swear on my website. I swear in real life so I figured it would be pretty odd to talk to you through the computer differently than I’d talk to you on my couch.

So much of the work I do with the women I see circles around the vulnerability of being seen. If you could see yourself clearly and live in a way that lets you be seen by those around you, I believe it will create a ripple effect and others will begin to see themselves more clearly too.

Unfortunately, my office is on the second floor of a historic (renovated) home in NW Portland complete with a staircase and narrow doorways.

 

Oh, I’m so glad you asked! Check out my resources page for some ideas.

If you become a client of mine, I’ll be happy to lend you books from my bookshelves.

There are a few ingredients to what makes me love wading through the deepest, toughest stuff with my clients: coffee, self-care, my therapist, hope, and more hope. Let me explain.

Coffee, mostly decaf. Sitting across from you while cradling my wonder-woman coffee mug feels like a gift. You welcome me into your pain and I bet some of that pain exists because people didn’t understand, didn’t believe you, or just didn’t show up. Coffee in hand, I show up for you because you’re showing up for yourself by showing up to my office. It’s not really about the coffee at all.

Self-care, seriously. I walk around the block (or a few) or flow through some yoga poses between clients. Yes, I take naps on my couch and yes, there’s real food in the fridge, not just coffee creamer. By listening to my body’s need for movement, food, and rest, I’m able to be on my game when you arrive. The days when I’ve tried to rally and come to work when I’m sick haven’t gone well for me or my clients. When I listen to my body, everyone wins.

My therapist, thank god I found her. I have a person to go to, in addition to my natural support system, to help me figure out the messy middle parts of life. No, I don’t talk to her about your problems.

Hope, keeps us all afloat. That was cheesy. But really, I believe things can and will get better for you. I might not even know you yet but I know nothing in life is forever, so even in the darkest part of your hardest Wednesday, things.will.change. Sometimes the hardest part is figuring out how to get out of our own way.

If you do, call me.