FAQs

Fequently Asked Questions

Fees, Insurance and Private Pay

  • EMDR Individual Therapy:

    -53-60 minutes: $185

    -90 minutes: $275

    -Limited Open Path Sliding Scale

    Professional Consultation:

    -53-60 minutes :$160

    -Sliding Scale for BIPOC and LGBTQ+ Associates and Pre-licensed providers

  • I am in network with Premera, LifeWise, and most Anthem BCBS plans.

    If you plan to use your health insurance, please call your insurance company to check your benefits. A diagnosis will be needed in order to bill for services. In addition, insurances may/may not cover 90 minute sessions, you are responsible for what your insurance doesn’t cover.

    These are some helpful questions to ask:

    -What is my copay?

    -Do I have a deductible to meet?

    -Is my mental health benefits through the same insurance company as my medical benefit, or “carved out” to a different insurance company?

  • If you have a different insurance, you may be able to get reimbursement through Out of Network Benefits to pay for sessions if your insurance provides them. In this case, I would become your Out of Network Provider. You’ll need to check with your insurance to find out and for submitting claims. Note that superbills need a diagnosis listed to be sent to an insurance and your insurance could reach out to ask questions on care.

    I can provide monthly superbills for you to submit to your insurance if you choose this option. Your insurance may choose to cover fully, partially, or not at all the services you receive. You are responsible for paying the cost of service at the time of service.

    You’ll also have the right to receive a Good Faith Estimate (GFE) explaining how much your mental health may cost. Under the law, health care providers must provide a patient who isn’t using insurance an estimate of expected health care costs. You’ll be provided with a GFE before your intake/assessment appointment. For more information about GFE and your rights, visit cms.gov/nosurprises

    These are some helpful questions to ask your insurance for Out of Network Benefits:

    -Do I have out-of-network benefits for mental health services?

    -Will I be reimbursed for seeing a licensed clinical social worker (LICSW)?

    -What is my out-of-network deductible?

    -What does my plan reimburse for the following CPT codes: 90791 and 90837?

    -How many sessions per year does my health insurance cover?

    -What is the coverage amount per therapy session?

    -Is approval required from my primary care physician?

    -How long does it take to get reimbursed?

    -Are there any other restrictions I should know about?

    -How do I submit a claim for out-of-network benefits?

    -What is my copay per session?

    Online Service Option: Reimbursify

    Reimbursify is an online service that charges $1.99 per reimbursement claim and will do your out of network billing. You’ll get a check in the mail if your reimbursement is accepted, and if it’s rejected they can help resolve it for you.

  • You can pay for sessions (known “Private Pay” or “self-pay”) without using insurance benefits. With Private Pay, you agree not to submit claims to your insurance. A diagnosis is optional if you choose to pay privately and your insurance will not have access to your information if you decide to pay privately.

    You’ll also have the right to receive a Good Faith Estimate (GFE) explaining how much your mental health may cost. Under the law, health care providers must provide a patient who isn’t using insurance an estimate of expected health care costs. You’ll be provided with a GFE before your intake/assessment appointment. For more information about GFE and your rights, visit cms.gov/nosurprises

  • Kirkland EMDR Counseling a has limited number of slots for Open Path Collective clients which we offer when available. The Open Path Collective is a nonprofit nationwide network of mental health professionals dedicated to providing mental heath care at a reduced rate to clients in need.

    To join Open Path, you’ll need to pay a one-time lifetime membership fee of $59, and receive a Member ID, which allows you to work with Open Path therapists in the network with sessions at a reduced rate.

    If you have any questions please feel free to contact us!

  • Unfortunately we are unable to accept Medicaid/Medicare insurance. In addition, Medicaid/Medicare does not provide reimbursement for Out of Network benefits.

    If you have Medicaid/Medicare, you may choose to pay privately or use our Sliding Scale option when slots are available.

  • Kirkland EMDR Counseling accepts electronic payment by credit, debit, or HSA card.

 

Experience of Therapy

  • These are some helpful resources if you need to talk to someone right now for support or are in crisis and it’s not an emergency (please call 911 or go to your nearest emergency room if this is an emergency):

    -King County 24-hour crisis line: 866-4CRISIS (427-4747) Local: (206) 461-3222

    -National Suicide Prevention Lifeline: (800) 273-TALK (1-800-273-8255)

    -Crisis Textline: Text CONNECT to 741741 or visit http://www.crisistextline.org/

    -The Steve Fund: Text STEVE to 741741 for support. This is a Crisis Text Line for People of Color.

    -Call Black Line: Call 1 (800) 604-5841. Peer support, counseling, reporting mistreatment, affirming the impact of systemic oppression.

    -Asian LifeNet Hotline: (24 hours): Call 1-877-990-8585. Translation services over 140 languages. If you live outside of NY you can still call.

    -Veteran's Crisis Line: (800) 273-8255, option 1 . Additional info: https://www.veteranscrisisline.net

    -Teenline: (310) 855-HOPE or (800) TLC-TEEN (nationwide toll-free) from 6pm to 10pm PST. Additional info: https://teenlineonline.org

    -Trevor Project: Call or text 1-866-488-7386 Hotline for LGBTQ+ Youth.

    -NAMI Helpline: 10am - 6pm (Mon-Fri), 1-800-950-6264. Peer support and resource referrals.

    -SAMHSA Helpline: 24/7, 1-800-662-HELP(4357). Confidential treatment referral and information for mental and/or substance use disorders.

    -National Sexual Assault Hotline: Call 1-800-656-4673 (HOPE)

    -National Domestic Violence Hotline: 800-799-SAFE or 800-799-7233

    -National Eating Disorder Association Hotline: Call 800-931-2237.

    Emotional Support and Warm Lines

    -NAMI: NAMI National Warmline Directory

    -7 Cups is an online emotional support service.

  • Teletherapy is defined as receiving mental heath services online by video or phone. It’s usually done through an encrypted service designed for health care professionals. If you’ve ever used FaceTime, Skype, Whatsapp video, it’s a similar experience. You’ll be receiving the same services you would in-office from the comfort of your home.

    These are some steps you can take to make sure that your Teletherapy session has the best connection:

    -Quit out of all the non-therapy programs before the session (see if there any programs running in the background using your internet connection to sync).

    -Connect your computer to the WiFi router with a cable or move very close to the WiFi router for session.

    -Make sure your antivirus program and system updates aren’t scheduled during your session time.

    -Close to door to your room so kids/pets/partners don’t unexpectedly wander in.

    -Get yourself a snack, glass of water, and other soothing items before logging in.

    For more information, please read the What Does Teletherapy Look Like? page.

  • From the perspective of Kirkland EMDR Counseling, these words are often interchangeable in the mental health community as people who hold various licenses through the Department of Health can provide mental health services in Washington State. Other therapists may disagree.

  • The foundation to the therapeutic relationship is confidentiality. When you participate in therapy, the content of our sessions, and information you share during the session is protected by legal confidentiality.

    However, there’s a few exceptions. State law and professional ethics require us to maintain confidentiality except for the following situations:

    1. Suspected past or present abuse or neglect of children, adults, or elders to the authorities, including Child Protection and law enforcement, based on information provided by the client or collateral sources.

    2. If the therapist has reason to suspect the client is seriously in danger or harming him/her/themselves or has threatened to harm another person.

    In these situations, the therapist can and will share information without your written consent to ensure your imminent safety and the safety of others.

  • You’ve been navigating through life, using your own tools and resources to do what you can when facing challenging situations and experiences which is a testament to your resilience.

    However, there are times, where we could use a space to get another perspective, more tools, and support. This self-awareness is something to be admired, as it shows you are open to learning, growing and accessing information that you may not have.

    You are taking responsibility of where you are at in life and committing to change when you engage in therapy. Therapy is designed to provide long-lasting benefits and support, giving you tools you need to gain awareness of unhelpful patterns, triggers and navigating challenges that you experience.

  • Engaging in therapy can help you in many ways. The benefits you will obtain depend on the collaboration between you an your therapist. Your participation and how you put into practice the knowledge and insights will be the key ingredients to reaching your goals.

    Therapy can be helpful in different ways:

    -Receiving support in a safe, confidential, and warm space to explore what is important to you

    -Gaining awareness on a better understanding of yourself, your goals, and values

    -Learn and develop skills to improve your relationships

    -Find a resolution to issues/concerns

    -Learning new ways to cope with stress or anxiety

    -Managing anger, grief, depression or other emotional pressions

    -Improving communication and listening skills

    -Changing old patterns of behavior and developing new ones

    -Improving your self-esteem and boosting your self-confidence

  • Each person is unique, and therefore their time in therapy can vary based on what their goals and needs are. What’s important is to notice what you’d like therapy to be like.

    Some people will engage in therapy for a short period of time to learn coping skills and tools. Other people will stay longer for a deeper dive into some of their earliest experiences and healing work.

    To start, it’s recommended to see each other weekly for 6-8 sessions as a well to get to know each and have a good idea of what your goals and needs are. We can then stay at weekly or move to every other week as needed.

    It’s not recommended to have sessions once a month unless they are as a transition to ending therapy (having felt you met your goals and needs) since the long time gap reduces the effectiveness of our work together.

    For more information on what this would look like see our What Does Teletherapy Look Like? page.

  • EMDR Therapy (Eye Movement Desensitization and Reprocessing Therapy) has been extensively researched since 1989and widely recognized as effective trauma therapy. A growing body of research now looks at it’s applications extending beyond trauma to other mental health conditions including anxiety, depression, self-esteem issues and many others.

    EMDR Therapy is an evidenced based practice that uses bilateral stimulation (such as moving your eyes, tapping, or hearing sounds from one side to another) to support your brain’s ability to process memories or experiences are stuck.

    Bilateral stimulation activates our brain’s left and right side through visual, tactile, or auditory stimulation. This draws from existing practices from many cultures and communities that have existed prior to EMDR such as: playing musical instruments, dance, running, swaying or pacing back and forth.

    Memories that are too distressing or overwhelming get frozen/walled off with the original sensations, thoughts, and emotion of when they happened. EMDR helps get memories unstuck through bilateral stimulation and give space for us to call on resources to resolve them.

    EMDR helps to build up positive neural networks to help you feel better and to hold past experiences and new thoughts about yourself in a healthier way.

    To learn more about EMDR Therapy, you can visit EMDRIA (the EMDR International Association).

  • Yes! There isn’t one type of therapy that fits everyone or is the answer to everything. We just find EMDR to be the most helpful and hear from clients they experience the fastest results.

    We also have experience with:

    -Cognitive Behavioral Therapy

    -Dialectical Behavior Therapy Skills (DBT Skills)

    -Client Centered Therapy

    -Motivational Interviewing

    -Mindful Self-Compassion

  • Kirkland EMDR Counseling is unable to prescribe medications. Only a medical doctor or nurse practitioner is able to prescribe.

    It has been well established through research that the long-term solution to mental and emotional conditions typically respond well to psychotherapy.

    However, there are some situations where medication can be helpful as temporary or for continual management of mental health conditions due to biological factors.

    Overall, the best sustainable growth and wellbeing can be achieved with an integrative approach to wellness. Working with your medical doctor as a member of your support team in addition to your therapist can help determine what’s the best care for you. In some cases a combination of medication and therapy is the best course of action.

  • In order to protect your confidentiality and the importance of minimizing dual relationships, therapists will generally not accept friend or contact requests from current or former clients on any social networking site (Facebook, Instagram, etc).

    Adding clients as friends or contacts on these sites can compromise your confidentiality and your respective privacy. It may also blur the boundaries of the therapeutic relationship. If you have questions about this, please ask your therapist to discuss them in detail.

    You are welcome to like Kirkland EMDR Counseling’s Facebook page, subscribe to the YouTube channel, or follow us on LinkedIn and Instagram. This is the best way to stay connected through social media.

 

Additional Resources

  • Books for Therapy:

    -The Gifts of Imperfection: Let Go of Who You Think You're Supposed to Be and Embrace Who You Are by Brené Brown

    -The Body Keeps the Score, by Bessel van der Kolk

    -Getting Past Your Past: Take Control of Your Life with Self-Help Techniques from EMDR Therapy by Francine Shapiro

    -Adult Children of Emotionally Immature Parents: How to Heal from Distant, Rejecting, or Self-Involved Parents by Lindsay C. Gibson

    -Tapping In, by Laurel Parnell PhD

    -Self-Compassion, by Kristin Neff PhD

    -The Mindful Path to Self-Compassion, by Christopher Germer PhD

    -Health At Every Size: The Surprising Truth About Your Weight by Linda Bacon

    -The Intuitive Eating Workbook: Ten Principles for Nourishing a Healthy Relationship with Food by Evelyn Tribole, Elyse Resch, Tracy Tylka Ph.D

    -Living Beyond Your Pain: Using Acceptance and Commitment Therapy to Ease Chronic Pain by JoAnne Dahl PhD, Steven C. Hayes PhD, Tobias Lundgren MS

    Books for Relationships:

    -Hold Me Tight by Dr. Sue Johnson

    -Nonviolent Communication: A Language of Life: Life-Changing Tools for Healthy Relationships by Marshall B. Rosenberg PhD

    -Say What You Mean: A Mindful Approach to Nonviolent Communication by Oren Jay Sofer

    -Wired for Love, by Stan Tatkin PsyD

    -Wired for Dating, by Stan Tatkin PsyD

    -The 5 Love Languages: The Secret to Love that Lasts by Gary Chapman

    -Come as You Are: Revised and Updated: The Surprising New Science That Will Transform Your Sex Life by Emily Nagoski

    -Better Sex Through Mindfulness: How Women Can Cultivate Desire by Lori A. Brotto

    -After the Affair, Third Edition: Healing the Pain and Rebuilding Trust When a Partner Has Been Unfaithful by Janis Abrahms Spring

    -Designer Relationships: A Guide to Happy Monogamy, Positive Polyamory, and Optimistic Open Relationships by Mark A. Michaels

    -Opening Up: A Guide To Creating and Sustaining Open Relationships by Tristan Taormino

    -Ace: What Asexuality Reveals About Desire, Society, and the Meaning of Sex by Angela Chen

    -Too Good to Leave, Too Bad to Stay: A Step-by-Step Guide to Help You Decide Whether to Stay In or Get Out of Your Relationship by Mira Kirshenbaum

    -Why Does He Do That? By Lundy Bancroft

    -Helping Her Get Free: A Guide for Families and Friends of Abused Women by Susan Brewster

    For Anti-racism and Anti-oppression:

    -My Grandmother's Hands: Racialized Trauma and the Pathway to Mending our Hearts and Bodies. Resmaa Menakem

    -decolonizing trans/gender 101 B Binaohan

    -Radical Dharma: Talking Race, Love and Liberation. Jasmine Syedullah, Lama Rod Owens, Rev. angel Kyodo Williams

    -Care Work: Dreaming Disability Justice. Leah Lakshmi Piepzna-Samarasinha

    -Pleasure Activism: The Politics of Feeling Good. adrienne marie brown

    -Emergent Strategy: Shaping Change, Changing Worlds. adrienne maree brown

    -​The Choice. Dr. Edith Eger

    -Becoming Wise. Krista Tippett

    -Beyond Inclusion, Beyond Empowerment by Leticia Nieto

    -A People’s History of the United States by Howard Zinn

    -How to be an Antiracist by Ibram X Kendi

    Books for Parenting:

    -How to Talk So Kids Will Listen & Listen So Kids Will Talk by Adele Faber and Elaine Mazlish

    -How to Talk So Teens Will Listen and Listen So Teens Will Talk by Adele Faber and Elaine Mazlish

    -How to Talk so Little Kids Will Listen: A Survival Guide to Life with Children Ages 2-7 by Joanna Faber and Julie King

    -1-2-3 Magic: Gentle 3-Step Child & Toddler Discipline for Calm, Effective, and Happy Parenting by Thomas W. Phelan

    -1-2-3 Magic Teen : Communicate, Connect, and Guide Your Teen to Adulthood by Phelan, Thomas W., Ph.D.

    -No-Drama Discipline: The Whole-Brain Way to Calm the Chaos and Nurture Your Child's Developing Mind by Daniel J. Siegel and Tina Payne Bryson

    -The Transgender Teen: A Handbook for Parents and Professionals Supporting Transgender and Non-Binary Teens by Kenney, Lisa, Brill, Stephanie A.

    -The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder by Carol Stock Kranowitz

  • -Headspace. Helps with learning to meditate and cultivate mindfulness.

    -Insight Timer. An app with a useful timer and access to thousands of guided meditations.

    -Daylio. A free app that lets you track your mood and behavior.

    -Bashful. An app that helps blocking your phone for a certain period of time, with the exception of calls and emergency calls, so you don’t engage in distracting apps.

    -Beeminder. A program that links with other apps and helps you set goals. If you don’t meet a goal, it “stings” you by collecting the dollar amount you designate.

    -Medito. A free app that helps introducing you to meditation.

    -Breathing Zone. An app that focuses on guided breathing using visuals.