Services

I can provide in-network reimbursement rates to clients with Cigna (Evernorth) and Aetna through my contractual partnership with the Octave platform. Paperwork and all information about billing will be managed by Octave and questions will be referred to them. However, If you want to use your in-network therapy benefits from Cigna or Aetna to work with me, please reach out or schedule a free consultation with me first, as I will likely be able to offer you more availability than what is listed on Octave directly.

For private pay clients or people looking to use Out-Of-Network benefits, my standard session rate is $160, and I am happy to provide monthly superbills to assist you in seeking reimbursement from your insurance company. OON and private pay clients, please see below in this page for information about your rights to a Good Faith Estimate under the No Surprises Act.

I apologize for the inconvenience not being in-network with more insurance companies; I know how necessary and how hard it is to find in-network therapists, and I adamantly wish it were not this way. This recent Pro-Publica article shares important information about why paneling with insurance companies is so difficult and often exploitative on the therapist end, and why patient care suffers as a result. I encourage you to share it with your state and federal representatives to advocate for better regulations and oversight (and better systems) to ensure better access to mental health care and fair treatment for mental health providers. (And while you're at it, register to vote and/or make sure your registration is up to date!)

EMDR stands for Eye Movement Desensitizing and Reprocessing, which is a long way of saying that it uses bilateral stimulation (visual, tactile, or auditory) to help process and integrate memories and memory states that are causing distress and suffering (also a long description). EMDR Therapy offers a powerful therapeutic approach that centers our innate healing capacities and transforms how our memories are experienced from the inside out. One of the things that I most appreciate about EMDR is its standpoint that the brain has a natural healing mechanism, the Adaptive Information Processing system (AIP), much in the same way that the skin and other organs typically have their own healing mechanisms, such as ability to form a scab and heal a wound. Trauma is understood as any experience that overwhelms this system, thus derailing the brain's capacity to integrate the experience. EMDR therapy helps to support the AIP in getting back to running smoothly, so that the brain's healing mechanism can do what it does best - foster healing. It sounds weird, it looks a bit weird, but it can work wonders, and has the research to support it.

EMDR Therapy is considered a gold standard treatment for PTSD and has also been found effective for multiple conditions that can be related to memories (including depression and anxiety). Learn more about EMDR Therapy by reading this brochure or by watching this video from the EMDR International Association.

Internal Family Systems is another evidenced-based therapy approach, and it normatively views all individuals' psychology as containing multiple parts (like the different emotion characters in the Inside Out movies, but many more of them). These parts show up in our sensations, emotions, thoughts, memories, and behaviors; some of them have been burdened by difficult experiences while others of them have been drafted into sometimes-extreme roles as a response. In addition to these parts, IFS also recognizes that we all have an underlying Self Energy, which can be experienced as calm and loving awareness of our parts. It is this Self who we ultimately want to be in the lead, similar to an orchestra conductor standing on the podium, working harmoniously with the different orchestral sections and musicians (i.e., parts) to bring them in as needed.

However, very frequently we find our parts taking over the lead, (the way that the Anxiety character does in Inside Out 2). Though all parts have good intentions and are usually trying to protect us in some way, they can get so stuck in their particular role (e.g., parts who are drafted into the role of the Inner Critic) that it is hard for them to recognize when the overall impact of their actions are actually harming rather than helping. IFS therapy helps foster communication and trust between Self and parts, ultimately allowing for more freedom and a greater sense of trust, safety, and compassion.

IFS-Informed EMDR integrates these very complementary therapy approaches, and is particularly useful when protective parts with long-standing survival behaviors need additional support before being able to benefit from EMDR reprocessing (which is often the case with Complex Trauma). IFS-Informed EMDR is a very gentle approach that can result in very profound healing.

Mindfulness-Based Therapy incorporates mindfulness and meditation practices and principles from Buddhist psychology to explore and address the suffering we experience and to seek the ways to alleviate it, within the container of therapeutic space. This might be helpful for those times in life where additional support is necessary in order to safely be in contact with our suffering.

Buddhist scholar and climate activist Joanna Macy, whose work has been a profound inspiration (and is referenced here and here) shares the wisdom: “when you’re not afraid of the suffering, nothing can stop you.” But how do we not fear our suffering, particularly when every protective function in our body is determined to get us as far away from it as possible? And what even is our suffering, and what are its causes?

A simplified version of Buddhist teaching is that suffering arises whenever we are caught in wanting things to be different than how they are in this moment—which is a pretty easy place to be stuck in. And a trauma-lens would say that suffering arises from unresolved memories of overwhelming experiences and the impact of the self-protective but often burdensome beliefs and adaptations that we have acquired in an effort to survive these experiences. From both approaches, looking safely but deeply into our experience in order to gain perspective, better understand the truth, and release the grip of fear, hatred, and delusion are how we move toward liberation and healing and away from suffering and trauma. This makes it possible to be with and feel our emotions, and for them to help be a trustworthy and integral guide toward wisdom, compassion, and wise action. As such, mindfulness based treatment integrates beautifully with trauma processing work and is also a beneficial way to approach climate psychology.

If you are looking for individualized meditation instruction or support in developing a practice, please be in touch. I have particular skill in supporting people whose trauma symptoms have made safe access to meditation difficult, as well as with people who have struggled to find a way into the practice. Please note that this service is not a substitute for therapy, and that my therapy provision can only be to clients located in Maryland based on my license. There are no geographical limitations for meditation support.

Meditation teaching will be offered on a pay what you can model, following the dana (generosity) practice that has shepherded these teachings from the time of the Buddha to the current day. The availability I have to give to this offering will depend on the number of clients I am seeing and my income needs, and will likely vary.

If you are interested in working with me to design trainings, resources, or presentations for your group, please be in touch. Organizations looking to support employees/members who are facing climate-related trauma are particularly encouraged to reach out.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the No Surprises Act, health care providers need to give patients who don’t have insurance, or who are not using their insurance, an estimate of the bill for medical items and services.

What does that actually mean?

• You have the right to receive a Good Faith Estimate (GFE) for the total expected cost of any non-emergency services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees. (Future Path Collaborative does not provide those items and services. However, providers who do provide those must give you a GFE that includes their cost.)

• Make sure your health care provider gives you a GFE in writing at least 1 business day before your medical service or item. You can also ask your health care provider, or any other provider you choose, for a GFE before you schedule an item or service.

• If you receive a bill that is at least $400 more than your GFE, you can dispute the bill.

• Make sure to save a copy or picture of your GFE.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises. Also, you can call HHS at 877-696-6775​. Alternatively, you can read more about this provision of the law in this pdf on the CMS website.

DISCLAIMER: Good Faith Estimates show the costs of items and services that are reasonably expected for your health care needs for an item or service. Such estimates are based on information known at the time the estimate was created. A Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill. (If the bill is at least $400 more than your GFE, as noted above.)

PLEASE BE ADVISED that a Good Faith Estimate is not a contract. You are not obligated to engage in services from Future Path Collaborative. At your request, we can provide you with alternative referrals for treatment.