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FAQs

How does therapy with The Middle work?

We begin with a no-cost 15-minute consultation to explore your hopes for therapy and determine whether working together feels like a good fit. Sessions are typically 55 minutes. I believe weekly therapy offers the most consistent support and progress, though some clients prefer meeting every other week.

Intake, individual, and couple sessions are $200. I accept Aetna and Blue Cross Blue Shield of Massachusetts. For all other plans, I am an out-of-network provider. If you are self-pay, I can provide a superbill for you to submit to your insurance for possible reimbursement.

I also use a “Pay What It’s Worth” fee model. Your investment in yourself begins with a base rate of $200 per session, with the option to contribute more if you feel your experience is worth it. Any amount over $200 goes directly toward providing lower cost therapy for people from traditionally marginalized communities, increasing access to care.

Confidentiality is foundational to therapy. Choosing to self-pay provides an added level of privacy, flexibility, and control over your personal information, as it avoids the diagnostic and reporting requirements of insurance.

A labyrinth is not a maze—there are no dead ends or traps. Similar to our life journey, the path twists and turns in unexpected ways, sometimes taking you farther from the center – The Middle – just when you thought you were getting close. Therapy is a place where you don’t have to be at the beginning or the end—we can meet in The Middle. I’ll walk alongside you, meeting you where you are, and help you trust the path as you move toward clarity, healing, and wellness.

 

Infant mental health focuses on the earliest relationships in a child’s life. It includes the emotional and social development of babies and toddlers and how caregiving environments shape that development. I support parents and professionals in fostering strong, nurturing connections during this critical time.

 

Perinatal mental health spans the preconception/family planning stage through pregnancy and up to five years postpartum. It includes emotional wellbeing during fertility treatments, pregnancy, birth, and early parenting. I provide therapy for each part of this journey, including loss, trauma, and identity transitions.

 

Reproductive mental health encompasses the full arc of reproductive life—from fertility and pregnancy to postpartum, perimenopause, and beyond. I work with individuals and couples navigating infertility, pregnancy loss, birth trauma, family building, hormonal changes, and identity shifts that arise across these stages.

 

Yes. The emotional changes that occur with hormonal and stage of life transitions are an important part of reproductive mental health. I offer support for individuals navigating perimenopause and menopause, including mood changes, grief, identity shifts, and questions of meaning and transition.

Absolutely. I support adoptive parents, kinship caregivers, and foster caregivers at all stages of the caregiving journey. Therapy can help process attachment, loss, identity, and relationship complexities for both caregivers and children.

 

I offer virtual reflective individual and group supervision and consultation for professionals in infant, perinatal, and early childhood work across Colorado and nationwide. These sessions create space to pause, make meaning of emotionally demanding work, and reflect on professional growth, attunement, and relational dynamics.

 

I partner with organizations to strengthen infant and perinatal mental health services. My experience includes:

  • Leading the development and piloting of the first every day, all day kindergarten program for a school district
  • Creating and expanding an infant mental health program for a large metropolitan hospital and a community health organization
  • Designing workflows for new screening tools, team development, and services
  • Offering reflective consultation for individuals and multidisciplinary teams
  • Developing and delivering trainings on situations like responding to crises like miscarriage or suicidal ideation, ethical conduct and decision-making, and on understanding infant and perinatal mental health in clinical practice and within systems

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