Private-Pay Therapy Fees in Fairfax VA | HSA/FSA & Superbills

I accept HSA/FSA, provide superbills for out-of-network reimbursement, and give all clients a Good Faith Estimate so fees are clear from the start.

Couples Therapy Session Fees

Couples Intake (90 minutes): $375
Includes the Gottman Relationship Checkup at no additional cost.

Ongoing Sessions:

  • 60 minutes → $250

  • 75 minutes → $315

  • 90 minutes → $375

Gottman Relationship Checkup (Re-Assessment): $40 publisher’s fee
Recommended every 3 months to track measurable progress.

Sliding Scale for Couples $150–$250 per 60-minute session. Longer sessions are prorated at your selected rate.

Couples Therapy Intensive Fees

4-Hour Couples Therapy Intensive: $1,300
A boutique, one-day reset for couples ready to go deeper.

Your intensive includes:

  • Pre-Intensive Gottman Relationship Checkup (completed by each partner and reviewed in advance)

  • Four-Hour In-Person Intensive (focused on your top 2–3 issues using Gottman, IFS/IFIO, Integrative Sex Therapy, and nervous system regulation practices)

  • Personalized Written Report (summary of insights, tools, and resources tailored to you)

  • Post-Intensive Gottman Checkup (3 months later) to measure growth and identify next steps

Couples Intensives are a distinct offering from weekly therapy — designed for couples who want a structured, immersive experience with measurable outcomes.

Payment Policy:

  • A 50% deposit ($650) is required at booking to secure your intensive.

  • The remaining balance is due on the day of the session.

  • Deposits are nonrefundable but may be applied toward one rescheduled intensive with at least 14 days’ notice.

Individual Therapy Session Fees

Initial Intake (90 minutes): $300

Ongoing Sessions:

  • 60 minutes → $200

  • 75 minutes → $250

  • 90 minutes → $300

Before your intake, you’ll complete a set of brief questionnaires through your secure client portal. These cover current wellness, early experiences, and safety, giving me a clear baseline before we meet. This allows our first session to focus on your story, your goals, and the areas where you’d like to see the most change.

Sliding Scale for Individuals: $85–$200 per 60-minute session. Longer sessions are prorated at your selected rate.

Payment Information

I am a private-pay therapist and do not bill insurance directly. Many clients use superbills I provide to request out-of-network reimbursement from their insurance companies. I also accept HSA (Health Savings Account) and FSA (Flexible Spending Account) cards for therapy sessions. In compliance with the No Surprises Act, every client receives a Good Faith Estimate outlining the expected costs of therapy before starting services, so that fees are transparent from the beginning.

Sliding Scale & Equity Commitment

Healing should should be both sustainable and accessible. My practice uses a community-supported model that balances full-fee and reduced-fee sessions to increase access while maintaining high-quality, relationship-centered care.

Sliding scale rates are based on a 60-minute session. Longer sessions (75 or 90 minutes) are prorated at your selected rate.

A portion of my weekly caseload is reserved for sliding scale clients, and one session each week is held as pro bono for clients with significant financial barriers. Sliding scale spots are limited and offered based on availability.

If you’re unsure where you fall on the scale, I invite you to reflect on your current financial situation and choose a rate that feels both sustainable and respectful of your access and privilege.

Sliding Scale for Individuals: $85–$200 per 60 minutes

  • Choose this range if you are navigating financial strain or have limited access to resources. This may include:
    • supporting dependents or family members;
    • carrying significant debt or medical expenses;
    • paying tuition;
    • unstable income or underemployment;
    • limited family or generational financial support.

    This range keeps therapy accessible and is supported by those who can pay more.

  • This range reflects moderate access to financial stability and helps sustain operational costs of my practice. Choose this range if:
    • meet your basic needs consistently;
    • have some discretionary spending
    • can save modestly;
    • have reliable income.

    This tier helps balance accessibility and sustainability.

  • Choose this rate if you have consistent financial stability and the ability to invest in therapy without financial strain. This may include:
    • reliable, steady income;
    • discretionary spending;
    • ability to save or invest;
    • financial security in emergencies;
    • generational or family support.

    Selecting this rate fully sustains my practice and expands access for those who need lower-fee sessions.

Sliding Scale for Couples: $150–$250 per 60 minutes

  • Choose this range if you are navigating financial strain or have limited access to resources. This may include:
    • supporting dependents or family members;
    • carrying significant debt or medical expenses;
    • paying tuition;
    • unstable income or underemployment;
    • limited family or generational financial support.

    This range keeps therapy accessible and is supported by those who can pay more.

  • This range reflects moderate access to financial stability and helps sustain operational costs of my practice. Choose this range if:
    • meet your basic needs consistently;
    • have some discretionary spending
    • can save modestly;
    • have reliable income.

    This tier helps balance accessibility and sustainability.

  • Choose this rate if you have consistent financial stability and the ability to invest in therapy without financial strain. This may include:
    • reliable, steady income;
    • discretionary spending;
    • ability to save or invest;
    • financial security in emergencies;
    • generational or family support.

    Selecting this rate fully sustains my practice and expands access for those who need lower-fee sessions.

Policies

Therapy requires commitment and consistency, and I strive to make expectations as clear as possible. I am a private-pay therapist and do not bill insurance directly. Instead, I provide superbills for clients who wish to seek out-of-network reimbursement. HSA and FSA cards are accepted, and all clients receive a Good Faith Estimate in compliance with the No Surprises Act.

Cancellation and No-Show Policy

Sessions must be canceled or rescheduled at least 48 hours in advance. Cancellations with less than 48 hours’ notice or no-shows are billed 60% of the scheduled session fee, unless the session is rescheduled within three business days.

Fees & Policies FAQ

  • I am a private-pay therapist and do not bill insurance directly. Many clients use superbills for possible out-of-network reimbursement with their provider.

  • A superbill is a special receipt that includes diagnosis and service codes. You can submit it to your insurance to see if you qualify for partial reimbursement.

  • The Good Faith Estimate is a document you’ll receive that clearly outlines your session costs. It ensures transparency and protects you from unexpected billing.

  • Yes. I accept both HSA (Health Savings Account) and FSA (Flexible Spending Account) cards for therapy sessions.

Ready to start therapy?

Ready to start therapy?

I offer therapy for individuals and couples in Alexandria and virtually across Virginia. Whether you’re navigating intimacy, faith, or family dynamics, this can be a space for healing and reconnection.

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