That’s completely ok! You don’t need to have it all figured out to start therapy, that’s what we’ll explore together. The first step is simply reaching out.

Telehealth services are available to clients who are physically located in Maryland or West Virginia at the time of their session, in accordance with Maryland and West Virginia licensing regulations.

As long as you are physically present in Maryland or West Virginia during your telehealth session, services may be provided in accordance with licensing laws. Insurance coverage is subject to individual plan benefits.

Telehealth services cannot be provided if a client is temporarily or permanently located outside of Maryland or West Virginia, including during travel. Sessions may resume once you return to Maryland or West Virginia.

I am in the process of applying for additional licenses in other states and will update, when available.

ESA letters may be provided only when clinically appropriate after a thorough assessment and established therapeutic relationship. They support housing accommodations under the Fair Housing Act (FHA) for individuals with a mental or emotional disability and are not service animals under the ADA. Letters are issued solely for housing purposes, and only to current clients based on professional judgment.

Disclaimer: Requests for letters based solely on convenience, after minimal sessions, or with inconsistent attendance cannot be accommodated.

Disability or accommodation letters may be provided only when clinically appropriate and based on an assessment of your mental or emotional condition. They can support housing, workplace, or academic accommodations but are issued solely at the provider’s discretion and require an established therapeutic relationship with consistent attendance. Letters are typically issued after multiple sessions to ensure ongoing clinical need and are updated periodically as appropriate.

Disclaimer: Requests for letters based solely on convenience, after minimal sessions, or with inconsistent attendance cannot be accommodated.

To maintain effective therapy, clients must provide at least 24 hours’ notice for cancellations or rescheduling. If a client arrives more than 10 minutes late, the session will be marked as a missed session, and a $50 fee will apply for missed sessions or late cancellations. After 3 missed sessions or late cancellations, a client may be discharged, in line with ethical standards, with advance notice and referral options offered when appropriate to ensure continuity of care.

My goal is to provide ethical, compassionate, and effective care that best meets each client's needs. While I work with a wide range of concerns, there are times when another provider or a higher level of care is more appropriate.

A referral may be recommended if:

• Your needs fall outside my areas of expertise or scope of practice.

• You require services that cannot be safely or effectively provided through outpatient telehealth therapy.

• You need a higher level of care, such as intensive outpatient treatment (IOP), partial hospitalization (PHP), inpatient psychiatric care, residential treatment, detoxification, or specialized crisis services.

• Ongoing domestic violence, active abuse, or other safety concerns require specialized community resources, advocacy, or emergency intervention.

• You require specialized treatment for concerns such as severe eating disorders, active substance withdrawal, court-ordered services, or other conditions requiring providers with specialized training.

• You are experiencing an emergency or crisis that requires immediate intervention beyond the scope of routine outpatient therapy.

• You relocate or are physically located outside of a state in which I am licensed to practice.

• Therapeutic progress is limited because your treatment needs would be better served by another provider, treatment approach, or level of care.

When a referral is necessary, I will discuss my recommendations with you whenever possible and provide appropriate resources to help connect you with services that best meet your needs. My priority is to ensure you receive the safest, most effective, and most appropriate care for your unique situation.

Providing a safe, respectful, and therapeutic environment is essential to effective treatment. These expectations apply not only to clients, but also to spouses, partners, parents, legal guardians, family members, invited participants in treatment, support persons, and any other individual who communicates with or participates in services through my practice.

All individuals involved in treatment are expected to communicate respectfully and maintain appropriate professional boundaries. Services will be discontinued if the behavior of a client or any participating individual interferes with the therapeutic relationship, violates professional boundaries, compromises the safety of the practice, or prevents the provision of ethical and effective care.

Examples include, but are not limited to:

Safety, Threats, and Harassment

• Threats, intimidation, harassment, stalking, retaliation, property damage, or acts of violence directed towards me, my family, others associated with my practice, or any individual.

• Credible threats of violence, physical harm, or other behavior that compromises the safety of me, my family, others associated with my practice, or any individual.

• Abusive, discriminatory, sexually inappropriate, repeatedly hostile, or otherwise intimidating behavior towards me, my family, others associated with my practice, or any individual.

Communication and Professional Boundaries

• Misuse of email, text messaging, voicemail, the client portal, or other electronic communication, including excessive messaging, repeated requests for services outside scheduled appointments, repeated non-emergency contact outside business hours, or using these methods for emergencies or crisis situations.

• Contacting me, my family, or others associated with my practice, through personal or professional social media accounts despite established practice policies.

• Posting false, defamatory, threatening, or harassing content about me, my practice, my family or others associated with my practice, online or through social media.

• Recording therapy sessions without my knowledge and written consent, where prohibited by law.

• Repeated violations of practice policies or professional boundaries despite discussion and redirection.

Attendance and Practice Policies

• Repeated missed appointments, late cancellations, or noncompliance with practice policies that interfere with treatment or the therapeutic process.

Fraudulent, Unethical, or Illegal Conduct

• Fraudulent activity, including providing false information, insurance fraud, identity misrepresentation, or attempting to obtain documentation, records, or services under false pretenses.

• Requests for services that are unethical, fraudulent, illegal, or outside the scope of my professional role.

Clinical, Ethical, and Professional Considerations

• Court involvement, conflicts of interest, or other ethical considerations that prevent me from providing objective, effective, or appropriate treatment.

• The therapeutic relationship is no longer clinically beneficial, or your treatment needs would be better served by another provider, specialized program, community agency, or a higher level of care.

Whenever clinically appropriate and safe to do so, concerns will be discussed and recommendations and referral resources may be provided to support continuity of care. However, if there are concerns involving safety, threats, harassment, stalking, violence, property damage, retaliation, criminal behavior, fraud, or other serious boundary violations, services may be discontinued immediately and without referral.

When necessary to protect the safety and well-being of myself, my family, others associated with my practice, clients, clients family members, and others or to comply with legal or ethical obligations, I may contact law enforcement, emergency services, Child Protective Services (CPS), Adult Protective Services (APS), licensing authorities, or other appropriate agencies.

The safety of my clients, their children, spouses, partners, family members, invited participants in treatment, myself, my family, and others associated with my practice is a priority. These policies are intended to maintain a safe, respectful, ethical, and therapeutic environment for everyone involved in the treatment process.