Rates & other FAQs

  • I am accepting new clients! I prefer to have a free 15-20 minute consultation before beginning to work with new clients so that we can check fit. Feel free to schedule a consultation with me here.

    Right now, I'm prioritizing taking on clients who are on OHP, have AETNA, Optum or Providence Health Plan insurance, or can pay my full rate.

  • How do I schedule:

    I like to meet with all potential clients for a free 20 minute consult to check fit and answer your questions.

    Once you’re an established client, you’ll have access to your patient portal and can schedule appointments. I do try to keep appointment times and frequency consistent, so that I can provide good care, and you know what to predict with me.

  • My full cash rate per session is $175.00. If you are able to pay this, you help me offer more sliding scale and some insurance slots.

    Insurance: I accept clients with OHP CareOregon and OHP Trillium Community Health Plan. I am credentialed to take Aetna, Cigna and Optum insurance (including URN and United Healthcare) through Alma, and Providence Health Plan. I am in the final stages of credentialing with Moda, so watch this space.

    I am also able to provide you a superbill as an out-of-network provider with other insurance providers. If you’d like to utilize your out-of-network benefits, it is your responsibility to understand what your out-of-network benefits are.

    Sliding Scale Rates: I offer sliding scale rates to clients who cannot afford the full fee. Let’s talk about your needs during the consultation! Sliding scale is typically between $100 and $130.

    Payments: I accept all major credit/debit cards and HSA/FSA cards. Payment is due at the time of service & your card will automatically be charged after your session.

  • I work primarily with adults with ADHD, trauma & anxiety. Most of my clients are queer and trans, and/or come from immigrant, TCK or other globally-mobile backgrounds.

    I do not work with children under 14. I do work with teenagers and college students.

    I do not work with romantic partners (couples, triads, etc.) anymore. I will work with roommates, adult siblings and adult children and their parents.

  • Are sessions in person or telehealth?

    I run a telehealth-only practice for the foreseeable future. I use SimplePractice, a HIPAA-compliant service, for video links. If the technology flakes out on us, I have an alternative plan and will communicate that with you in our intake session.

    Do you write referral letters?

    I do write letters for transgender and nonbinary clients pursuing gender affirming surgery and other medical interventions. I will do these as a one-off, but need 1-3 sessions: one for you to tell me what you need and for me to ask the questions I need answered to write you an effective letter that cuts through the violence inherent in the American medical system, and one for you to offer feedback, corrections and tweaks to my initial draft.

    I do not write referral letters for Emotional Support Animals: I’m sure Fido is wonderful, but there isn’t a way for me to assess if your dog or cat is safe for others to be around.

    Do you work with interpreters?

    I’ve worked with interpreters in therapy practice for two years, and feel comfortable using a spoken foreign language interpreter or an ASL interpreter via telehealth. I have most experience working with Arabic and ASL interpreters, but also feel comfortable working with Eastern European, Latin American and Chinese Diaspora clients, and have a lot of experience working with clients from Southeast Asia.

    Are there conditions/issues you don’t treat?

    No one is an expert in all things, and there are issues I will refer out for, because doing them badly might get someone, maybe you, hurt. I do not work in addictions recovery: I have worked with folks who use substances, and I’ve worked with folks who are already sober, but I don’t have the expertise for that middle place.

    Similarly, I don’t treat active eating disorders and eating disorder recovery; I do work with clients with a history of eating disorders.

    I also don’t really work with Obsessive Compulsive Disorder.

    Getting referred to another therapist isn’t personal: I want to make sure you’re safe and getting your needs met.

    How do I know if we’re a good fit?

    Fit is a hard thing to quantify, but that’s why I set up a free 20 minute consultation: there you can ask any questions you might have, and I’ll try to answer them!

    Have a question and want to ask it before we meet?

    Ask me anything here!

Every other therapist has a list of specialties. What are mine?

(a shameless attempt to get the SEO to send me to the right clients….if you made it this far, that might be you!

I work mostly with the following kinds of people:

  • Lesbian, gay, bisexual & pansexual, trans, nonbinary and queer adults (I do see straight clients, but they are by far the minority in my practice).

  • Adult Third Culture Kids — I am a TCK and grew up in Kazakhstan, Kenya, Uganda, Thailand, China and India.

  • Immigrants, expats and refugees.

  • Clients in ethically non-monogamous or polyamorous relationship structures, including solo polyamory and relationship anarchy.

  • Anxious over-achievers and burned-out alumni of Gifted and Talented programs with ADHD, late-diagnosed on the Autism Spectrum and anxiety.

  • Progressive Jewish clients wrestling with legacies of Zionism, intergenerational trauma and current events.

  • Queer people who have left restrictive Christian environments (i.e.: ex-Mormons, folks who grew up Fundamentalist Evangelical, former Pentacostals, etc) and are figuring out healthy-for-them sexuality, relationships and boundary setting.

  • Medical professionals, nurses, doctors, physician’s assistants & public health pros.

I work primarily on managing anxiety, developing systems to reduce chaos and helping clients learn to manage their emotions using EMDR, Narrative Exposure Therapy, Dialectical Behavioral Therapy, and Internal Family Systems. I like to focus on concrete skills, strategies and tools that you can use outside of our weekly therapy session and through your life. I don’t necessarily do short-term therapy, but I am also motivated to do therapy that creates real positive changes in your life.

I’ve never been to therapy, what can I expect?

I’m so glad you’re interested in trying to improve your mental health and work on some of the patterns that aren’t working for you anymore, and are considering me as your therapist!

I’ll help you:

  • Identify your feelings

  • Improve your attachments to those close to you

  • Create new stories about your lives and your strengths

  • Understand the cultural and historical context of your family and how you learned your patterns of interacting

  • Learn how to make those patterns work better for you, for those in your life now, and for the next generations.

  • Heal trauma and develop better habits.

Beginning:

I like to meet with clients for a 20 minute free consultation to check fit, schedule one here! If it’s a good fit for both of us, we’ll have an intake: this is where I ask you about your history, the problems you’re bringing and your goals: this tells me what you’d like to focus on in therapy! If you’re nervous, let me know, I want to know how I can make you feel comfortable.

Middle:

A session with me usually involves me checking in on what’s important for you to talk about in the session: this might be checking in on a topic or practice from last week, some event that needs discussion from the previous week or something else that’s been on your mind. We’ll discuss it, I’ll offer feedback and connections (if I notice any), and weave in the methods that we’ve discovered work best for you to approach an issue, like parts work (IFS), mindfulness, boundary setting or EMDR. I don’t generally assign homework, but I might encourage you to observe and journal about something we discuss in session, implement a plan to work on an issue we’ve talked about, or read a book/listen to a podcast/watch a YouTube video about a topic related to what we’re working on in therapy: I could babybird those things to you, but I find that you’ll get more specific and nuanced information from those sources than I can provide for you in our 53 minute session. If there’s anything I can do to make you more comfortable or meet your needs differently, please let me know: feedback is a really important part of the therapeutic relationship.

End:

All things end, even therapy. I don’t believe you have to be in therapy for the rest of your life, or even that I am the perfect therapist for everyone. You can end our therapeutic relationship at any time for any reason. I like to hear from you, either via email or in person if that’s the case though, so that I can help you address any issues and so that I know what’s going on. If I notice that we’ve hit a point where we’re vibing, but not really getting into anything “real”, you seem to be meeting your goals and managing stressors with aplomb, or you’ve moved on to a topic that is outside my area of expertise, then either you or I can initiate a conversation about what ending the relationship looks like, what feelings are coming up and how I can help you in that transition.

I can be reached directly via email at arielle@wanderingbelongingtherapy.com. Sometimes I turn off my self-scheduler and you won’t be able to schedule your own appointment. Please email me if that’s the case, and we’ll figure out a time to meet in the near future.