Counseling sessions are often described like having a conversation with a friend, but feeling very safe to share anything on your mind because the person you're talking to is legally and ethically bound to keep your secrets. I hold confidentiality in the highest regard and see it as an essential piece of the work you'll be doing. Depending on the problem you're facing, I may offer concrete strategies to practice between sessions.

Sessions will be 50 minutes long, and I typically see clients once per week in the beginning, tapering down as you make progress.

I'm so glad you asked! I have a whole page explaining it :)

I love working with individuals as well as couples! While my website tends to focus on relationships, I do really enjoy working with people on all kinds of things that make human-ing hard. I also love working with adult family sets - like adult siblings or a parent and their adult child. I've even done therapy with whole family systems including 4 or more adults who come to sessions together!

No, my availability is: In-person: Mondays 8am to 2pm or Thursdays 8am to 12pm Virtually: Anytime Monday through Thursday 8am to 2pm My latest appointment time is the 1:00-2:00pm time slot.

You can schedule a free 15-minute consultation call via my portal or by emailing me at elizabeth@saltmarshcounseling.com. Also, please let me know if you're interested in finding out more about your out-of-network insurance benefits and I'll be sure to add you to my Thrizer portal as well. Once we've chatted, if we both feel that it's a good fit, I'll send you all of my intake paperwork and we can set up your first session! After you're an established client, you'll have access to the client portal where you can request and manage appointments directly.

My rate is $130 per session (regardless of whether it's an individual or couple session!) I take all major debit and credit cards - including HSA and FSA.

I am insurance friendly and work with Thrizer - a company that takes the guesswork (and the work-work) out of out-of-network insurance billing. Many people are surprised to find out just how much their plan covers for out-of-network (OON) therapy services, and with Thrizer, you have the ability to pay your co-pay at the time of session just like if you were working with a clinician who is in-network. If you're interested in using your insurance plan to cover a portion of your work with me, let me know, and I will be sure you get a personalized estimate from Thrizer before you commit to starting our work together. I recognize that insurance billing can be very confusing. Here are the basics, but if you have additional questions, please reach out and I'm happy to explain it in more detail. If you're working towards your OON deductible, you pay my full session fee at the time of service and Thrizer submits the claims to your insurance for free to contribute towards meeting your deductible. Once you reach your OON deductible and are eligible for insurance to cover a portion, you only pay your co-pay plus 5% of the total session fee. ​ There are also DIY reimbursement options for out-of-network billing that I'm happy to discuss.

By law, if a patient requests it, health care providers must give patients an estimate of the bill for medical items and services - if the patient doesn’t have insurance or isn't using insurance to cover the service (i.e., cash pay or private pay). This estimate is called a "Good Faith Estimate". •You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services if you request it from the provider. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees. ​ •If you'd like one, make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service. ​ •If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. ​ •Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.