FAQs

My office for in-person sessions is located at 1528 W Contour Dr, Suite 102, San Antonio, Texas 78212. The office is convenient to Alamo Heights, Olmos Park, Monte Vista, Terrell Hills, and the wider central San Antonio area, with reasonable drives from Boerne, New Braunfels, and the Hill Country.

I provide online counseling (telehealth) via a secure and HIPAA-compliant version of Zoom, serving clients anywhere in Texas — including Austin, Houston, Dallas–Fort Worth, San Marcos, College Station, the Rio Grande Valley, and rural communities.

You will need a computer, tablet, or smartphone with an internet connection that is fast and stable enough for us to talk via videoconferencing without interruptions.

At the agreed time, you will select the meeting link in your calendar entry or the reminder email to connect securely to our session.

Please ensure you connect to the session from a room or environment that guarantees privacy. For call quality and privacy reasons, it is strongly preferred for you to use a headset for our calls.

I have TeleMental Health certifications and follow the standards for secure, ethical online practice.

I currently offer in-person sessions on Fridays only at 1528 W Contour Dr, Suite 102, San Antonio, TX. In-person sessions are by appointment only. The initial consultation session will still take place via a Zoom video call, unless there are circumstances that do not allow that and we have agreed otherwise.

My fees are currently $125 for a 45–52 minute session and $150 for a 53–60 minute session. Sessions for couples are 53–60 minutes, and the fee for those is $175.

Most private pay clients opt for a 50-minute session ($125).

Payments can be made via credit card. HSA (or other) debit cards that are in the VISA or Mastercard network can also be used like a credit card.

There are some advantages to private pay: Your mental health records do not need to be shared with your insurance company. This ensures more privacy and allows us to focus on the best approach for you instead of negotiating with insurance companies about how many sessions they are willing to pay for. Private pay is also required for issues not covered by insurance.

I accept Aetna, BCBS, Curative, United Healthcare, and Medicare. (Traditional Medicare and Medicare Advantage plans from Aetna, BCBS, and United Healthcare.)

The first session is an opportunity for us to get to know each other better. We will go over the information you provided in the intake form and talk about your priorities. For telehealth, we will review your technical and location setup for the sessions to ensure everything goes smoothly. It is also a time for you to ask additional questions. The first one or two sessions are typically referred to as “intake sessions.”

The duration of therapy depends completely on the issues that we are working on and your personal situation. I have seen clients who just needed 3–10 sessions for us to resolve well-defined challenges. However, complex trauma and other very complex issues could possibly take significantly longer to resolve.

The No Surprises Act says that you have the right to receive a Good Faith Estimate of what your services may cost to avoid surprises. In the case of counseling sessions, this simply is the rate per session multiplied by the number of sessions. Because we don’t really know how many sessions it will take, it just refers to an assumed number of sessions, usually not more than six. Over the course of treatment, we will decide together what still needs work, and you are in control of the number of sessions we have together. Signing a Good Faith Estimate does not constitute a commitment on your part. It just assures you there will be no surprise increases in fees.

No. This website and the listed email are not for emergencies. If you are in immediate danger or may harm yourself or someone else, call 911, go to the nearest emergency room, or call or text 988.

Please do not include detailed clinical information in email. Secure intake and scheduling details are handled through the client portal.

Yes. I am bilingual in English and German, and I see German-speaking clients across Texas — whether you're from Germany, Austria, or Switzerland; an expat in San Antonio, Austin, Dallas, or Houston; or part of the German-descendant community in the Hill Country (Fredericksburg, New Braunfels, Boerne). All ongoing therapy can take place in German, and the initial consultation can be conducted in German via Zoom.

Ja, ich biete Therapie auf Deutsch an. Vom Erstgespräch über das Ausfüllen von Fragebögen bis zu unseren therapeutischen Gesprächen kann alles auf Deutsch stattfinden. Für deutschsprachige Erwachsene in ganz Texas.

I offer depth-oriented psychotherapy — therapy that goes beyond symptom management to address the patterns, meanings, and experiences underneath what brings you in. I integrate evidence-based modalities (EMDR, Solution-Focused Brief Therapy, Written Exposure Therapy, Mindfulness-Based Cognitive Therapy, EFT Tapping, IFS-inspired parts work, IADC® Therapy for grief) with existential, transpersonal, and trauma-informed approaches. Many of my clients have already tried symptom-focused approaches and are looking for something more substantive.

I work with adults across Texas — younger adults in their 20s and 30s working through trauma, relationships, identity, and life direction; men and women in midlife and beyond facing transitions, caregiving, illness, grief, and trauma that surfaces later in life. I work in English and German. Clients of all sexual orientations and gender identities are welcome here.

Yes. I work with adults of all gender identities, including men, women, nonbinary, transgender, and gender-expansive clients. Many people come to therapy after a health scare, loss, relationship difficulty, life transition, grief, identity shift, caregiving stress, or trauma that surfaces later in life. Clients of all sexual orientations and gender identities are welcome here.