Questions

Name: Thought Process Therapy
Telephone: +1-509-798-1437
Price range: $$

The things people ask before they book. If yours is not here, email me and I will answer it.

Before you start

Come for one session. If therapy is not helpful, I will tell you. Most people find value in talking to someone trained to listen deeply and offer perspective, and one conversation usually clarifies whether it is worth continuing.
That happens more than people admit. Maybe the therapist did not fit. Maybe the approach was not right. Maybe you were not ready. Different therapists work differently, and I am structured and practical rather than open-ended. Tell me what did not work last time and we will start from there.
I will offer perspective, insight, and strategic guidance. I will not tell you to leave your partner or quit your job. Those are your decisions. What I will do is help you think them through clearly enough to make the choice yourself.
Good. Disagree. Challenge me. If something does not land, speak up. Therapy is collaborative, and if you think a different approach would work better, let us adjust.
It depends on what you are working on and how quickly you apply things to real life. Some people come for four to six sessions to get through a rough patch. Others stay three to six months to work on deeper patterns. We check in regularly about progress and adjust.
We can space sessions out to biweekly. We can focus on getting you tools you can use on your own. Or we can wrap up once you have what you came for. A skills group is also a lower cost option and runs $70 to $90 per session.

Yes. Everything you share is confidential within legal and ethical limits. I am bound by HIPAA and by state mental health privacy laws.
The only times I am required to break confidentiality are if you are at risk of harming yourself or someone else, if there is suspected abuse of a child or a vulnerable adult, or if a court orders records, which is extremely rare.
Otherwise what you say stays between us. I do not share with your employer, your family, your friends, or anyone else unless you give permission.
No. I do not report to anyone. Your employer will not know you are in therapy.
If therapy records are subpoenaed by a court, I am legally required to provide them. We can talk about it if it comes up. In the meantime, come honestly and know that what you share is protected unless the law requires otherwise.
Sessions run on a HIPAA compliant encrypted platform. Client records are kept digitally with password protection. I do not access records over public wifi. Records are stored securely for the legally required period and then deleted. I do not record sessions without your permission.

Absolutely. Some people write down what they want to remember, some prefer to just listen. Do whatever helps.
That is what this is for. Crying is normal. So is anger, frustration, and grief. Bring tissues if you need them.
I do not offer text support between sessions. For anything urgent, call. For everything else, we handle it in session.

Daytime, evening, and early morning appointments, including accommodation for shift schedules. Tell me what works and I will tell you what I have.
New clients, usually one to two weeks for a first appointment depending on current availability. Existing clients can typically book two to four weeks out.
Everything is online. I can see anyone located in Washington or Idaho. You need a private space, a decent internet connection, and a device with a camera. You will get a link before each session and there is nothing to download.
Yes. Twenty four hours notice and there is no charge. Less than that, or a no show, is billed at the session rate. Life happens and one missed appointment will not end our work, but I do ask for respect for the time I hold for you.

You pay me. I send you a superbill, and you submit it to your insurance for out of network reimbursement.
I will give you the documentation you need to appeal. Denials are usually paperwork technicalities rather than actual coverage problems, and most appeals succeed.
Yes. Both work, and you will get a receipt you can submit.
Individual and couples sessions are $170, with extended couples sessions at $200. Groups run $70 to $90 per session. Full details on the rates page.

I respond within 24 hours, usually faster.