Frequently Asked Questions

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Individual Therapy - I am taking insurance through a contract at The Mindful Therapy Group  Some insurances are ready as of 5/1/25.  Email me (gracen@salishskillstherapy.com) and I will check on your individual insurance.  I cannot take Medicaid at this time.  

Group Therapy - My groups are currently skill based and not traditional therapy groups.  This has been problematic for insurance coverage in the past.  At this time, I do not forsee billing insurance or providing superbills

Coaching - Coaching is not covered by health insurance. While I understand that finding treatment on insurance is difficult, I encourage you to look at what I can offer. I work by teaching you skills to thrive in the present. I am focused on positive coping not diagnosis and pathology. 

• Intake (Therapy or Coaching) Session ....... $200 for 60 minute session
• Therapy Sessions range in minutes from 30 minutes to 90 minutes and range in cost from $125 to $200 depending on what kind of sessions and what therapy you are signed up for.  You will receive a Transparent Bill Disclosure at intake or consultation.
• Coaching Services ............. $100 per 30 minutes with text support in between sessions for $50. Ten percent discount if paid in advance each month.
• Group Skills sessions ......... $75 per client per hour
• Case Coordination with therapist and psychiatric prescriber 1x per month free. $50 per call after. 

All payments will be collected weekly. If payment is made in advance on the 1st of the month a 10% reduction to total cost will be applied.

• Therapy focuses on mental health; life coaching focuses on goals
• Therapy helps you learn to heal; coaching empowers you to achieve goals
• Therapy is rooted in the past and present; coaching focuses on the future
• The format of therapy sessions depend on the modality; coaching sessions have clear structures
• Whereas therapy is not usually time-limited, coaching is often short-term and/or moves to another area of coaching or skills

See below for a wonderful resource to elaborate more on the differences between therapist and coaches!

No shows or cancellation within 24 hours will be subject to a $100 fee charge.

I can only communicate with clients by email or secure messaging through Signal app.  We cannot respond to other messaging or social media by law.  Your privacy is important to us.  See more detail during orientation or intake.

At this point in time, all sessions will be held online as a tele-health appointment.

If you are concerned about the privacy of diagnosis, there are a number of steps that I can take in addition to the HIPPA laws.  I am also concerned about the erosion of privacy of medical records etc.  I am happy to talk to you about what steps you are comfortable making.  We can talk on the phone or on google meet or signal.  I have a number of different options