Frequently Asked Questions About Couples Therapy

I know that seeking therapy can be a daunting and overwhelming experience for many. This is why I aim to make the process a bit more straightforward by addressing frequently asked questions that current and future clients have. These FAQs are a valuable resource for anyone considering couples therapy.

Though I have an office in Fremont, Seattle, all couples therapy sessions are virtual at this time. I am licensed in Washington and California and able to see clients via telehealth across both states.

The standard fee is $250 per session per hour. I sometimes have a few sliding scale spots available. I do not generally work long term in one hour sessions. 
 
Because of the depth and emotional intensity of couples work, I have found that longer sessions ultimately accomplish more, saving time and money in the long run. 
 
Consultation-No charge
60-min appointment – $250
90-min appointment – $450
2-hour appointment – $600
3-hour appt – $900
2.5-3 hour Family of Origin/Attachment History session (one time fee): $750-$900 depending on length. A minimum of 2.5 hours is required.
 
If cost is a concern, I find that meeting every other week for 90-min works best.
I do not accept insurance. As an out-of-network provider, I am not able to bill insurance companies directly. You have access to a superbill should you desire to seek reimbursement from your health insurance company using Ivy Pay. Some good questions to ask insurance are:  
  • Do I have out-of-network benefits for mental health couples therapy?
  • If my provider is out-of-network, what dollar amount or percentage of the fee is reimbursed per therapy session?
  • Has my deductible been met?
  • What is my copayment or coinsurance?
  • How many covered sessions do I have per year?
  • Do I need pre-authorization for services?
  • Session billing code: 90847 for couples therapy
  • One of you will receive a primary diagnosis (an “F” code). Couples therapy or “Z63.0” ‘problems in relationship with spouse or partner’ may be primary or added to the primary diagnosis.

Payment is due at the time of the session through an app I use called Ivy Pay. I accept cash, check, credit, and HSA cards. You will be expected to pay for any missed sessions unless you provide 48 hours advance notice of cancellation. It is important to note that insurance companies do not provide reimbursement for canceled sessions.

The duration of therapy is determined by each couple’s particular challenges. For some, several months may be sufficient; for others, it may take a year or more. Deeper work takes longer than symptom relief, and at times will require working through discomfort that can lead to lasting change and fuller, more authentic living. I will have a better sense of this after the intake appointment and the following few sessions. I will review treatment progress throughout the course of our time together so that we both remain on the same page regarding the length of treatment.

Couples therapy can benefit relationships at many different stages of life – whether you’ve been together for decades or a young couple finding your way. If you’re facing communication challenges, trust issues, or feel stuck in a repetitive cycle, couples therapy can help.

My practice is inclusive and welcoming of couples of all sexual orientations, races, and identities. LGBTQ+ and clients of color can expect a non-judgmental and respectful environment where they can explore the unique challenges they face.

Start Couples Therapy

Schedule your free 20-30 minute consultation with Lia today!