Fees range from $185 for an initial session which can sometimes take over an hour where a well detailed psychosocial assessment is completed. After that all subsequent sessions are $160 and $215 for couples.  Please note that counseling services qualify as a tax-deductible medical expense. Reduced fee services and sliding fee scales are available on a limited basis based on circumstance and meeting certain criteria.  I have a 24-hour notice cancellation policy. If you miss your scheduled appointment, and you have not notified me at least 24 hours in advance, you will be required to pay the full cost of the session. Cash, check and Venmo are currently accepted forms of payment.