Therapy & Process
Consultation
A free 15-minute phone call offered before beginning therapy. This space is not a therapy session, but rather an introduction—to ask questions, share what’s bringing you in, and get a sense of whether working together feels like a good fit. It’s also a chance to clarify practical details, such as scheduling, fees, or insurance. Many people feel a bit nervous before starting therapy, so the consultation provides a low-pressure way to connect and see if the relationship feels right—since the quality of that connection is one of the strongest predictors of growth.
Intake Forms
Before our first session, you’ll complete a set of intake forms. These include basic information, practice policies, and informed consent, as well as questionnaires that invite you to reflect on your history, current concerns, and hopes for therapy. While the forms serve important legal and practical purposes (HIPAA, consent, privacy), they also begin the therapeutic process—helping us both start to understand your context, your story, and what matters most to you. If completing forms feels overwhelming, support and flexibility are available.
Initial Appointment
Your first full therapy session (typically 60 minutes) is a space for us to begin exploring your background, your current concerns, and the patterns that may be shaping your experiences. It’s also a chance for me to get to know you—not just your history, but your hopes, values, and what feels most important right now. Together, we clarify your goals for therapy and set a foundation for our work. This session emphasizes listening, safety, and collaboration—laying the groundwork for a plan that reflects your needs, pace, and voice.
Ongoing Individual Session
Ongoing therapy sessions are typically 53 minutes and often scheduled weekly to build consistency and trust. Some people later shift to biweekly sessions as they feel more stable or want more space to integrate their work. In these sessions, we weave together reflection on past experiences, attention to current challenges, and practical strategies for moving forward. Over time, the rhythm of ongoing therapy creates a steady, supportive environment—a reliable place to return to as you navigate growth, stress, and healing.
Reflection & Feedback
Reflection and feedback are ongoing parts of therapy that keep the process collaborative and responsive. Reflection means pausing to notice patterns, themes, or feelings as they arise, while feedback invites open conversation about what feels helpful and what could be adjusted. By sharing reflections and offering feedback, you play an active role in shaping therapy, ensuring it stays aligned with your needs and supporting deeper growth.
Group Therapy
Group therapy takes place in a small group format (usually 6–10 participants) organized around shared themes such as trauma recovery, chronic illness, identity, or relationships. Unlike individual therapy, group work offers the chance to connect with others who may share aspects of your journey, reducing isolation and offering the healing of being seen in community. Groups are guided with clear agreements around safety, respect, and confidentiality, creating a space to learn from others and to practice new ways of relating in real time. Research shows group therapy is often as effective as individual therapy—and uniquely powerful in fostering connection.
Approach & Philosophy
Trauma-Informed Care
Trauma-informed care means that safety, choice, and empowerment are at the center of every step in therapy. Trauma can affect not only the mind, but also the body, nervous system, and sense of identity—so our work honors all of these layers. Being trauma-informed means pacing the process respectfully, noticing how your body and emotions respond, and making sure therapy itself does not repeat past harms. Above all, it’s collaborative: your voice, readiness, and comfort guide the direction of our work.
Relational Therapy
Healing often happens in relationship. Relational therapy emphasizes the therapeutic relationship itself as a safe and authentic space where trust and attunement can foster change. By noticing how patterns from past and present relationships show up in therapy, we create new possibilities for connection—with yourself and with others. In this sense, the relationship we build in therapy becomes both a mirror and a practice ground for healthier ways of relating.
Integrative Approach
No single therapy model fits every person or situation, which is why an integrative approach brings together multiple perspectives—relational, somatic, multicultural, cognitive-behavioral, and more. This flexibility honors the complexity of being human and allows therapy to adapt to your unique needs. Integrative work looks at the whole picture: mind, body, relationships, health, and environment. By weaving together insight, embodiment, and practical strategies, we create a therapy process that is both grounded and holistic.
Depth-Oriented Psychotherapy
Depth-oriented psychotherapy looks beyond surface-level symptom relief to explore the underlying patterns, meanings, and dynamics that shape your life. Instead of only asking “How do I stop feeling anxious?” depth work also asks, “What lies beneath this anxiety, sadness, or stress?” By slowing down and exploring these deeper layers, we uncover root causes and make room for lasting change. This kind of therapy supports not just temporary relief, but long-term growth, resilience, and a more grounded sense of self.
Therapy Process
The therapy process is not a quick fix, but an unfolding journey. It begins with building trust, exploring your story, and clarifying goals before moving into deeper reflection and growth. Each person’s process is unique, but consistency and relationship provide the anchors. Over time, the process itself becomes a source of healing—through being seen, understood, and supported.
Agency
Agency is the ability to feel and exercise choice, power, and influence over your own life. Trauma, oppression, or difficult relationships can erode this sense of control, leaving people feeling powerless or disconnected from their own needs and voice. In therapy, reclaiming agency means recognizing your strengths, rediscovering your ability to make choices, and finding ways to act in alignment with your values. Restoring agency is a key part of healing, as it helps you feel both safer within yourself and more confident in navigating the world around you.
Somatic Awareness
The body carries memory, stress, and wisdom. Somatic awareness means paying attention to the body’s cues—sensations, posture, breath, and movement—as important sources of information in therapy. These signals can guide us to emotions or insights that words alone may not reach. By learning to notice and work with the body’s wisdom, therapy helps regulate the nervous system, deepen healing, and restore a sense of connection between mind and body.
Mind-Body Connection
Your mental and physical health are deeply interconnected. Stress, trauma, and illness can show up in the body as much as in the mind—and caring for one often supports the other. In therapy, practices like breathwork, grounding, or simply noticing bodily cues can foster balance, ease tension, and deepen emotional wellbeing. Honoring the mind-body connection helps create healing that feels integrated and sustainable.
Nervous System Dysregulation
When the nervous system is dysregulated, it can get stuck in high alert (“fight-or-flight”) or in shutdown (“freeze” or numbness). In these states, it’s harder to feel safe, balanced, or connected with yourself and others. Therapy can help you notice these shifts, understand how they connect to past experiences, and develop regulation skills that restore steadiness and resilience.
Co-Regulation
Co-regulation is the calming and steadying that happens through safe, supportive connection with another person. In therapy, this looks like slowing down together, grounding, and allowing our nervous systems to restore balance side by side. Co-regulation is often one of the first steps in building trust, safety, and a sense of stability in the therapeutic relationship.
Protective Parts
Protective parts are aspects of yourself that developed to help you survive stress, trauma, or difficult experiences. They may show up as self-criticism, shutting down, or avoidance—ways you’ve learned to protect yourself from further pain. In therapy, we approach these parts with compassion, honoring how they’ve helped you cope while creating space for new patterns that can better support your present life.
Mindfulness
Mindfulness is the practice of bringing non-judgmental awareness to the present moment—whether noticing thoughts, emotions, or sensations in the body. In therapy, mindfulness creates space between stimulus and response, helping you pause instead of react on autopilot. Over time, this awareness deepens self-understanding, supports nervous system regulation, and fosters greater compassion toward yourself.
Inner Wisdom
Inner wisdom is your inherent capacity for clarity, and growth. It is not about “fixing” you, but rediscovering and strengthening what already exists within—even when it feels clouded by stress, trauma, or disconnection. Therapy helps you reconnect with this part of yourself, drawing on body, intuition, and lived experience as guides toward healing.
Meaning-Making
Meaning-making is the process of understanding and finding coherence in your experiences, relationships, and challenges. Even in the face of pain or loss, exploring meaning can reconnect you with purpose, possibility, and direction. In therapy, this process helps transform suffering into insight and strengthens resilience by helping you see yourself and your story in new ways.
Cognitive Behavioral Therapy (CBT)
Cognitive Behavioral Therapy (CBT) is an evidence-based approach that looks at how your thoughts, feelings, and behaviors influence one another. By noticing unhelpful thought patterns and experimenting with new perspectives or actions, CBT offers practical skills for coping, growth, and change. Many people find CBT helpful for learning to catch negative spirals in the moment and replace them with steadier, more supportive habits.
Acceptance and Commitment Therapy (ACT)
Acceptance and Commitment Therapy (ACT) helps you notice and accept difficult emotions or thoughts, rather than fighting or avoiding them. At the same time, ACT emphasizes clarifying your core values and taking meaningful steps toward a life aligned with them—even in the presence of challenges. This approach builds psychological flexibility, allowing you to live with greater steadiness, intention, and freedom.
Relational Depth Psychotherapy
Relational depth psychotherapy emphasizes the power of genuine, attuned connection between therapist and client. When the relationship feels safe, authentic, and deeply present, it creates a space where healing and change naturally unfold. The therapeutic bond itself becomes a living model of healthier, more nourishing relationships that can extend beyond therapy into the rest of life.
Whole-Person Healing
Whole-person healing means caring for the mind, body, and environment together, rather than treating symptoms in isolation. It considers lifestyle, identity, relationships, and physical health as interconnected aspects of wellbeing. This approach in therapy supports deeper and more sustainable change, helping healing ripple across many areas of life.
Cultural Humility
Cultural humility is an ongoing practice of openness, respect, and curiosity about your lived experience. It means acknowledging power dynamics, recognizing that you are the expert on your own culture and identity, and being willing to learn alongside you. Rather than assuming “competence,” cultural humility is about creating a therapeutic space where your story and perspective are valued and centered.
Cultural Erasure
Cultural erasure happens when a person’s cultural background, identity, or heritage is dismissed, minimized, or overlooked. This can leave people feeling unseen, invalidated, or pressured to hide parts of themselves. Therapy that resists cultural erasure actively affirms and integrates your cultural story into the healing process, honoring it as a vital part of who you are.
Health & Identity in Therapy
High-Functioning
“High-functioning” is often used when someone appears outwardly successful, capable, or composed, while inwardly carrying exhaustion, anxiety, or disconnection. It can mean that others don’t see the depth of your struggle, which may increase feelings of isolation. In therapy, there is space to set aside the mask of being “fine” and be fully seen without having to hold it all together.
Pathologized
To be pathologized means having your struggles reduced to a “disorder” or “deficit,” without acknowledging the broader context—such as trauma, culture, or systemic stressors. Pathologizing can leave people feeling labeled, misunderstood, or unseen. In therapy, we resist this narrowing lens and instead seek to understand you as a whole person, not as a category or diagnosis.
Identity
Identity is your evolving sense of who you are—shaped by culture, relationships, history, health, spirituality, and lived experiences. In therapy, identity work means exploring how these layers fit together, and how transitions or shifts in identity can feel both grounding and disorienting. Clarifying and honoring identity can help you feel more whole, connected, and seen by yourself and others.
Neurodivergence
Neurodivergence refers to natural differences in brain function, such as ADHD, autism, or sensory processing differences. Being neurodivergent shapes how someone thinks, feels, and relates to the world, yet systems are often not designed with these needs in mind. Therapy honors neurodivergence with curiosity and respect, while also helping navigate challenges in environments that may not feel supportive.
Executive Function
Executive function is the set of mental skills that help with planning, organizing, focusing, regulating emotions, and following through on tasks. Challenges with executive function are common in ADHD, trauma, and chronic stress, and may show up as difficulty staying on track, meeting deadlines, or managing overwhelm. Therapy can provide supportive structures, practical strategies, and compassion in navigating these struggles.
Chronic Illness
Chronic illness includes ongoing health conditions such as autoimmune disorders, mold illness, long COVID, or chronic fatigue that affect daily life and emotional wellbeing. Living with chronic illness often impacts identity, relationships, and a sense of safety in your own body. Therapy offers space to grieve, adapt, and find meaning while living with conditions that may be misunderstood or minimized elsewhere.
Medical Trauma
Medical trauma is the psychological and emotional distress caused by harmful or difficult medical experiences, such as misdiagnosis, neglect, invasive procedures, or being dismissed or gaslit by healthcare professionals. These experiences can leave lasting effects on trust, nervous system responses, body memory, and willingness to seek future care. Therapy helps restore a sense of safety, voice, and empowerment after these experiences.
Environmental Sensitivity
Environmental sensitivity means heightened reactivity to things like mold, chemicals, toxins, or sensory overload. These sensitivities are real and often misunderstood, yet they can deeply affect both physical and emotional health. Therapy offers a validating space to explore these challenges, reduce the sense of isolation, and find ways to navigate a world that may not always accommodate these realities.
Sensory Sensitivity
Sensory sensitivity is heightened awareness or reactivity to sounds, lights, smells, textures, or other sensory input. It may be connected to trauma, neurodivergence, or environmental factors, and can lead to overwhelm, exhaustion, or the need to withdraw. Therapy helps people understand these sensitivities, honor their experiences, and create strategies for coping in daily life.
Environmental Stress
Environmental stress comes from the impact of surroundings—like noise, pollution, housing conditions, or workplace demands—on mental and physical health. These stressors may build quietly over time, affecting sleep, mood, concentration, and overall wellbeing. Therapy helps bring awareness to these influences and supports strategies for buffering or navigating their effects.
Attachment
Attachment describes the patterns of connection we develop early in life with caregivers, which often continue to shape adult relationships. Secure attachment fosters safety and trust, while insecure patterns—such as anxious (fear of abandonment), avoidant (fear of closeness), or disorganized (confusion about safety)—can create challenges in relating to others. Therapy provides space to explore these patterns and build healthier, more supportive ways of connecting with yourself and others.
Developmental Trauma
Developmental trauma comes from chronic stress, neglect, or abuse during childhood, especially in critical developmental periods. These experiences can affect identity, coping, and relationships long into adulthood, often shaping patterns of safety and trust. Therapy helps revisit these early wounds with compassion, creating new pathways of healing and resilience.
Intergenerational Trauma
Intergenerational trauma refers to the ways painful experiences and stressors are passed down from one generation to the next. This can happen through family patterns, cultural narratives, or even biology, leaving imprints on identity and relationships. Therapy helps name these legacies with compassion and find pathways to healing, so cycles of pain are not repeated but transformed.
Trauma
Trauma is the emotional or psychological distress caused by overwhelming events or long-term stressors. It is not defined only by what happened, but by how it affects the nervous system, sense of safety, and ability to cope. Trauma may stem from single incidents (such as accidents or assaults) or from ongoing experiences like abuse, oppression, or systemic injustice. Therapy provides a safe place to process trauma, supporting integration, recovery, and the rebuilding of trust in yourself and others.
Grief (Complex or Intergenerational)
Grief is the process of mourning losses—whether visible or invisible, expected or sudden. It can be complex, lasting, or layered, and may include forms that are socially unrecognized, such as disenfranchised grief, or passed down through family and cultural history. Therapy helps honor grief as a natural part of life, creating space to explore its impact on identity, resilience, and meaning-making.
Gaslighting (in healthcare or relationships)
Gaslighting happens when someone distorts or denies your reality, leaving you doubting your own memory, feelings, or perceptions. In healthcare, this might sound like dismissing symptoms as “all in your head.” Therapy helps name gaslighting for what it is, rebuilds trust in your own experience, and strengthens confidence in your voice.
Symptoms
Symptoms are the body and mind’s way of signaling that something needs attention. They might show up as anxiety, fatigue, pain, or low mood—not just as problems to “get rid of,” but as messages about unmet needs or stressors. In therapy, we approach symptoms with curiosity and compassion, exploring their roots and supporting healthier ways to respond.
Healing
Healing is the process of moving toward greater wholeness, safety, and vitality. It is rarely a straight line—setbacks or pauses are part of the journey. In therapy, healing is nurtured through trust, reflection, and practices that support the nervous system, relationships, and overall wellbeing, allowing new patterns of stability and growth to emerge.
Embodiment
Embodiment means being connected with and present in your body. Many people disconnect from bodily awareness after trauma or stress, leaving them feeling unsafe, numb, or “out of touch” with themselves. Therapy supports safe reconnection with the body as a source of wisdom and healing, fostering grounding, resilience, and integration.
Health & Wellness Foundations
Circadian Rhythms
Circadian rhythms are your body’s natural 24-hour cycles that influence sleep, mood, and energy. When disrupted—by stress, irregular schedules, or illness—they can affect concentration, emotional balance, and overall wellbeing. Therapy can help bring awareness to these rhythms and support healthier patterns that restore stability and resilience.
Hormonal Cycles
Hormones shift naturally across days, months, and seasons, shaping stress responses, energy, and emotions. For some, hormonal changes are linked with mood swings, irritability, or vulnerability to burnout. Therapy supports understanding these cycles with compassion, helping connect mind-body patterns and offering coping strategies that reduce shame and increase balance
Immune and Cellular Function
Your immune and cellular systems are always working in the background to fight stress, repair damage, and keep the body in balance. When these systems are overwhelmed by trauma, illness, or environmental exposures, both physical and emotional health may be affected. Therapy that integrates awareness of health can strengthen resilience, complement medical care, and support overall wellbeing.
Wellness
Wellness is more than the absence of illness—it’s a sense of vitality that includes mind, body, environment, and community. In therapy, wellness means paying attention to sleep, mood, identity, and the systems around you that shape health. This whole-person perspective emphasizes balance and meaning, not just symptom reduction.
Burnout
Burnout is a state of emotional, physical, and mental exhaustion caused by ongoing stress. It often shows up in caregiving or work roles as depletion, irritability, or disconnection, leaving people feeling ineffective or detached. Therapy offers a place to name burnout, restore balance, and find sustainable ways to protect energy and move forward.
Social & Cultural Context
Multicultural Therapy
Multicultural therapy recognizes that culture, identity, and systemic context shape both life experiences and healing. It honors race, gender, sexuality, class, disability, and spirituality as integral parts of the whole person. This approach ensures therapy meets you in your lived reality rather than trying to fit you into a single framework, affirming that every story is shaped by both personal and cultural context.
Systemic Oppression
Systemic oppression refers to the ways institutions, policies, and cultural narratives disadvantage certain groups while granting privilege to others. It creates barriers to safety, wellbeing, and opportunity, and often places ongoing stress on those most affected. In therapy, we can name these realities, explore their impact on identity and health, and support resilience and healing in the face of systemic inequities.
Systems
In therapy, “systems” refers to the larger cultural, institutional, familial, and relational structures that shape daily life. Systems can support wellbeing, but they can also create barriers through oppression, inequality, or unhealthy dynamics. Therapy acknowledges these realities and helps you understand how larger systems interact with your personal story—making space for both awareness and change.
Privacy & Safety
Confidentiality
Confidentiality is both a legal requirement and an ethical commitment that protects what you share in therapy. With few exceptions related to safety (such as immediate risk of harm or suspected abuse), nothing leaves the therapy room without your permission. Confidentiality builds trust and allows you to speak openly, knowing that your privacy is respected and safeguarded.
Consent Form
A consent form is a written document that gives permission to share information with a specific person or organization, such as a doctor, partner, school, or family member. You decide whether to sign one, what can be shared, and with whom—and you can change your mind at any time. Consent forms ensure that collaboration happens on your terms, keeping you in control of your own information and privacy.
Safety Planning
Safety planning is a proactive, collaborative process of creating a plan if you are at risk of harming yourself or experiencing crisis. Together we might identify warning signs, coping strategies, supportive contacts, and emergency resources. Having a plan in place doesn’t mean you’re unsafe—it means we’re working together to ensure you have the tools, support, and clarity you need if things become overwhelming.
Crisis
A crisis is a period of intense distress or danger, when you may feel unsafe, overwhelmed, or unable to use your usual coping skills. In those moments, it can feel difficult to think clearly or find stability. Crisis support—through hotlines, emergency services, or urgent care—offers immediate safety and stabilization until you can regain steadiness.
988 Crisis Line
The U.S. Suicide & Crisis Lifeline (988) is available 24/7 by call or text, connecting you with trained counselors who can provide immediate support and link you to local resources. It is free, confidential, and ensures that crisis care is always within reach, even outside of therapy sessions. While therapy offers ongoing support, 988 is there whenever you need urgent help or stabilization.
Crisis Resources
Crisis resources are supports available when someone is at immediate risk of harm. These may include hotlines, emergency departments, or community-based services that provide urgent stabilization and safety. Having access to these resources means that you are never alone in a time of crisis—help is available.
Crisis Support
Crisis support refers to the immediate help available during moments of acute distress, overwhelm, or danger. This may include hotlines, emergency services, or local crisis centers that ensure safety and stabilization. In therapy, we often plan ahead for crisis support so you have clear pathways to care and can access help when you need it most.
Therapeutic Relationship
The therapeutic relationship is the supportive bond of trust and collaboration between therapist and client. When you feel safe, understood, and respected, it becomes easier to explore challenges and practice new ways of relating. Research shows that this relationship is one of the strongest predictors of positive change in therapy, making it both the foundation and the heart of the healing process.
Clinical Supervision
Clinical supervision is the process through which therapists meet with more experienced clinicians to reflect on their work and growth. Supervision provides a supportive space to strengthen skills, navigate challenges, and ensure ethical, compassionate care. At its best, supervision mirrors therapy itself—collaborative, relational, and attentive to context—helping therapists grow while ensuring clients receive thoughtful, high-quality support.
Insurance & Billing
Client Portal
The client portal (via SimplePractice) is a secure online space where you can complete forms, schedule or reschedule sessions, update your payment information, and access invoices or superbills. It is HIPAA-compliant, meaning it meets federal standards for privacy and security. The portal is designed to simplify logistics so you can focus more fully on the therapeutic work itself.
Deductible
A deductible is the amount you must pay out of pocket each year before your insurance begins covering services. For example, if your deductible is $1,500, you’ll need to pay that amount for therapy (and other medical care) before insurance starts contributing. Once it is met, your plan may then cover sessions with only a copay or coinsurance.
Copay
A copay is a fixed amount determined by your insurance (such as $20 or $40 per session) that you pay at each appointment when seeing an in-network provider. Copays stay the same from session to session, which makes them more predictable than coinsurance.
Coinsurance
Coinsurance is a cost-sharing model where you pay a percentage of the session fee (for example, 20%) while your insurance pays the rest. Coinsurance only applies after you have met your deductible. For instance, if your session costs $150 and your coinsurance is 20%, you would pay $30 and insurance would pay $120.
In-Network Provider
An in-network provider has a direct contract with your insurance company. The provider bills your insurer on your behalf, and you are responsible only for your set copay or coinsurance. This often makes therapy more affordable and predictable. However, in-network panels can sometimes limit choice, flexibility, or confidentiality, so finding the right fit matters too.
Out-of-Network Provider
An out-of-network provider is not contracted with your insurance company. You pay upfront for sessions and may request partial reimbursement using a “superbill,” if your plan includes out-of-network benefits. Many clients intentionally choose out-of-network providers for greater privacy (insurance requires a diagnosis), more flexibility in session length or approach, and the freedom to choose a therapist whose style feels like the right fit.
Prior Authorization
Prior authorization means advance approval that some insurance companies require before covering therapy sessions. Without this approval, you may be responsible for the full cost, even if your plan normally includes coverage. Therapy providers can often help you navigate this process so that care is not disrupted.
Superbill
A superbill is an itemized receipt for therapy that includes details like your diagnosis code, session length, fee, and provider information. If you see an out-of-network provider, you can submit a superbill to your insurance company to request partial reimbursement. Reimbursement is not guaranteed and depends on your plan, but superbills give you the option of recouping some costs while working with the therapist who feels right for you.
HSA / FSA Cards
Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) let you set aside pre-tax dollars for healthcare expenses, including therapy. Using these cards can help make therapy more affordable by lowering your taxable income. Many clients find that HSAs and FSAs provide flexibility in budgeting for consistent care.
Diagnosis (for insurance)
When you use insurance, therapists are required to provide a mental health diagnosis code for billing purposes. This code helps insurance determine coverage, but it does not capture your full story, strengths, or complexity. Any diagnosis used in therapy is always discussed openly with you, so that nothing happens “behind the scenes” without your knowledge.
HIPAA-Compliant
HIPAA stands for the Health Insurance Portability and Accountability Act, a U.S. law that protects your health information. A HIPAA-compliant system ensures your records, forms, and communications are encrypted, stored securely, and only accessible to you and your provider. In practice, this means you can trust that your private information remains safe and confidential.
Collateral Coordination
Collateral coordination means communicating with other professionals or supports involved in your care—such as doctors, psychiatrists, or schools—with your consent. This ensures consistency, safety, and integration across different settings. By keeping your support system connected and informed, collateral coordination strengthens continuity of care and helps you feel supported on multiple levels.
Policies
Cancellation Policy
The cancellation policy sets the minimum notice required to cancel or reschedule a session without charge. At Lumara, sessions cancelled with less than 48 hours’ notice (except in cases of illness, emergencies, or significant unforeseen events) are billed at $150. This policy is not a punishment—it protects the time I’ve set aside for you and helps the practice remain sustainable. At the same time, I understand that life is unpredictable; if something serious arises, you’re always welcome to reach out so we can discuss options together.
Sliding Scale
Sliding scale fees are reduced rates offered to make therapy more financially accessible for people with limited income or significant financial strain. At Lumara, a small number of sliding scale spots are available at any given time as part of a commitment to equity and access. Healing should not be reserved only for those with financial privilege, and if a sliding scale spot is not currently open, I’m glad to provide referrals to community clinics, training programs, or other affordable therapy options.