FOR PEOPLE CARRYING A LOT
When Responsibility Leaves Little Room For You
Your life may be organized around a company, practice, caseload, public role, or household that only functions because you do not stop. Here, that sustained load is treated as a clinical problem in its own right; with space to look at what keeps repeating and what needs to change.
WHY PRIVATE PAY
A Different Way To Make Room For Therapy
No Insurance Involvement
No insurance claims, utilization review, or payer requirements.
Built Around Your Actual Week
Sessions can be scheduled around travel, clinic days, school hours, and the first quiet block you can find.
A Small Caseload
The practice stays intentionally small so there is room for focused, consistent clinical work.
Secure Telehealth
Private, secure sessions for clients physically located in Florida, Idaho, Utah, or North Dakota.
THE PRIMARY CONTAINER
The six-month container
A time-limited course of individual psychotherapy with one clinician, long enough to work the underlying pattern and not only the most recent crisis.
$10,000
Six Months
The clinical aim
To help you stay identifiable as yourself at the end of the day, so the role you carry, whether work, family, or public life, stops consuming the person inside it, and the patterns repeating in your week have room to change.
What's included
✓ 90-minute diagnostic intake and written formulation
✓ 16 one-hour sessions over six months
✓ Two sessions that can include another person
✓ Weekday between-session support
✓ Priority scheduling
✓ Midpoint review
✓ Closing formulation
✓ 90-day maintenance plan
Other Ways To Work
Priority intensive
$1,500
-
Three hours + two-week check-in
-
Address an acute disruption before it settles in as the new baseline.
Extended Session
$2,500
-
Up to four hours + two-week check-in
-
Take one maintaining problem and work it at a length weekly therapy does not allow.
Individual Psychotherapy
$500
-
60 minutes
-
Ongoing treatment at a weekly or fortnightly hour without the prepaid container.
Who This Is For
01
Burnout that still looks like competence
02
Isolation at the point of decision
03
Anxiety, depression, irritability, or numbness
04
A life organized around one role
05
Identity strain after a role change
06
Prior psychotherapy that was helpful but left the week largely unchanged
This is not a substitute for emergency care, hospitalization, or a structured addiction program. If you are in immediate danger, call 988 or emergency services.
How To Begin
01
A complimentary 20-minute conversation to determine fit.
02
If we proceed, you receive the client agreement and a written Good Faith Estimate.
03
Intake is scheduled and the measures and standing times are set.
How The Work Is Held
The goal isn't insight alone. It's whether the week actually changes.
Sleep. Latency to irritability. Recovery after strain. Whether a sense of self is still available late in the day.
CONFIDENTIAL
Sessions are confidential within the limits of the law.
DEFINED CONTACT
Between-session contact has a defined window.
COORDINATED CARE
When it serves the work, Sarah can coordinate with another professional with written consent.