Therapy Services
Common Reasons People Reach Out
Therapy can be useful when something has changed or needs to change,
when a familiar way of coping no longer works,
or when you want your life to feel more intentional and sustainable.
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Common areas of focus include chronic stress and burnout; anxiety or depression; the effects of trauma or high-pressure environments; anger or emotional reactivity; relationship strain; parenting challenges; grief; questions of identity, purpose, and direction; and difficulty making changes despite knowing what needs to change.
How Sessions Work
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Individual and couples sessions are 50 minutes. Many people begin with weekly appointments, though frequency is determined together based on your needs, goals, and availability. Therapy may be short-term and focused on a particular concern, or longer-term when deeper patterns or broader life changes are the focus.
Therapy for Individuals
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People come to therapy for many reasons: anxiety, depression, burnout, trauma, relationship concerns, grief, major transitions, or a general sense that life has become harder to manage alone. Some arrive with a specific problem; others want to better understand patterns that have developed over time.
Our work will be tailored to your goals, with attention to both immediate concerns and the changes that will matter beyond the therapy room.
Couples Therapy
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Couples often seek help when recurring conflict, distance, trust concerns, changes in intimacy, parenting, work pressure, or life transitions have begun to take a toll. We will slow down the patterns that keep repeating and work toward greater understanding, honesty, and connection.
Evidence-Based Approaches
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I integrate cognitive behavioral therapy (CBT), Acceptance and Commitment Therapy (ACT), dialectical behavior therapy (DBT), and motivational interviewing. Depending on your needs, our work may also draw from trauma-informed, narrative, existential, interpersonal dynamic, and mindfulness-based approaches.
Rather than applying one method rigidly, I use these approaches thoughtfully and collaboratively—personalizing your care by selecting what is most useful for the goals, challenges, and stage of life you are in.
The Way I Think
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We often live as though we can eventually transcend pain: if we improve ourselves enough, make the right choices, shed the hard relationships, get the right job, buy the right house, or change our bodies, we might arrive at a place where life no longer hurts. Underneath these efforts is a belief: if we can get life and circumstances right, we can escape suffering.
My work starts from a different premise: suffering is an inevitable part of being human, even in a life we love. We can change much about our circumstances, but we cannot make ourselves invulnerable to pain, and circumstance change does little to change our deeper hearts. Learning to live well means developing the capacity to face it, carry it, and choose how we respond.
Dialectics (seemingly opposing truths) appear all around us, and they are built into the very foundation of existence. Love makes us vulnerable to loss. Meaningful work carries excessive responsibility. Growth asks us to leave behind familiar and cherished ways of thinking and living. Life contains joy and grief, often at the same time. All of us encounter some version of this human condition.
Sometimes a diagnosis helps us understand what we are experiencing and how to address it. Sometimes it offers little insight into the pain of loss, uncertainty, or the difficult circumstances of our lives. We do not need a diagnosis for our suffering to deserve attention and care.
It makes sense that we try to avoid what hurts. But when avoiding pain begins to organize our lives, those efforts can make life smaller. My approach is to help people meet suffering, uncertainty, and the darker parts of life more directly. Together, we work on staying present when life is painful, changing what can be changed, and finding choice in how we live when choice seems hard to see. This includes making choices grounded in your values, pursuing goals that matter to you, working toward healing and connection in your closest relationships, and deepening commitments and sense of place.
A full life needs room for joy and sorrow, confidence and fear, love and loss. Therapy can help us develop the capacity to hold that complexity and participate more fully in the life we have.
Location and Telehealth
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Through PSYPACT, I can provide telehealth to clients located in:
Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Fees and Insurance
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This is intentional, allowing us to make decisions together about the focus, frequency, and length of therapy based on your needs, my clinical judgment, and what matters to you. It also means I do not routinely share information about your care with an insurance company, and that your information about your mental health remains confidential and not part of a third party medical record.
Cost of services
Individual sessions: $275
Initial intake sessions: $375
Couples sessions: $400
If you choose to seek reimbursement, I can provide a superbill to submit to your insurer. Reimbursement depends on your plan and generally requires sharing a diagnosis and information about the services provided. Benefits vary by plan, and reimbursement cannot be guaranteed; your insurance company can explain your specific coverage.
Questions to ask your insurance company about out-of-network benefits
Does my plan cover out-of-network outpatient psychotherapy and an initial evaluation? The billing codes to ask about are 90834, 90837, and 90791.
How much would my plan reimburse for each service with Andrew Smith, PhD, a licensed clinical psychologist? His NPI number is 1356821847 and his practice zip code is 03766
Do I have an out-of-network deductible? If so, how much is it, and how much have I already met?
Are there limits on the number of sessions covered each year?
Do I need a referral or prior authorization?
How do I submit a superbill for reimbursement, and what is the deadline for submitting claims?
How long does reimbursement usually take?