Questions, answered.
If your question is not answered here, you are welcome to email selfworththerapist@gmail.com for more information.
About Therapy
What is neurodiversity-affirming therapy?
Neurodiversity-affirming therapy treats neurological differences — autism, ADHD, and related neurotypes — as natural human variation rather than disorders to be corrected. It works from the neurodiversity paradigm, not the medical deficit model.
In practice, this means I am not trying to make you more neurotypical. I am working to understand your actual experience, reduce internalized shame, build on existing strengths, and develop strategies that work with your neurology rather than against it.
Do I need a diagnosis to work with you?
No. You do not need a formal diagnosis to be welcome here. Many people choose not to pursue one for a variety of reasons, and that is completely valid. We can do meaningful work together regardless of whether you have a formal diagnosis.
You also do not need to be neurodivergent to work with me. All are welcome here. Neurodivergent is a term that includes a wide range of neurotypes, and self-worth, trauma, chronic illness, and identity work are not exclusive to any one community.
Do you work with late-diagnosed autistic people?
Yes. This is one of my primary specialties. I work with late-diagnosed and high-masking autistic individuals, including those who received a diagnosis as a teenager or as an adult.
Getting a diagnosis later in life is a complicated experience. There is often relief and grief together. Relief that your life finally makes sense. Grief for the years you spent not knowing. Most therapists are not well equipped to support this. I am, both clinically and personally. I am AuDHD myself.
What is AuDHD?
AuDHD refers to the co-occurrence of autism spectrum disorder and ADHD.
AuDHD is not simply autism plus ADHD. It is the specific interaction of the two neurotypes, sometimes amplifying each other, sometimes appearing to cancel out, sometimes creating entirely new patterns. I am AuDHD myself and work with AuDHD individuals regularly.
What is Autism with a PDA Profile?
Autism with a PDA Profile refers to Persistent Drive for Autonomy (also known as Pathological Demand Avoidance), a profile within the autism spectrum characterized by an intense, pervasive drive for autonomy, a strong sense of fairness and justice, and heightened sensitivity to demands.
PDA is not a standalone diagnosis and is not included in the DSM. It is frequently missed in children, teenagers, and adults, and is often misdiagnosed as Oppositional Defiant Disorder or other behavioral conditions. Standard behavioral approaches, rewards and consequences systems, and compliance-based models are not effective for PDA profiles.
I work with PDA individuals using low-demand, collaborative frameworks that respect autonomy and fairness.
What does a typical session look like?
Sessions are offered in 45-minute or 75-minute lengths via secure telehealth video. You will need to be in a private space or in a place where others are not listening. This protects your privacy and helps you feel free to speak openly. This could be your home, a parked car, any private room, or even a walk in nature.
We will go at your own pace. You are always welcome to use fidgets, turn off your camera, dim the lights, or use any other accommodations that help you feel comfortable. This space is made to support you, and your needs matter here.
Therapy here is not about making you fit into a neurotypical mold. It is about understanding yourself, healing what has been hurt, and building a life that is fulfilling where you are free to grow and flourish.
What is the free 15-minute consultation?
A brief phone call to meet before committing to anything. You can ask questions, get a sense of my communication style, and tell me a little about what you are looking for. I will be honest about whether I think I am a good fit. No pressure, no intake forms required beforehand. Call or text me at (720) 588-0520 to set it up.
Why do you currently only work with adults?
I truly enjoy working with children and adolescents! I have a strong background in working with children and adolescents, and it's something I plan to return to as soon as I have a physical office again. At this time, my practice is fully virtual, and I've found that younger clients and families are often best supported in an in-person setting. I'm in the process of deciding where to establish a physical office, and once that's in place, I'll be able to offer in-person services for children and families again. Stay tuned, because I cannot wait to get back to seeing children, adolescents, and families!
Fees and Private Pay
Do you accept insurance?
No, I do not accept insurance. I am a private-pay practice because I believe your privacy matters and a third party should not be dictating your treatment.
Superbills are available if you want to seek out-of-network reimbursement. I provide the superbill to you, and you submit it directly to your insurance company. I do not communicate directly with your insurance company.
What is a superbill and how does it work?
A superbill is an itemized receipt that includes the session date, service codes, diagnosis codes, and my license information. You submit it to your insurance company to request out-of-network reimbursement. Whether and how much you receive depends on your specific plan's out-of-network mental health benefits.
I recommend calling your insurance before your first session and asking about your out-of-network mental health benefits. I provide the superbill. You submit it. I do not communicate with insurance companies.
Why private pay?
Your privacy matters.
When you use a third party such as an insurance company or technology platform, you have less control over how your clinical information is handled. Insurance billing may require a diagnosis and other clinical information to be shared to establish medical necessity, and this information may become part of your healthcare or insurance record. There are many reasons someone may want to keep their clinical information private.
I do not want a profit-driven, third party dictating your care. Private pay gives me the freedom to focus on what is best for you and your care, rather than what an insurance company or platform considers medically necessary.
How much does therapy cost?
I am a private pay practice. My fees are:
- 15-Minute Phone Consultation: Free
- 45-Minute Initial Appointment: $200
- 45-Minute Therapy Session: $200
- 75-Minute Therapy Session: $300
During the initial appointment, we can discuss which session length would best fit your goals and needs moving forward. Payment is due no earlier than 24 hours before your session and no later than the start of your session.
Logistics
What states do you work in?
I am licensed in Colorado (LCSW, CSW.09932249) and Oregon (LCSW, L17285). I provide therapy to residents of those two states via telehealth only. I cannot provide therapy to residents of other states.
What are your available hours?
I offer late-afternoon, evening, and weekend availability. Many therapists are only available during standard business hours. This is intentional. Call, text, or email me and we will find a time that works.
Are you currently accepting new clients?
Yes. I am currently accepting new clients in Colorado and Oregon. Call or text (720) 588-0520, or email me, to book a free 15-minute phone consultation.
Do you do in-person sessions?
No. All sessions are 100% virtual via secure telehealth video. This is intentional. Virtual therapy removes many of the sensory and logistical barriers that make in-person therapy harder for many people.
Workshops
Are the workshops a replacement for therapy?
No. The workshops are educational content. They do not constitute therapy, do not create a therapeutic relationship, and are not mental health treatment. They exist so that high-quality clinical knowledge is accessible to anyone who needs it, at an affordable price, whenever they are ready for it.
Who are the workshops for?
The workshops are designed for late-diagnosed autistic and ADHD adults and teenagers, including people who suspect they might be autistic but have not received a formal diagnosis.
The workshops are not restricted by state. Anyone can access them, wherever they are.