Frequently Asked Questions

Neurofeedback + EMDR Therapy Session (50-53 min): $225

* Neurofeedback is included in therapy sessions.

There is no fee for the use of Alpha-Stim in session. With clients consent Alpha-Stim can be used in therapy or EMDR sessions. Alpha-Stim (CES) is a Cranial Electrotherapy Stimulation device that can help reduce Anxiety, Insomnia and Pain. Alpha-Stim applies low level of current across the head. It is FDA cleared.  Clients report feeling calm, relaxed but alert. They are less anxious and find it easier to sleep. Clients can purchase or rent their own Alpha-Stim device from Alpha-Stim.com

Fees for EMDR Intensives vary based of the individualized program that your therapists creates with you.

This is our process:

1. Begin with a Free Consultation (20 min) to discuss your goals for treatment and to learn about EMDR Intensives. General pricing will be reviewed with you at that time.
2. After the initial consultation if an EMDR Intensive is recommended for you then your therapist will schedule a Pre Intensive Session (90 min) which will be used to further explore your goals for the Intensive, gather a history of your symptoms and to develop a individualized EMDR Intensive program for you.
3. Your program and the fee would be finalized at your Pre Intensive Session with your therapist. A fee is collected at the time of scheduling. This includes 50% of your total EMDR Intensive is charged at this time. This is a non-refundable fee. The remainder of your fee is charged on the first day of your intensive.
4. You will then experience your EMDR Intensive (1-3 days) – Individually designed EMDR Intensives are scheduled for 1-3 days.
5. A Post Intensive Session (50 min)– will be scheduled for you 1 week after your EMDR Intensive. This is a time to debrief your EMDR Intensive, reflect on areas of insights, strengthen gains and discuss treatment recommendations from your therapist.
6. Due to the extended session time insurance will not cover the full costs of a EMDR Intensives.
7. To learn more about our EMDR Intensives please visit our EMDR Intensives page.

Payment can be made by cash, check, credit cards or HAS/FSA cards.

• We accept First Choice Health and Canopy EAP. We are out-of-network providers with all other insurance companies.
• We provide Superbills to clients seeking to use out-of-network benefits. Clients will send their superbills to their insurance company and your insurance will send you a check for whatever you are eligible to receive according to your out-of-network benefits.
• Please review our Insurance Benefits and Superbill Information Guide for more information.

• Grab your insurance card and call the number on the back. Ask them about your out-of-network benefits and what they cover. Please review our Insurance Benefits and Superbill Information Guide for more information.
• Please know that not all insurance plans offer reimbursement for out-of-network providers, and some plans may have a deductible or an allowable amount. I recommend calling the customer service number on the back of your card and speak to a representative for details about your specific plan.

This will depend on what your out-of-network benefits are! Please ask the following questions when you call the number on the back of your insurance card:

1. Do I have out-of-network benefits for mental health care provided in-person and/or via telehealth?
2. How much does my insurance plan reimburse an out-of-network provider using CPT code 90837?

*Payment is due in full at the time of our session.

There are many great benefits of seeing an Out-of-Network provider. These are the top 3 reasons that often lead people to working with someone who is OON:

1. Specialized Expertise and Tailored Treatment: As an out-of-network provider, we provide specialized expertise and personalized treatment plans that may not be available with in-network providers.
2. Freedom of Choice and Flexibility: Working with an out-of-network provider allows for freedom to choose a therapist who best aligns with your preferences, therapeutic goals, and personality.
3. Confidentiality and Autonomy: Clients can have more control over their treatment without insurance company interference (ex: no limits to number of sessions and a diagnosis may not be required), allowing for a more private and personalized therapy experience.

We require a 24- hour notice to cancel appointments. The full hourly rate will be charged for any missed appointments without the full 24- hour notice and must be paid prior to booking another therapy session. Please call us at 360-836-0050 or email your therapist.

We provide in-person therapy in Vancouver, Washington and telehealth (virtual) therapy to clients in the state of Washington and Oregon.

• Increased Comfort and Convenience –One of the significant benefits of telehealth for mental health is the increased level of comfort and convenience it offers. Being able to access therapy sessions from the privacy of their own home allows clients to feel more relaxed and open during their appointments. This comfortable environment can contribute to a more effective therapy session, as clients may be more willing to discuss sensitive issues.
• Flexibility- Telehealth services also provide unmatched flexibility. Busy schedules, family responsibilities, or work obligations can often make it difficult for individuals to attend regular therapy sessions. Telehealth allows for flexible scheduling, enabling sessions outside of typical office hours. This convenience can make regular participation in therapy more manageable and less stressful.
• Increased Anonymity- Telehealth services offer a greater level of privacy and anonymity. Telehealth, sessions can be conducted in a private setting, reducing the possibility of encountering someone known in a waiting room, which can be a deterrent for some clients.
• Continuity of Care- Telehealth increases continuity of care even during adverse situations. If there are interruptions to regular life telehealth allows therapy sessions to continue uninterrupted. This continuity of care can be essential for individuals and can prevent any disruptions in their progress.
• Cost-Effective– For some client’s telehealth is a cost-effective option for receiving mental health care. It eliminates the need for travel, which can add up in terms of time and expenses. Additionally, telehealth eliminates the need for childcare or time off work, making it a more affordable option for many.

Therapists can only provide therapy in the states in which they are licensed. We provide in-person therapy in Vancouver, Washington and telehealth (virtual) therapy to clients in the state of Washington and Oregon (depending upon therapists).

We will provide you with a complimentary 15 min phone consultation to determine if we will be a good fit to work together. Here is what you can expect in a complimentary consultation:

1. We will ask what brings you to therapy?
2. We will share a bit about our approach to therapy.
3. We will answer any questions that you may have.
4. We will confirm details about our rate and availability.

EMDR stands for Eye, Movement Desensitization and Reprocessing. EMDR therapy is a “memory” based therapy. It is used to target and treat distressing life events and traumatizing memories. The theory behind this therapeutic approach is that when a person experiences distressing life events that the trauma can get locked in the brain and nervous system in a way that causes pain and suffering for the client. These unprocessed experiences hold emotional, physical and psychological charges and impact how the client views themselves, others and the world. To learn more about this unique and effective treatment please go to Frequently Asked Questions about EMDR.

There are 8 phases of EMDR therapy.  The 8 phases of EMDR therapy have been extensively researched and are conducted over multiple sessions. Initial sessions enable the therapist to gather information about a client, the problem and its origins. During these initial phases of treatment rapport is built between the client and the therapist. The client is introduced to bilateral stimulation also referred to as Dual Attention Stimuli. This stimulation consists of: eye movements, tactile with hand held buzzers or self-administered tapping and auditory sounds. One or more types of bilateral stimulation is selected to be used for EMDR processing. The trauma targets are decided upon by client and the therapist. Some memories require multiple sessions to fully process. Additional memories are chosen for preprocessing until the client is experiencing relief from the traumatizing experience and is showing signs of healing in their daily lives. Please click What a EMDR Therapy Session is Like to learn more about EMDR therapy.

EMDR therapy is our main form of treatment for clients. EMDR therapy is versatile and can be used with a wide variety of presenting issues that clients seek therapy for. When working with Complex PTSD, Attachment Trauma, Dissociation, Addictions, Medical Trauma, Eating Disorders and chronic mental health issues then we integrate other therapeutic modalities. The integration of these other modalities can help prepare the client for EMDR therapy and increase the effectiveness of treatment.  Other modalities that we may use include: IFS (Internal Family Systems), Ego State Therapy “parts work,” Somatic therapy, Psychodynamic, Mindfulness and other Insight Oriented therapies. In addition, we may incorporate LENS Neurofeedback and Alpha Stim for emotional and physical regulation.

Some of our therapist may be considered Associate therapists. An Associate therapist is a “pre-licensed” therapist that has finished graduate school courses and clinical internships. They are working on their clinical hours towards licensure under the supervision of a licensed therapist. Our Associate therapists are highly skilled and receive regular training.

Our goal is to provide a safe place for healing for our clients. We believe that building rapport and a caring relationship with our clients provides the foundation for “good” therapy. During the first few sessions, we will talk about the struggles that brought you to therapy and define your goals. We will then work together to help you achieve those goals. We tailor our treatments to each clients individual needs. Sometimes things can seem worse before they get better as you address long standing trauma and try new ways of approaching problems. Being open to new ideas and trying new things will likely improve the outcome. We check in regularly to see how therapy is going for you and welcome feedback at anytime so that we may adjust our treatment or approach to suit your needs.

• How long therapy will take is influenced by many factors including your schedule; therapist availability; ongoing life challenges; the specific nature and acuity of your challenges and engagement in the therapy process between sessions.
• The research suggests most therapy clients feel clinically significant improvements in 12 – 15 sessions. Some clients benefit by shorter lengths of therapy while others find ongoing therapy beneficial to them. We are available to you as long as you need us!
• Our goal is to help you feel better and to meet your goals as soon as possible.

Listed below is our Mission, Vision and Core Values of our Trauma Informed practice:

Mission: We at Vancouver EMDR Therapy and Neurofeedback believe that every person has the innate ability to heal from distressing life events. We are passionate about providing our clients with high quality EMDR therapy and other trauma informed treatment modalities. We provide a safe space to help our clients overcome the impact of trauma on their lives so that they can experience meaningful life changes and achieve their goals.

Vision: 

Trauma affects the quality of a person’s life. Vancouver EMDR Therapy and Neurofeedback processes trauma and help clients to heal so that they can live a fuller, happier and healthier life.

Values:

1. Strengths Based: We see clients from a “strengths perspective” and believe in every client’s ability to heal and reach their goals in therapy.
2. Consent: We provide our clients with consent and choice in all aspects of their treatment.
3. Collaboration: We believe collaboration among healthcare providers can increase the effectiveness of a client’s treatment plan.
4. Safety: We provide a setting that supports physical and emotional safety. Our priority is for clients to feel a sense of emotional safety through compassionate treatment and positive relationships.
5. Trustworthiness: We provide clear information to clients about what to expect in the counseling process and develop collaborative treatment plans.

At Vancouver EMDR Therapy and Neurofeedback we believe that all people have a right to heal from Adverse Life Events which can include discrimination and marginalization of people. We aim to provide a welcoming and respectful environment with culturally responsive treatments that are inclusive of all people including: sexual orientations, lifestyles, cultural and religious backgrounds.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, healthcare providers need to give patients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services.If you receive a bill at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy of your Good Faith Estimate. For more information about your right to a Good Faith Estimate, click here.