Rates & other FAQs

  • I am not accepting new clients at this time, while I adjust to the new year and work through my waitlist!

    I prefer to have a free 15-20 minute consultation before beginning to work with new clients so that we can check fit. Feel free to schedule a consultation with me here. It is unlikely I will be able to see you until at least Summer 2026 while I work through the waitlist.

  • Yes! I was approved by the OBLPCT as a supervisor in October 2025. I see associates for individual and group supervision, and you can read more and reach out to me about that here. If you’re reading this, I am currently offering a sliding scale for associates hoping to be in group supervision while I am recruiting enough people to have a group! Individual supervision for the group supervision rate!

  • How do I schedule:

    I like to meet with all potential clients for a free 20 minute consult to check fit and answer your questions.

    Once you’re an established client, you’ll have access to your patient portal and can schedule appointments. I do try to keep appointment times and frequency consistent, so that I can provide good care, and you know what to predict with me.

  • I run a telehealth-only practice. I use SimplePractice, a HIPAA-compliant service, for video links. If the technology flakes out on us, I have an alternative plan and will communicate that with you in our intake session.

    WHY?

    A defining characteristic of ADHD means it’s hard to remember appointments and build in a plan for getting there on time. I find that a telehealth-only practice allows my clients flexibility in their timing, lets us be flexible if you forget, and helps everyone be able to be in the environment most comfy for them. Also, I am still fairly covid cautious, and I don’t want to wear a mask to be able to see you!

  • I am contracted with the following insurance companies:

    • Aetna

    • Cigna

    • Moda Health

    • Optum (including UnitedHealthcare, & URN)

    • Providence Health Plan

    • Regence BlueCross/Blue Shield

    My full cash rate per session is $185.00. I am able to provide you a superbill as an out-of-network provider with other insurance providers, which is like an invoice that you submit to your insurance for reimbursement. If you’d like to utilize your out-of-network benefits, it is your responsibility to understand what your out-of-network benefits are.

    Sliding Scale Rates: I offer sliding scale rates to clients who do not have the above insurance payers and who cannot afford the full fee. Let’s talk about your needs during the consultation! Sliding scale is typically between $100 and $170.

    Payments: I accept all major credit/debit cards and HSA/FSA cards. Payment is due at the time of service & your card will automatically be charged after your session.

  • Thank you! The way the current medical system for paying for mental health care is set up is…a nightmare. I’m working on getting contracted with several other insurance providers, which can take anywhere from 3-12 months (predict that it happens on the longer end). I can provide a superbill, which is like bringing a receipt to your insurance and getting them to reimburse you. If you really want to work with me, let me know what insurance you have and I’ll add it to my list: Once I have more than two clients working with any particular insurance company, I usually start working on a contract application!

    Things are wild at the Federal and State level in terms of ongoing Medicaid funding. In July 2025, I was informed that I would no longer be reimbursed by CareOregon, the company that handles behavioral health coverage for more than 15,000 Oregonians on OHP in Multnomah County, as of October 1, 2025.If you need mental health care and are covered by OHP CareOregon, there is a published list (linked here) of contracted providers. I highly value publicly accessible healthcare (and believe strongly that universal health insurance is the way we should go, not to get political…), so I will continue to pursue a contract with OHP, but I cannot be confident in a timeline (i.e. unlikely to happen in 2026).

  • I work primarily with adults with ADHD, trauma & anxiety. Most of my clients are queer and trans, and/or come from immigrant, TCK or other globally-mobile backgrounds.

    I do not work with children under 14. I do work with teenagers and college students.

    I do not work with romantic partners (couples, triads, etc.) anymore. I will work with roommates, adult siblings and adult children and their parents.

  • Do you write referral letters?

    I write letters for transgender and nonbinary clients pursuing gender affirming surgery and other medical interventions. I will do these as a one-off, but need 1-3 sessions: one for you to tell me what you need and for me to ask the questions I need answered to write you an effective letter that cuts through the violence inherent in the American medical system, and one for you to offer feedback, corrections and tweaks to my initial draft.

    I do not write referral letters for Emotional Support Animals: I’m sure Fido is wonderful, but there isn’t a way for me to assess if your dog or cat is safe for others to be around.

    Do you work with interpreters?

    I’ve worked with interpreters in therapy practice for two years, and feel comfortable using a spoken foreign language interpreter or an ASL interpreter via telehealth. I have most experience working with Arabic and ASL interpreters, but also feel comfortable working with Eastern European, Latin American and Chinese Diaspora clients, and have a lot of experience working with clients from Southeast Asia, East Africa and the Middle East, primarily Iraq and Israel/Palestine.

    Are there conditions/issues you don’t treat?

    No one is an expert in all things, and there are issues I will refer out for, because doing them badly might get someone, maybe you, hurt. I do not work in addictions recovery: I’ve worked with folks who are already sober, but I don’t have the expertise for getting you through that journey. I am squicked out by cocaine use, and do not work with clients who recreationally use cocaine, as a personal preference.

    Similarly, I don’t treat active eating disorders and eating disorder recovery; I do work with clients with a history of eating disorders and try to work with clients with a body-neutral, anti-diet culture approach.

    I also don’t work with Obsessive Compulsive Disorder. I cannot help you get through your fear of fomites and contamination, my first academic love is infectious disease and the history of epidemics, and in terms of treating OCD, I am too validating of those fears for that to be therapeutically appropriate.

    Getting referred to another therapist isn’t personal: I want to make sure you’re safe and getting your needs met!

    How do I know if we’re a good fit?

    Fit is a hard thing to quantify, but that’s why I set up a free 20 minute consultation: there you can ask any questions you might have, and I’ll try to answer them!

    Have a question and want to ask it before we meet?

    Ask me anything here!

Every other therapist has a list of specialties. What are mine?

(a shameless attempt to get the SEO to send me to the right clients….if you made it this far, that might be you!

I work mostly with the following kinds of people:

  • Lesbian, gay, bisexual & pansexual, trans, nonbinary and queer adults (I do see straight clients, but they are by far the minority in my practice).

  • Adult Third Culture Kids — I am a TCK and grew up in Kazakhstan, Kenya, Uganda, Thailand, China and India.

  • Immigrants, expats, asylum seekers and refugees. My initial therapy training and experience was with refugees and asylum seekers. I feel comfortable working with interpreters and especially love working with lesbian, gay, bisexual, transgender and queer people from refugee, immigrant and asylum backgrounds! (Sometimes that’s a hard intersection to find someone affirming. Especially if this is you, don’t let finances be a barrier to reaching out.)

  • Clients in ethically non-monogamous or polyamorous relationship structures, including solo polyamory and relationship anarchy. I’ve lived, loved and worked with ENM and polyam communities for 13 years.

  • Anxious over-achievers and burned-out alumni of Gifted and Talented programs with ADHD, late-diagnosed on the Autism Spectrum and anxiety.

  • Progressive Jewish clients wrestling with legacies of Zionism, intergenerational trauma and current events.

  • Queer people who have left restrictive Christian environments (i.e.: ex-Mormons, folks who grew up Fundamentalist Evangelical, former Pentacostals, etc) and are figuring out healthy-for-them sexuality, relationships and boundary setting.

  • Medical professionals, nurses, doctors, physician’s assistants & public health pros.

I work primarily on managing anxiety, developing systems to reduce chaos and helping clients learn to manage their emotions using EMDR, Narrative Exposure Therapy, Dialectical Behavioral Therapy, and Internal Family Systems. I like to focus on concrete skills, strategies and tools that you can use outside of our weekly therapy session and through your life. I don’t necessarily do short-term therapy, but I am also motivated to do therapy that creates real positive changes in your life.

I’ve never been to therapy, what can I expect?

I’m so glad you’re interested in trying to improve your mental health and work on some of the patterns that aren’t working for you anymore, and are considering me as your therapist!

I’ll help you:

  • Identify your feelings

  • Improve your attachments to those close to you

  • Create new stories about your lives and your strengths

  • Understand the cultural and historical context of your family and how you learned your patterns of interacting

  • Learn how to make those patterns work better for you, for those in your life now, and for the next generations.

  • Heal trauma and develop better habits.

Beginning:

I like to meet with clients for a 20 minute free consultation to check fit, schedule one here! If it’s a good fit for both of us, we’ll have an intake: this is where I ask you about your history, the problems you’re bringing and your goals: this tells me what you’d like to focus on in therapy! If you’re nervous, let me know, I want to know how I can make you feel comfortable.

Middle:

A session with me usually involves me checking in on what’s important for you to talk about in the session: this might be checking in on a topic or practice from last week, some event that needs discussion from the previous week or something else that’s been on your mind. We’ll discuss it, I’ll offer feedback and connections (if I notice any), and weave in the methods that we’ve discovered work best for you to approach an issue, like parts work (IFS), mindfulness, boundary setting or EMDR. I don’t generally assign homework, but I might encourage you to observe and journal about something we discuss in session, implement a plan to work on an issue we’ve talked about, or read a book/listen to a podcast/watch a YouTube video about a topic related to what we’re working on in therapy: I could babybird those things to you, but I find that you’ll get more specific and nuanced information from those sources than I can provide for you in our 53 minute session. If there’s anything I can do to make you more comfortable or meet your needs differently, please let me know: feedback is a really important part of the therapeutic relationship.

End:

All things end, even therapy. I don’t believe you have to be in therapy for the rest of your life, or even that I am the perfect therapist for everyone. You can end our therapeutic relationship at any time for any reason. I like to hear from you, either via email or in person if that’s the case though, so that I can help you address any issues and so that I know what’s going on. If I notice that we’ve hit a point where we’re vibing, but not really getting into anything “real”, you seem to be meeting your goals and managing stressors with aplomb, or you’ve moved on to a topic that is outside my area of expertise, then either you or I can initiate a conversation about what ending the relationship looks like, what feelings are coming up and how I can help you in that transition.

I can be reached directly via email at arielle@wanderingbelongingtherapy.com, or you can schedule an appointment here!