Frequently Asked Questions

Who and what do you treat?

  • Anxiety Disorders (social or general anxiety, PTSD, phobias)
  • Depression
  • Stressful life transitions: divorce, bereavement, workplace issues
  • Body focused repetitive behavior (habit disorders)
  • Insomnia
  • Eating Disorders
  • Personality Disorders

To learn more about individual specialties of each therapist, meet our team.

What are your hours?

As a speciality clinic, CBT Puget Sound has limited patient hours. We currently see patients on Thursdays only, from 7 a.m. to 3 p.m.

Phone hours are Monday through Friday from 1O a.m. to 7 p.m.

What are your fees?

Due to our unique relationship with the Washington Center for Bleeding Disorders (WACBD), a set number of sessions of therapy is provided at no charge to patients referred by the WACBD social work team. If you are a person with a bleeding disorder living in the State of Washington and do not have a relationship with WACBD, please contact  your hematologist for a referral.

For those who are not referred by WACBD, our self-pay rates are as follows. CBT Puget Sound does not accept insurance for services, but our staff would be happy to assist you in filing for out-of-network benefits from your insurance plan.

Individual TherapyLicensed Psychologists$200 / 50-minute session
(No Charge for patients of WACBD)
$250 for the initial session
(No Charge for patients of WACBD)
Individual TherapyPost-Doctoral Fellows$150 / 50-minute session
(No Charge for patients of WACBD)
$175 for the initial session
(No Charge for patients of WACBD)
Court Testimony*$3,000 for the first hour
$1,250 per hour thereafter

*Therapists at the Cognitive Behavioral Therapy Center of Puget Sound do not testify in court. These fees apply on the very rare occasion that a court determines testimony is required.

What forms of payment do you accept?

Patients referred by WACBD are covered in full by WACBD, with no copay needed.

Those who are not referred by WACBD, or if you have surpassed the number of sessions WACBD allows, we accept cash, checks, and credit / debit cards for self pay fees. We can process most FSA and HSA cards as credit / debit cards. There is a convenience fee for credit and debit transactions.

We are happy to provide the information necessary to help you file for out-of-network benefits from other insurance providers.

How confidential is therapy?

Maintaining confidentiality is important in any psychological setting. If you have been referred by the Washington Center for Bleeding Disorders (WACBD), we will ask you to sign a release to allow us to communicate with the WACBD team. Keep in mind, however, that WACBD and CBT Puget Sound are separate, independent institutions. Our records are kept separate, not accessible by WACBD staff, and your confidentiality will be respected. If information or records are shared with WACBD, it would be with your signed consent and we would only share the minimum necessary to ensure your health care and physical well-being.

There are a few exceptions to confidentiality, which are mandated by law.

  • If you make a serious threat to harm yourself.
  • To warn potential victims of violent acts.
  • To report the suspected abuse or neglect of a child, elder, or dependent adult.
  • A court orders the release of your information.
  • A medical or psychiatric emergency arises.

I’m new to therapy. What should I expect?

In your first session, your therapist will ask you about what brought you in, your goals for therapy, and recommend a treatment plan. Many appointments will involve some paper and pencil questionnaires in order to measure symptoms and progress and be sure that treatment is helping. Over time, you may have new goals to work on in therapy, or you and your therapist may decide that you’re ready to wrap up.

We also like this article’s advice for how to prepare for your First Therapy Appointment.

How long does therapy last?

Patients often show improvement after just a few sessions. However, CBT and related therapies have the best success when a research based treatment plan is followed to conclusion. We will choose a specific evidence based treatment – most treatment protocols we follow last at least twelve sessions, but many patients experience some relief from symptoms sooner.

Therapy concludes when your goals have been met and you do not want to set new therapy goals.