What it's actually like

Therapy with me, demystified.

Cost, first session, paperwork, the laptop-vs-phone question, what to do if we aren't a fit — all the things you'd want to know before booking.

The basics, fast

  • Session length: 55 minutes
  • Cash pay: $120 / session
  • Insurance: HSA, plus some plans through Alma and Headway — they'll tell you your share before we meet
  • Cancellation: with 24 hours notice there is no fee
  • Format: 100% online, secure video
  • Where I'm licensed: Utah and Washington
Kerianne's home office: wooden desk, lamp, plant, brown leather chair, mounted screen — where she meets clients from
Where the work happens.

Insurance I take

  • Aetna
  • Anthem EAP — Standard
  • Anthem EAP — Expanded
  • Blue Cross Blue Shield of Massachusetts
  • Carelon Behavioral Health
  • Cigna
  • Horizon Blue Cross and Blue Shield of New Jersey
  • Oscar (Optum)
  • Oxford (Optum)
  • Quest Behavioral Health
  • Regence BlueCross BlueShield of Utah
  • United Healthcare (Optum)

Everything else

What does a session cost?

Cash pay is $120 for a 55-minute session. I also take HSA and some insurance. If you're using insurance, the rate is up to them — but when you fill out the paperwork, the system (Alma or Headway) will tell you very clearly what your responsibility will be before our first session.

What's a first session like?

I ask a lot of questions. I get to know you, your issues, your coping skills. I want to know who's important in your life, what you're doing, where you've been, what symptoms you've got, what your history is. We try to come up with goals that will help with the issues we identify, and we might talk about which therapy modalities could fit. It's collaborative. I'm not the authority on you. I'm a mirror, and a bit of a director of internal traffic.

What's therapy like with you, in general?

Honestly? I genuinely enjoy my clients as people, and their individual humor. I usually start sessions by asking what's been coming up since we last met. Goals between sessions are chosen by you — not assigned by me.

Do I have to do a consult with you first?

Nope, not at all. You can just book a first session. (But please cancel via text or email if you decide not to come.)

Don't you feel like people are dumping on you all day?

I honestly love being a therapist. It's a sacred honor, and I really do get to see people improve and change. If that didn't happen, hearing the hardest parts of people's lives day in and day out would be a lot harder. But being in a position to help genuinely changes how I receive difficult information. Disclosure is just an entry point — eventually people get to heal the pain. So no, I don't feel overwhelmed by my clients' stories.

Can I eat or drink during session?

Yes.

Can I take notes?

Yes.

Can I record you?

No thanks.

Do I need to bring ID or paperwork to the first session?

What's needed will be emailed to you to fill out before the first session — your info, pre-assessment questions, insurance details if relevant. We can go over any questions you have about it in the first session.

Can I take my shoes off and get comfy?

That's the whole point of doing this in your own home. Wear what you want, be where you want — as long as you're in a private space.

What setup do I need?

I prefer to see you on a laptop screen that isn't moving — I'm watching your body, not just listening to your voice, and movement makes that hard. Headphones are great if you've got them. A phone will work in a pinch.

What if you and I aren't a good fit?

That happens. Not every therapist fits with every person. You can ask me for referrals to other therapists, or — if that feels too uncomfortable — you can just say you don't want to reschedule. I want you to be with someone who's a good fit. If I'm not the one for you, no harm done.

What's your cancellation policy?

Please give 24 hours notice and there's no fee. The fee for late cancellations is not the full session price.

I don't live in Utah or Washington — can you still be my therapist?

Sadly, nope. State licensing rules require it. But I'm happy to point you toward Psychology Today, Inclusive Therapists, or other directories where you can find someone in your state.