Fees & FAQs

Let’s Talk About Money. And All the Other Stuff You’re Wondering About.

I believe in being upfront about fees, expectations, and what working together looks like. No surprise charges. No awkward guessing games. Just straightforward information so you can decide what’s right for you.

Counseling Fees

All appointments are conducted through secure telehealth for adults physically located in New Hampshire.

Sliding-Scale Fees

I believe finances shouldn’t automatically prevent someone from getting help.

No Shame Recovery Counseling offers a limited number of reduced-fee appointments based primarily on individual annual gross income, with consideration for financial hardship.

Reduced-fee arrangements are reviewed every six months and depend on availability.

You can ask about sliding-scale availability during your free consultation.

You don’t need to justify your worthiness for help or supply any documents. We’ll have a straightforward conversation about what you can afford.

Insurance & Payment

Do you accept insurance?

Not currently, but I hope to be able to accept medicaid soon.

Depending on your plan, you may be eligible for out-of-network reimbursement. However, reimbursement is not guaranteed, and some insurance companies may not recognize NH MLADC services for reimbursement.

When is payment due?

Payment is due at the time of your appointment. Accepted payment methods and secure payment arrangements will be provided before your first session.

What’s your cancellation policy?

Life happens. I get it. I ask for at least 24 hours’ notice if you need to cancel or reschedule.

Appointments canceled with less than 24 hours’ notice, or missed without notice, may result in a $25 fee. Exceptions may be made for emergencies or qualifying technical difficulties.

If you’re more than 10 minutes late without contacting me, your appointment may be considered missed. Sessions still end at their scheduled time.

Frequently Asked Questions

Do I have to be sober to start counseling?

No. You don’t need to have everything figured out, and you don’t need to be abstinent to ask for help. Maybe you’re considering changing your substance use. Maybe you’re not sure you even have a problem. Maybe you’ve been trying to stop and keep finding yourself back in the same place. We can start wherever you are.

The expectation is that you’re able to participate safely and meaningfully in sessions. If you’re significantly impaired during an appointment, we may need to reschedule or discuss a different level of support.

You don’t have to be sober to start. You do have to be willing to be honest.

Do I have to have a substance use disorder to work with you?

Absolutely not. Despite the word recovery in the practice name, I also work with mental health concerns, personality disorders, anger, emotional regulation, relationships, boundaries, self-worth, and dysfunctional behavioral patterns.

What if I’m not ready to change?

Then that’s where we’ll start. Ambivalence is normal. You can want something different and be terrified of what it might take to get there. I’m not going to force you into decisions you’re not ready to make. We can explore what’s working, what isn’t, and what matters to you. Sometimes the first step isn’t changing your behavior. It’s getting honest about why you’re holding on to it.

What if I relapse?

Then we talk about it. Not with shame. Not with a lecture. And definitely not with some dramatic declaration that you’ve ruined everything. We’ll look at what happened, what contributed to it, what you can learn, and what needs to change moving forward. A relapse doesn’t erase your progress. It does give us information we need to take seriously.

Do you really have 13 years in recovery?

Yes. My recovery experience is part of what informs my approach to counseling, alongside my professional education and clinical training.I understand that change can be messy, uncomfortable, and downright exhausting. I also know that a difficult chapter doesn’t have to become your entire story.

Is counseling just going to be me talking while you nod?

Not if I can help it. There will absolutely be times when you need space to talk, process, or simply be heard. But I’m also going to ask questions, offer observations, introduce practical skills, and help you connect what we’re discussing to your actual life.

What if I have a personality disorder?

You are not your diagnosis. Personality disorders can involve deeply ingrained patterns of thinking, feeling, and relating that create real challenges. They don’t make you a bad person, and they don’t mean change is impossible. We can work on emotional regulation, distress tolerance, relationships, boundaries, self-awareness, and patterns that interfere with the life you want. If your needs require specialized or more intensive treatment beyond what I can provide, I’ll be upfront about that.

What if I have anger issues?

Then we’ll figure out what’s happening underneath the anger and what you’re doing with it. Anger itself isn’t the enemy. It’s an emotion. The problems usually come from how we interpret situations, respond to frustration, communicate, or act when we’re angry. We’ll work on recognizing triggers, understanding escalation, improving emotional regulation, and responding more effectively. You can be angry without letting anger make your decisions.

What if I keep ending up in dysfunctional relationships?

Then we’re probably going to look at patterns. Not because everything is your fault, but because understanding your role in recurring dynamics can give you more options. We’ll explore boundaries, attachment, communication, people-pleasing, codependency, and beliefs about yourself and relationships. And sometimes we’ll have to ask a difficult question: Are you choosing what’s healthy, or what’s familiar?

What if I don’t know what to talk about?

That’s okay. I do. You don’t need a perfectly organized agenda or a dramatic story. We can start with what’s happening in your life, what’s bothering you, or what made you consider counseling in the first place. And if your answer is “I honestly have no idea,” that’s a perfectly workable starting point.

Is telehealth counseling confidential?

Sessions are conducted through a secure video platform, and your information is handled in accordance with applicable confidentiality and privacy laws. There are legal limits to confidentiality, which we’ll review before beginning services. You’ll need a private location where you can speak freely and safely during appointments.

What if we’re not a good fit?

Then we talk about it. I’m not the right counselor for everyone, and I don’t expect to be. You deserve someone whose approach fits your needs and goals. If I’m not that person, I’ll help you explore other options. No hard feelings. No awkward breakup speech required.

Still Have Questions?

That’s what the free 15-minute consultation is for. We can talk about what you’re looking for, whether my approach makes sense for you, and what the next steps would be. No pressure. No commitment. No sales pitch disguised as a therapy session.

No Shame Recovery Counseling provides individual telehealth counseling for adults ages 18+ physically located in New Hampshire.