Questions

Answers to what women ask first.

If your question isn't here, ask it in a free consultation. No question is too small or too obvious.

What's the difference between coaching and therapy?

Therapy is licensed clinical care. It can address diagnosable mental health conditions, work with history and trauma, and be billed to insurance. It is regulated by state licensure, which is why I can provide it only in California.

Coaching is non-clinical and future-focused: systems, follow-through, structure, accountability. It does not diagnose or treat mental health conditions and is not billable to insurance, but it can happen anywhere in the world.

Plenty of women want both. Some are already in therapy elsewhere and want only the coaching piece. That is a good use of it.

Do you take my insurance?

I accept certain plans for therapy through Alma. Because networks change, the accurate answer always lives on my booking page rather than here. Follow the booking link to check whether your plan is covered. Coaching is self-pay only and cannot be billed to insurance.

What if I'm not using insurance?

Therapy is $150 per session self-pay. If you are paying out of pocket, you are entitled to a Good Faith Estimate of expected costs under the No Surprises Act, and I will provide one before we begin. [Brittni — confirm your Good Faith Estimate process and whether you offer a sliding scale.]

Where do I have to be located to work with you?

Therapy: you need to be physically in California during our sessions. Coaching: anywhere in the world, conducted in English, including California. This is a licensure requirement rather than a preference, and it applies even to short trips out of state.

Are sessions video or phone?

Either. Everything is virtual. Some women find that a phone session with the camera off is the only way they can actually think. That is a legitimate choice, not a lesser one.

Who do you work with?

Women 18 and older. [Brittni — add your own language here about how you define this inclusively, including trans and nonbinary clients.]

What if I've never been formally diagnosed?

You are welcome here. Many women arrive somewhere between a suspicion and a certainty, often after a sibling, a parent, or a child was diagnosed. You do not need a piece of paper to start being taken seriously.

Do you provide ADHD assessments or diagnosis?

[Brittni — this needs your exact answer, because it is a scope-of-practice statement. Options: (a) no, and here is how I refer for evaluation; (b) yes, clinical diagnostic assessment within my scope as an LCSW in California; (c) screening and clarification, then referral.]

Do you work with trauma as well as ADHD?

Yes, and I do not treat them as separate appointments. ADHD and PTSD occur together in roughly a third of adults, and each makes the other harder to see clearly.1 I hold a certificate in Somatic Yoga and continue to build my training in complex trauma and somatic approaches. Body-based work is always optional and always at your pace.

Can you prescribe medication?

No, that falls outside an LCSW's scope. I can help you prepare for a prescriber appointment, organize what you have been noticing, and think through what to ask. [Optional: name your referral pathways.]

What does the first session look like?

[Brittni — let's draft this together. Suggested shape: what I will ask, what you do not need to have ready, and what we will leave with.]

What's your cancellation policy?

[Brittni — insert your policy. Worth naming an ADHD-aware approach to forgetting, since that is the most common reason for a no-show and the most common source of shame about it.]

Is this website secure?

No. This site is a public landing page and is not a HIPAA-secure channel. Please do not send health information, diagnoses, or clinical detail through it. All scheduling, intake, and messaging happen on a separate secure platform.

Reference
1. Magdi HM, Abousoliman AD, Ibrahim AM, Elsehrawy MG, El-Gazar HE, Zoromba MA. Attention-deficit/hyperactivity disorder and post-traumatic stress disorder adult comorbidity: a systematic review. Systematic Reviews. 2025;14(1):41. doi:10.1186/s13643-025-02774-7
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