Rates & FAQs – Rewilding Collective with Dr. Courtney Lavadia

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Frequently Asked Questions

Below you’ll find answers to many of the most frequently asked questions about services at Rewilding Collective, including insurance, our cancellation policy, and getting started with therapy. If your question isn’t answered below, feel free to fill out our contact form or reach out via email.

Before you dive in, I want to acknowledge that seeking support can feel vulnerable—especially in a world where mental health is still misunderstood or stigmatized. Just know that reaching out is not a weakness. It’s a sign of deep self-awareness and the courage to honor what you need. That’s brave! I hope you can feel proud of yourself for making it this far.

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Rates, Fees, Insurance

About the Sessions

Miscellaneous Info

If you are experiencing a life-threatening emergency, please call 911, or go to the nearest emergency room.

You can also visit the specialty behavioral health urgent care at Providence in Everett, WA.

List of 24/7 Hotlines:

If you're currently in crisis or
experiencing a mental health emergency:

Rates,
Fees,
Insurance

What is your session format and rates?

Initial visits are our time to really get to know each other. We’ll talk about your story, what brings you into therapy, and discuss a plan that best suits your current needs.

Ongoing visits will occur in-person or via walk & talk therapy, as requested. To see more information about walk & talk therapy, visit the Individual Therapy page or the About the Sessions section below.

Both initial and follow up visits are between 50-55 minutes long. All sessions, regardless of type or location, are billed at a rate of $230 per session. Payment is due at the end of each appointment.

Do you accept insurance?

I am considered an out-of-network provider, and have chosen not to work directly with insurance. This decision, while a heavy one, allows for more flexibility in my practice, and also helps me to further protect your privacy.

Health insurance companies will often impose arbitrary limits on your care such has the appropriate length of each visit or even how many sessions you need for treatment. They also often require a diagnosis as a means to justify the support you need. While diagnostic labels can offer insight and validation, as well as support in treatment planning, they are not always necessary. I generally try not to approach therapy from a place of assigning labels unless we agree that they are appropriate for your care. You are so much more than a diagnosis, and regardless of why you’re struggling, you still deserve the care and support a therapist can provide, period.

For more information about why therapists are opting to stay out-of-network, feel free to check out some of these articles.

NPR: Finding a therapist who takes your insurance can be nearly impossible. Here’s why.

tIE: Your therapist doesn’t accept insurance? Here’s why.

How can I check to see if I have out-of-network benefits?

If you plan to seek reimbursement through your insurance provider, it’s important to understand your out-of-network benefits in advance. This can help you make informed financial decisions and manage expectations around potential out-of-pocket costs.

There are two ways to check if your coverage includes out-of-network benefits:

How do out-of-network benefits work?

The process is actually more straightforward than it sounds:

That’s it. No referrals, no waiting on approval before your first session.

How can Thrizer support with benefit reimbursement?

Thrizer‍ is a company that I partner with who can submit claims to your insurance company on your behalf for a small fee. After you’ve met your deductible, you can decide whether or not you want to pay for the session in full, and receive reimbursement from your insurance company via direct deposit. Or you can simply pay your co-insurance and Thrizer can cover the rest of the cost for you, while they wait for reimbursement from your insurance company. You can use scroll down to the next section for the instant benefits tracker or you can follow this link to check your out-of-network benefits directly through Thrizer’s website.

Do you provide a Good Faith Estimate?

You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.

For additional information you can also visit www.cms.gov/nosurprises/Ending-Surprise-Medical-Bills or call 1 800 985 3059.

For information about your rights under Washington State law visit their website at: https://app.leg.wa.gov/wac/default.aspx?cite=284-43B-020

What other options are there if I have to use insurance?

You can always call your insurance provider or check out your carrier’s online directory to find a therapist near you that accepts your insurance. Some other options include:

If you’re needing reduced-fee therapy options, I recommend Open Path Collective.

Thrizer Out-of-Network Benefits Checker

About
The
Sessions

What visit types do you offer?

I currently offer in-person therapy either in office or via walk-and-talk.

What is Walk & Talk Therapy?

Description: Same therapy, just walking outside. There are various forms of outdoor therapy that are dedicated specifically to our connection with nature. If that is something you would like to incorporate then I am more than happy to include nature therapy techniques into our session. If that doesn’t feel quite your style, then we can just stick with the walking-and-talking piece.

Privacy: We will be walking outdoors in a public space, so there is always a chance that we will pass other people. Given this, I cannot guarantee the same level of privacy we would have in my office. However, I absolutely commit to prioritizing confidential communication to the extent I am able in a public setting. We can discuss all further details when we review the separate and independent consent form used for Walk & Talk therapy.

Are you offering telehealth visits?

No. I’m intentionally not offering telehealth appointments at this time, and require a commitment to in person sessions to begin working together.

I have found that when attempting to do depth work in therapy, too much is lost when we are not in the room together. I want to make sure you get the best experience from your therapy, and I firmly believe in-person sessions allow for the deepest and most transformative work to happen.

I absolutely understand telehealth sessions work best for some. If you are needing to find a therapist who can offer telehealth visits, please check out some of these referral options below:

What is the first session like?

Your first session is a chance for us to start getting to know each other. It is both an opportunity for you to tell me what’s going on in your life, but also for you to ask any questions you might have about me and my style of therapy. We’ll talk through things you’ve been struggling with, how you’ve been coping with them so far, what you’re hoping to shift or better understand, and what you want from our work together.

By the end of this visit, we will collaboratively develop a plan to help you meet and maintain the goals you hope to achieve in therapy. Depending on how you’re feeling, and if you’re ready, I may or may not assign a reflection task or therapy homework to jumpstart our work. I always provide a gentle reminder that homework is totally optional. If it feels in alignment with what you hope to accomplish that week, then great! If it feels too hard, then no worries. You can never fail out of therapy. It will just give us an opportunity to discuss why it feels hard for you to practice or consider other strategies altogether that may be more supportive of your individual needs.

Where will we meet?

We will be meeting at my office in Woodinville, WA. Address information will be provided once the consultation is complete.

How often will we meet?

I encourage people to commit to weekly sessions for at least 8-12 weeks. Depending on your progress, we can always fade out sessions to bi-weekly, and then monthly if that feels appropriate.

What is your cancellation and no-show policy?

Cancellation and No-Show Policy

My appointment times are reserved specifically for you. For that reason, I require at least 48 hours’ notice if you need to cancel or reschedule. Without that notice, the full session fee will be charged. No-shows are also charged the full session fee.

That said, I understand that life happens! I offer one grace late cancellation or no-show per client. After that, late cancellations, reschedules made with less than 48 hours’ notice, or no-shows will be charged in full. Special consideration may be given in cases of emergency or sudden illness, at my discretion.

And because your time matters too, if I need to cancel your session with less than 48 hours’ notice outside of a true emergency, I’ll waive one future late cancellation or no-show fee for you—unless I’m able to reschedule within the same week.

Payment & Card on File

To secure your appointments, a valid credit card (including number, expiration date, and security code) must be provided before the start of our first session.

How long until I feel better?

It varies for everyone. Some people feel relief in just the first few sessions; for others it’s a series of small shifts that add up, with the occasional bigger “aha” moment. I often use the 12 week mark as a standard check-in point to discuss whether you are noticing progress and improvement, and to reflect on my own observations of your present functioning.

How will I know when it's time to end therapy?

I often joke with my clients that my ultimate goal is to work myself out of job. Emotions, struggles, and stressors are a natural part of life. They will never go away completely, but your ability to respond to them in healthy ways is an ever-changing, ever-growing skill. My greatest hope for you is that you can manage these things on your own, in the real world, without therapy. That is the sign of a job well done as your therapist. So, when I get asked this question, I like to say that when you’re feeling confident to manage life on your own, then maybe it’s time we talk about what ending therapy will look like for you, as well as celebrate how far you’ve come in your own healing.

What are my rights as a patient and how is my privacy protected?

Confidentiality is one of the most essential parts of the therapeutic relationship. What you share in session stays private, and you’ll receive a written informed consent form that outlines exactly how your privacy is protected.

It is also common practice for therapists to consult with other mental health providers. This kind of consultation allows me to seek support regarding complex medical or mental health presentations and ensures that I’m upholding the highest of ethical standards. If I feel that consultation is necessary for your specific case, I will be careful to conceal any identifying details about you (such as your name, age, or profession) as a means to avoid breaking confidentiality.

That said, there are a few legal and ethical exceptions to confidentiality that exist to help protect your safety and the safety of others. As mandated reporters, clinicians are required to break confidentiality if:

If situations like these ever arise, I will approach them with care and transparency whenever possible. It is important to understand that these safety considerations are not put in place as punishment, but rather to uphold my highest priority, which is to keep you healthy, safe, and alive.

Misc.
Info

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

The best way to find out is to talk. I offer a free 15 minute consultation as a low-key way to connect, ask questions, and explore whether working together feels like the right fit.

This call is simply a starting point, and there’s absolutely no pressure or commitment to move forward with services. If it doesn’t feel like a good fit, I’m happy to provide you with some local resources to get in touch with a therapist that may be a better match.

Do you prescribe medication?

No, I do not prescribe medication. As a psychologist, my role is to assess, diagnose, and provide therapy services to individuals struggling with mental health concerns. I do not have prescribing privileges.

A psychiatrist differs from a psychologist in that a psychiatrist is a medical doctor that can prescribe medications. These roles are often confused, and it’s completely understandable if the distinction feels unclear. I’m always happy to clarify and collaborate with medical providers if medication becomes part of the treatment plan.

Do your work with children and teens?

I am not currently accepting clients under the age of 18.

What is your current availability?

I am accepting new clients for the beginning of January 2027.