About Working with Brett

Can you assure confidentiality of my private information?

I am required by my professional ethics and by law to keep your private information confidential to the best of my ability within legal constraints. Unlicensed professionals (coaches, healers, etc.) do not have this level of legal protection for your private information.

Do you accept insurance?

I do not accept insurance directly and I don't directly bill insurance providers.

I am pleased to provide you with what is called a "Medicare superbill" for the services I deliver. This is a receipt which you can submit to your insurance carrier to request a reimbursement.

Many insurance carriers accept superbills and reimburse for services in this way. Most do not cover the full cost of each session. Some pay as little as $50 per session and limit the number of sessions to less than 20, sometimes less than 6. Please consult with your insurance carrier to determine if and how much they reimburse for psychotherapy sessions.

Most insurance carriers do not reimburse for relationship therapy.

Please understand that to receive reimbursement under the American medical model of insurance, a client must be given a medical diagnosis. To be given a diagnosis, you must meet certain criteria which may have an impact on your insurance costs and coverage.

Upon request, provided one member of your relationship meets criteria for a DSM-based diagnosis, I can legally document it to better ensure insurance reimbursement.

If you have questions about this process, I'd be happy to discuss your desires and concerns. Simply contact me to schedule a session at which time we can devise a strategy suited to your specific needs.

Do you have a sliding scale fee structure?

I don't offer a sliding scale fee structure.

I realize that good therapy can be expensive. After all, it is an investment in the quality of your life. And good therapists can be difficult to find.

If you are not currently in a position to afford my fee for the service you are seeking, I would be honored to offer you up to three referrals to colleagues I know and trust who may be in a position to work with your current budget constraints.

How long are sessions with you?

I see individual clients for 45 minute sessions.

I see 2 or more clients together for relationship therapy for 90 minute sessions.

I offer other innovative formats. You can learn more on my Services page.

Do you see clients in the evening?

I do see clients in the evening. Please contact me to schedule an appointment.

Do you see clients on weekends?

I do see clients on weekends. Please contact me to schedule an appointment.

What are you like as a therapist?

My approach to therapy is to create a safe, non-shaming space in which my clients can fully reveal their internal world (the good, the bad, the ugly) in an environment of acceptance and support.

From there, my clients and I work collaboratively to understand emotional and behavioral patterns and to create practical, effective alternatives to practice in and between sessions.

Over time this leads to positive change, increased motivation and more enjoyment of relationships and life.

My influences include

What is your professional education, training and experience?

Licensed by the Great States of Hawaii and California as an LCSW.