I am a TRICARE Overseas Provider
and also contracted with a few Employee Assistance Programs (EAP) in Japan. Please let me know at the beginning of our work together what coverage you currently have.

Japanese National Health Insurance
The services I provide are not covered by Japanese National Health Insurance

Other Insurance
I can provide you with a superbill each month for you to file claims. Before using insurance please review this important information.

I currently only accept credit card via Square. Credit cards accepted:

• Visa
• Mastercard
• American Express
• Discover
• Discover Diners
• JCB

I require 24-hour notice for any cancellations or rescheduling. I require the full session fee for late cancellations. For more details review the office policies.

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 questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.

Unfortunately, I'm only accepting individual adult clients. If you're looking for couples, family, or child/teen therapy, please visit imhpj.org

At this time I can only provide services via secure video.

Our first session will be focused on what brings you to therapy and to see if we're a good fit.

I will also go over confidentiality and my limits to maintaining confidentiality. I can help answer any questions or concerns you have.

Though my main concentration in private practice is on anxiety and expat issues, I have experience serving clients dealing with a wide-range of issues. I still may be able to help.

If I don't have the experience or knowledge, or Telehealth is not appropriate for your issues, I can assist in finding a therapist who can help.

Clients see the most progress when they attend sessions consistently.

Generally, once per week is best. This allows you time to process our sessions and experiment with new things during the week.

Your length of time spent in therapy is dependent on a number of variables:

• The issue you're addressing
• Severity of symptoms
• How long you've been experiencing symptoms
• Consistency of attending sessions

There are no guarantees therapy will work. And often times things tend to get worse before they get better. This is because by looking more closely at our issues, we stir them up.

At the same time, most people find therapy to be helpful.

Clients often report relief and changes anywhere between 5 to 20 sessions.

Occasionally, clients will want to explore other areas in their lives and stay in therapy longer.

Research has shown that online therapy is very effective. At the same time, it requires a few extra steps on your part to make sure our time spent together is productive. 

To ensure high-quality care, it's important that you have a fast and stable Internet connection. I highly recommend not using 4G or WiFi. Instead, plug your Internet cable directly into your computer. 

It's crucial to find a quite, confidential, and comfortable space to have your session. 

Please take steps to decrease the chance of interruptions or distractions during our session. This includes finding child care or asking others to give you privacy. Please turn off your cell phone ringer and other electronic devices. 

Not all issues are suitable for online therapy. In the first 1 to 3 sessions, we will work together to identify core concerns. If teletherapy is not appropriate, I can assist in getting you connected to other services. 

I use Doxy.me for sessions. Doxy.me is an encrypted, HIPAA compliant platform.