Cancellations for Therapy and Coaching sessions:

• Cancellations must be made within 48 hours of your next appointment so that your scheduled time can be used by others seeking services. If you do not cancel within 48 hours, you will be charged the full session fee. Cancellations must be made directly through your online client portal. If you’ve chosen to receive text or email appointment reminders, you will be notified of your upcoming appointment 72-hours in advance.

Payments

• We require payment in-full at the time of our sessions. We accept debit, credit, HSA or FSA cards, Venmo, PayPal, and Zelle payments. Please keep your payment information updated in your client portal.

Refunds

• We do not offer refunds for any services.

Consultations

• Free 25-minute Consultations are available with Geneva Ellis, ACC and Hailey Christensen, LMHCA only. Book here.

If you are not currently a client, and you are interested in our foundational programs, please Contact Us and someone will reach out to you directly within 1-3 business days. Thank you!

To learn more about Integrative Wellness Programs and our additional services and providers, please click here.

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Integrative wellness represents a comprehensive approach to mental health, embodying a philosophy that addresses not just immediate concerns, but also the broader spectrum of an individual's mental well-being. At the core of our philosophy, we prioritize a focus on both acute needs and the pursuit of short-term and long-term mental health goals. This holistic view treats the individual as a whole, integrating aspects of physical, psychological, relational, purposeful, and spiritual health to achieve optimal mental health functioning and potential.

Our approach to integrative wellness centers on providing essential skills to navigate the complexities of human experiences—be it stress, anxiety, relationship dynamics, or health maintenance. We employ traditional psychotherapy treatments, leveraging evidence-based modalities like Mindfulness, Cognitive-Behavioral Therapy, Acceptance & Commitment Therapy, and Emotion-Focused Therapy. These therapies are selected for their proven effectiveness in fostering mental resilience and emotional well-being.

In addition, we offer holistic health coaching, a vital component of our integrative wellness model. This coaching focuses on mind-body integration and fitness, creating specifically tailored programs to meet personal, professional, and relational goals and aspirations. Our coaching is designed not just to address current issues but to equip clients with the tools and strategies to maintain and enhance their wellness in all life domains.

Furthermore, our clinically proven behavioral health programs are a cornerstone of our services. These programs are built on foundational coping skills and holistic health solutions, and are influenced by the latest research and developments in Neuroscience, Integrative Psychology, and Behavioral Health Sciences. They are crafted to encourage proactive lifestyle maintenance, ensuring that each individual we work with is equipped to lead a balanced and fulfilling life.

Our integrative wellness approach is more than just a set of services—it's a commitment to the overall well-being of each individual we serve, helping them realize their fullest potential in every aspect of life.

The decision to pursue therapy is an important and personal one. Our first appointment is often dictated by the severity of your concerns and issues. Most often, I will encourage you to jump right in and start discussing what is most bothersome in your present situation. In addition to addressing your concerns, we will often gather historical and familial information to develop a better understanding of your health and wellness needs and to develop a plan that fits your desired goals. We will evaluate if you need additional services such as Medication Therapy, Wellness Coaching, Mindfulness-Based Stress Reduction Therapy, or other treatments that might be applicable to you. We will often review your intake forms and symptom checklist which will have been made available to you for your completion before the start of your first appointment.

If our schedules allow, I will initially encourage weekly or biweekly counseling or coaching sessions to ensure that we are meeting your immediate needs and progressing toward your desired goals and outcomes. However, the frequency and duration of your counseling or coaching appointments will be at your complete discretion, as you will be managing your own time and schedule using our online scheduling site.

Finally, although our first appointment is an opportunity for me to learn current and historical information about you, and to gain a better understanding of your mental health and wellness goals, it is also a time for you to evaluate me as a therapist and coach, and to see if the services that I provide will be a good fit for you. I welcome any questions that you may have about me—both professionally and personally. If you are interested in learning more about how I manage my own life stressors and complexities, I am happy to share my own health and wellness practices with you.

Mental Health Care is an investment in yourself. Our job is to assist you with protecting and valuing your assets and to help you turn your investment into positive results that benefit and protect you for the rest of your life. This investment only pays off if you are prepared to commit to yourself and ready to take an active role in your personal transformation and healing.

If you're ready to invest in yourself, we will be with you every step of the way!

• Behavioral Health Programs & eBooks

• The Answer to Adversity: An Emotional Regulation & Stress Management Program (A2A)

  • $69.95: Self-Guided Journey. eBook only, Self-paced.

  • $1480: 8 Personalized Guided Sessions. Free eBook, Fully Facilitated Coaching Program.

• Coaching

  • $185 for 50-min. sessions.

    Includes evidence-based in-session tools, session takeaways & in-between session action items.

• Individual Therapy

  • $265 for 50-min. sessions.

• Couples Therapy

• $300 for 50-min. sessions.

• Family Therapy

  • $375 for 75-min. sessions.

• Group Therapy

  • $150 per member for 90-min. sessions. (Minimum 4 members.)

• Formal Psychological Evaluation

  • $350 / hr. Includes Mental Status Exam, clinical documentation, assessment & diagnosis.

Rates above are effective Jan. 1, 2023 for all new clients.

*Free 25-minute Consultations are available with Geneva Ellis, ACC and Hailey Christensen, LMHCA only. Book here.

*Reduced-fee therapy is available with our Licensed Mental Health Counselor Associate, Hailey Christensen. (Fees will be structured based on a statement of income and financial need. Please inform us if you need reduced-fee therapy before your first appointment.)

*Sessions that run over are charged additional fees. With the exception of family/group therapy, all counseling & coaching sessions are booked for 50 minutes only. (Please inform your clinician prior to your appointment if you need additional time. If they can accommodate you, they will.)

We are out-of-network (O-O-N) providers only. Full payment is due after each appointment. If you have O-O-N behavioral health coverage, we will electronically e-file for you or provide you with monthly superbills to seek O-O-N reimbursement benefits. Only after your O-O-N deductible has been fully satisfied will your insurance reimburse you. Please contact your insurance provider before the time of service and check your O-O-N eligibility, deductible and benefits coverage. Please also be sure that preauthorization is not required for O-O-N Behavioral or Mental Health Therapy services.

Here is the information that you will need to provide to your insurer when discussing your out-of-network mental health / behavioral health benefits.

• CPT / Procedural code = 90837

• Place of Service = 11 (in-office) or 2 w/ modifier GT (telehealth)

• Please ask if preauthorization is required for out-of-network services.

• Please ask what is the "allowed coverage amount." This will help you to determine what will actually be reimbursed once your deductible has been met.

• If your insurer asks for clinician credentials, please provide them with the following information:

  • Billing provider: Ryan Lewis, LMHC

  • Rendering provider NPI# 1649516097

We only offer Telehealth therapy appointments at this time.

We offer counseling for anyone experiencing:

• Anxiety

• Depression

• Relationship concerns and challenges

• Stress

• Guilt and shame

• Impulsivity

• Phase-of-life issues

• Coming out and issues related to LGBTQIA+

• Obsessive and compulsive thinking

• Codependency issues

• Conflict resolution

• Family discord

• Finding purpose and meaning

• Loss and grief

• Adjustment difficulties

• Cultural, spiritual or religious conflicts

• Finding peace and autonomy

• Improving self-esteem and self-reliance

• Replacing self-destructive behaviors

• Letting go of emotional and psychological pain

Please note, this list is not exhaustive. If you are experiencing a challenge that is not listed here, please reach out to us, and we’ll ensure you get the care you deserve.

I can help you define, sort-out, prioritize and develop your goals; however, therapeutic goals are ultimately determined and driven by you. Unlike many other relationships and friendships, our time together is about you and the focus will be kept on you. The sessions will be driven by the topics that you feel are of most importance to you. I will help facilitate and direct the sessions through questioning and exploration, but ultimately it will be up to you to decide what areas of your life that you would like to work on, change, accept or explore more deeply. I will help you do this by encouraging honesty, transparency, self-acceptance, commitment and engagement in your therapeutic work. At times you may not know what to say or talk about; these can be the most rewarding and enriching sessions. It is during these times that we can learn more about your inner self by allowing your unconscious, unplanned and nondirective thoughts and feelings to come out. Remember, there is no right or wrong topic in therapy.

Everything we discuss is confidential under the American Counseling Association’s professional code of ethics and Washington State law. Only two circumstances can allow me to break confidentiality: 1) if you sign a consent form allowing me to discuss your case, or 2) if you confide in me that you are about to harm yourself or another person.

The fit between a client and therapist is one of the most critical elements to ensuring a successful therapeutic outcome. I work from a genuine, nonjudgmental, respectful, collaborative and curious point of view. My role is not to judge you, shape your morals, assign guilt or tell you what you should or should not be doing. My objective is to help you discover the blockages in your life and to help you incorporate strategies for living the life you wish to enjoy. I can help facilitate change through exploring the ways in which you think, behave and feel, but I do not have all the answers for you.

Your role is to find those answers by engaging in the therapeutic process by committing yourself and your time to focusing on you. Creating this type of personal accountability and structure can help you to become more self-aware, accepting, honest, self-reliant and peaceful. This type of personal dedication can help you reclaim yourself, move past the areas in your life that are creating stagnation and help you to thrive again in the areas of your life most important to you. Your involvement and personal commitment directs the outcome of your therapy. Change does not come easily, but it does come and you are worth the effort.

Lastly, because many of us change through our encounters with people and the world around us, I take a relational approach when working with clients. I believe our relationship holds great value. It can help us to gain insight into how you relate to others and how others relate to you; it can help us to explore and construct healthy boundaries; and, it can serve as a vehicle for you to develop secure relationships in your personal and professional life.

Yes, I am committed to providing inclusive and culturally responsive care. We are aware of cultural issues and trained to work with individuals from diverse backgrounds. I am dedicated to creating a safe and welcoming space for all clients, regardless of their culture, race, ethnicity, religion, sexual orientation, gender identity, or any other aspect of diversity. I strive to ensure that clients feel understood and respected in their sessions.

Coaching

Cognitive Behavioral (CBT)

Eclectic

Emotionally Focused

Existential

Experiential Therapy

Family / Marital

Family Systems

Gestalt

Gottman Method

Humanistic

Imago

Integrative

Interpersonal

Mindfulness-Based (MBCT)

Motivational Interviewing

Narrative

Neurofeedback

Person-Centered

Positive Psychology

Psychoanalytic

Psychodynamic

Reality Therapy

Relational

Solution Focused Brief (SFBT)

Strength-Based

Transpersonal