Frequently Asked Questions

Do you take insurance? What are your fees?

$140 - 50 minute sessions

Extensive sliding scale and low fee therapy always available. 

While I am not currently in network with any insurance companies, I believe that mental health support should be accessible to everyone, regardless of financial circumstances. That's why I offer a pay-what-you-can policy. I understand that financial constraints can be a barrier to seeking help, so I have conversations with clients around finding a fee based on their own financial situation. This flexible approach ensures that everyone can access the support they need to prioritize their mental well-being. My goal is to create a welcoming and inclusive environment where individuals feel empowered to take control of their mental health journey without the burden of financial stress. 

My perspectives on promoting access are deeply rooted in my commitment to combating social injustice, systemic discrimination, and late-stage capitalism. 

I will also provide superbill receipts for you to submit for any out of network benefits you may have. You may want to ask your insurance company about your out-of-network benefits, particularly if your insurance company will reimburse for sessions with an LMHCA.

What can I expect from therapy here?

First, we will meet for a consultation to see if we both feel like we could work together. I will listen intently, ask questions about your life and relationships, and start to get a sense of who you are. I have found that meeting in person for a full 50 minutes is the best way to get a sense of what it's like to work together. If you decide to move forward in scheduling sessions, I will bill you for the consultation. If it's not a good fit, then I won't bill you. At its heart, therapy is about connection - showing up, being seen, and stepping into the courage it takes to explore your life honestly. I offer a safe, nonjudgmental space where you can bring your whole, imperfect, beautiful self. Expect curiosity, compassion, and conversations that help you live more aligned with your values. At minimum, I work with people once a week; some people find that coming 2 or 3 times a week can bring more continuity and momentum to the the work.

Do I need to be in crisis to start therapy?

Not at all. You don’t have to hit rock bottom to ask for help. Therapy can support you when you’re feeling overwhelmed, stuck, or simply ready to grow. Whether you’re navigating big life transitions or just sensing that something’s missing, it’s brave to reach out.

How do I know if you’re the right therapist for me?

The relationship between us is one of the most important parts of the work. I encourage you to listen to your gut: do you feel safe, understood, and respected? In our first sessions, we’ll explore your needs and goals, and you’ll have space to ask questions. Therapy is a partnership, and you have every right to find a good fit.

How long does therapy take?

There’s no one-size-fits-all timeline, but change takes time. You aren't going to be cured - you aren't a ham. Humans are delightfully and frustratingly messy. Some people come for a few months to work through a specific issue; others stay longer for ongoing support and deeper exploration. Together, we’ll check in regularly to see how things are going and what feels right for you. 

Will you tell me what to do?

I'm not here to give you a to-do list or fix you - because you are not broken. Instead, I walk alongside you, helping you uncover your own wisdom, identify patterns, and make choices that align with your values. I may offer tools, strategies, or insights, but you’re always in the driver’s seat.

What if I feel nervous or ashamed about starting therapy?

That’s so human. Many of us have been taught that vulnerability is weakness, or that we should handle things on our own. But here’s the truth: vulnerability is the birthplace of courage, growth, and meaningful change. It’s okay to feel anxious — and you’re not alone in that.

How do I get started?

Reach out: rosanne@rosannegreenway.com or 206-317-1804. We’ll schedule a consultation to see if we’re a good fit and to answer any other questions you have.