Frequently Asked Questions (FAQ)

Have a burning question that you don't see an answer to below? Don't be shy! Feel free to reach out to us

How do I make an appointment?

Fill out the Contact Form, send an email to, or give us a call at (206) 273-7940. Our clinical coordinator will help match you with a therapist on our team that could best meet your needs.

Indicate in your message if you have a specific therapist that you are interested in working with, and the best time and phone number to reach you for a free 15-minute phone consultation.

You can also learn more about our therapists by browsing their profiles, and call or email them directly to schedule a time to chat about whether they might be a good fit for you. 

What is the cost of therapy?

Therapy is an investment in your mental health and emotional well-being. At Emerald City Sanctuary, our team of therapists each function independently and set their own fee structure and sliding scale availability.

Average fees range from $90-$200 per 50-minute session, differing based on the therapist's fee structure and modality (individual, couple or family therapy).

Emerald City Sanctuary clinicians are happy to answer questions about their work, fees, payment options and availability for low fee and sliding scale clients. See their individual profiles to access direct contact information. 

Working with a private pay therapist has several distinct benefits. We are not bound by a specific treatment method or number of sessions, giving us more flexibility to tailor the therapeutic relationship to your unique needs. Relationship is at the center of our work, and we take pride in providing individualized, high-quality clinical care. 

Per request, we can provide monthly superbills if you wish to submit for out-of-network insurance reimbursement. Plans differ greatly in how reimbursement for out-of-network mental health services is assessed, and we encourage you to reach out to your insurance provider to learn more about your benefits. 

Helpful questions to ask your insurance company before your first session are:

  • What percentage of my bill will be paid for services obtained from an out-of-network provider?
  • How many sessions will be covered per calendar year?

What is systemic therapy?

Click here to learn more from the American Association of Marriage and Family Therapy (AAMFT)

What is sex therapy?

Click here to learn more from

How often do most people come to therapy?

This is a personal decision that your therapist can help you to explore based on your needs and goals. It is recommended that new clients schedule appointments weekly in the beginning, which is helpful in getting to know you and building momentum toward co-creating an action plan to meet your goals. Many choose to make therapy a consistent part of their weekly or biweekly self-care routine, and others choose to meet less frequently over time as their goals are met.

I am still wondering if therapy is right for me. How can I learn more? 

We encourage you to get to know us on social media and on our blog, where we share mental health, wellness and relationship tips with the community. 

If you like what you see and are ready to dig deeper, check out our articles on what to expect in your first therapy appointment and when to go to couples therapy