Services & billing information
Focused, evidence-based teletherapy
Rainy Day Psychology provides therapy for trauma and adverse life events, substance use treatment, and affirming care to adults across Washington by secure video.
Trauma & adverse events
Contextual Trauma Therapy
Not every painful experience is a trauma, and the current tendency to label everything one obscures more than it clarifies. Care here addresses both: experiences that meet criteria for traumatic stress, and the adverse life events — loss, injury, betrayal, prolonged strain — that fall short of that threshold yet still shape how a person lives. Contextual Trauma Therapy understands these experiences within the whole context of your life and relationships rather than as isolated events, addressing the patterns they build in safety, trust, self-worth, and connection, at a pace you control.
Commonly addressed concerns include:
- Post-traumatic stress disorder (PTSD) and complex PTSD
- Anxiety and depression connected to traumatic or adverse experience
- Occupational and injury-related trauma, including L&I claims
- Adult effects of childhood adversity and institutional abuse
Substance use
Guided Self-Change
Guided Self-Change (GSC) is a brief, structured treatment that blends motivational interviewing with cognitive-behavioral skills, built on the evidence that many people can change their relationship with alcohol or other substances using their own strengths, with focused professional support. Both harm-reduction and abstinence goals are welcome; the appropriate therapeutic interventions are chosen collaboratively, based on your goals rather than a fixed program.
Affirming care
Care that respects who you are
Rainy Day Psychology provides affirming, evidence-based care for LGBTQIA+ adults, centered on autonomy and dignity. Therapy is conducted in an environment free from judgment or discrimination, whether your goals concern identity, relationships, minority stress, or concerns that have nothing to do with identity at all.
Fees
Standard fee schedule
| Service | Length | Fee |
|---|---|---|
| Consultation — let's meet to see if this will be a good fit | 15 min | $0 |
| Diagnostic evaluation — initial visit to establish care and set treatment goals | up to 50 min | $300 |
| Individual psychotherapy (53+ minutes) | 60 min | $300 |
| Individual psychotherapy (38–52 minutes) | 45 min | $225 |
| Individual psychotherapy (16–37 minutes) | 30 min | $150 |
| Crisis psychotherapy — for acute crises requiring 30–74 minutes of immediate support | first 60 min | $300 |
| Crisis psychotherapy, additional time | each add'l 30 min | $100 |
An income-based sliding scale is available for a limited number of clients, with tiers tied to the Federal Poverty Level.
Billing
How payment works
Rainy Day Psychology is a private-pay practice and does not bill private insurance. A monthly Superbill is available on request, which you may submit to your insurer for possible out-of-network reimbursement.
Accepted Washington State Labor & Industries (L&I) and Self-Insured Employer workers' compensation claims are billed directly to the insurer; workers pay nothing out of pocket for authorized care. If you have an open claim, see information for injured workers and referring providers.
As a private-pay client you will receive a Good Faith Estimate of expected charges before beginning care, as required by federal law.