Services

Therapy built around the work, not the performance.

Sessions are focused, conversational, and collaborative. We pay attention to the history underneath the problem and the practical choices in front of you now.

Individual psychotherapy

One person. The whole context.

Approximately 45-minute sessions for adults working with trauma, depression, anxiety, anger, shame, grief, identity, family systems, life transitions, relationships, or patterns that keep repeating even when you understand them intellectually.

Couples & relationship therapy

More honesty. Better agreements.

Relationship therapy for couples and partners who want help with communication, conflict, intimacy, trust, repair, changing structures, or deciding what comes next. Polyamorous, ENM, kink, and nontraditional relationships are welcome without needing to explain the basics first.

Life coaching

Practical support. Forward movement.

Goal-focused work for people seeking direction, accountability, clearer decisions, support through transitions, or help changing habits and patterns. Life coaching is available in Missouri and Oregon for people who want practical support rather than diagnosis or treatment of a mental health condition. It is billed at the applicable state-specific individual session rate.

Clinical Documentation & Support Letters

Careful process. Useful documentation.

A structured documentation process for Emotional Support Animal accommodations and gender-affirming surgery. The work focuses on understanding the request and producing documentation that is accurate, complete, and useful to the people who need to receive it.

How the process works

Where I practice

How and where sessions are available.

How sessions are available depends on where you are located. Current options are listed below and will be updated as availability changes.

MissouriIn-person and telehealth psychotherapy

OregonTelehealth

Private pay

No insurance maze.

Dark Waters Therapy is primarily a private-pay practice and does not represent itself as participating with insurance. Rates and availability may differ by state or service. Any documentation available for out-of-network reimbursement can be discussed before starting.

Fees, policies & common questions

Forward momentum, no matter what

Start with a conversation about fit.

A free 15–20 minute consultation is available to determine whether the clinical work, logistics, availability, and fit make sense. It is not a therapy session or a clinical assessment.

Request a consultation