Life is good and life is incredibly hard, sometimes at the same time. It can help to have someone on our side to provide non-judgmental support, a fresh perspective, and practical skills for dealing with challenges, traumas, and transitions. Help is available and change is possible.

Finding a therapist who is a good “fit” for you is important, so I provide a bit of information about my approach here, and am also happy to offer a 20-minute phone consultation free of charge to help determine whether my approach is likely to be a good match for you. My therapy services are:

(1) Strengths-based: I believe there is more right with you than wrong with you. I work with you to identify your strengths and values, and to figure out how to use these to move forward through difficult times. My goal is to not only assist you in overcoming your current challenges, but also in building your skills and internal resources so that you are more resilient in the face of future challenges.

(2) Science-based: I use therapeutic approaches that are well-supported by research. Broadly, my approach is cognitive-behavioral, which is based on the idea that our emotions, thoughts, and actions all impact each other. We often seek therapy because we want to feel differently, and it can be helpful to approach this by thinking and acting differently. My approach to therapy tends to be practical and relatively brief. To maximize your gains, I’ll often invite you to experiment with changes or practice skills on your own time (outside of our office visits). Some therapies I provide are Exposure and Response Prevention (for OCD), Prolonged Exposure or Cognitive Processing Therapy (for PTSD), various exposure therapies (for anxiety), mindfulness-based therapies (for anxiety and depression), Motivational Interviewing (for changing substance use or other habits), and Acceptance and Commitment Therapy (for mood, anxiety, and well-being).

(3) Collaborative and person-centered: You are the best expert on yourself. I can share my expertise on the process of change and growth. Together, we are a team of experts collaborating to get you to where you want to be, based on your unique values and goals.

(4) Culturally responsive & LGBTQIA+ affirming: I value diversity of all kinds, and try my best to understand and counter bias, inequity, and oppression. I see people in context and offer exploration and support about how systems of oppression might be impacting someone’s well-being. I want to extend a warm welcome to our trans*, non-binary, gender non-conforming, gender-diverse, and LGBTQIA+ community. In addition to therapy services, I am available to provide assessments and letters of support for individuals seeking gender-affirming medical procedures. These pre-surgical assessments and letters are provided free of charge in order to reduce barriers and promote health equity. Similarly, I offer assessments and letters free of charge to individuals who have immigrated to the U.S. seeking political asylum.

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A note on availability: I am currently fully booked for individual therapy appointments. However, to help meet the demand for evidence-based therapy for OCD, I am planning a group skill-based workshop on how to address OCD through Exposure and Response Prevention. Please feel free to inquire and I’ll be happy to provide more information: ann.marie.roepke@gmail.com

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A note on fees and pro bono services: I offer two types of psychological assessments (and accompanying letters/reports) free of charge: (1) assessments for individuals seeking political asylum in the United States, and (2) assessments for individuals seeking gender-affirming medical procedures such as hormone therapy and surgical procedures.

All other clinical services are billed at my usual hourly rate, which is currently $189 per one-hour session.  I am out-of-network with insurance companies, which means that clients pay for services directly, and some clients then choose to submit receipts to their insurance company for reimbursement.  The disadvantage of this model is that it can be more expensive for some clients, depending on their company’s out-of-network policies and clients’ decision about whether to seek reimbursement. The advantages can include increased confidentiality (as we are not required to share records with an insurance company if you choose to pay out-of-pocket), no restrictions on online therapy, and freedom for us to choose the appropriate type and length of therapy. Upon scheduling an appointment (and/or upon request later in our work together), I am happy to provide clients with a good faith estimate of how much it will cost to do a complete course of therapy together. I am also happy to provide ‘superbills’ for clients who wish to seek insurance reimbursement.

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If you would like to learn more, please feel free to reach out to me at ann.marie.roepke@gmail.com to schedule a phone consultation. I look forward to connecting!

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Links: You can learn more about some of the approaches I use here: Prolonged Exposure (PTSD), Cognitive Processing Therapy (PTSD), Exposure and Response Prevention (OCD), behavioral treatment of anxiety, Motivational Interviewing and Acceptance and Commitment Therapy.  You can learn more about evidence-based practice here.