Rates & FAQ

💸 What’s the cost per session?

Sessions are $165 for about 50 minutes.
I also offer a sliding scale for folks who need some flexibility — because access matters.

🧾 Do you take insurance?

Currently, I’m in-network with Aetna.

If you have a different plan, I can bill as an out-of-network provider — meaning your insurance might reimburse you for part of the cost. The amount totally depends on your plan’s out-of-network coverage for mental health. You can check with your insurance directly to get the details. (Or if insurance talk makes your brain hurt — totally fair — email me and I’ll help you sort it out.)

🚀 What does getting started look like?

1️⃣ You fill out a quick consultation application so I can make sure we're a good fit.
2️⃣ I reach out and schedule a free 15-minute video consult.
3️⃣ We chat — you tell me what you’re looking for, I give you a sense of how I’d approach it, and you can ask anything that’s on your mind.
4️⃣ If we vibe? We book your first session and I’ll send over your paperwork.

🗓 What happens in the first session?

We walk through your intake together — you’ll have space to talk, and I’ll ask questions to start building a real picture of where you’re coming from and how your nervous system got here. No pressure, no rush — just getting to know your story, your patterns, and your goals.

🔄 What does therapy look like after that?

Sessions usually start with a check-in on your week — because what’s happening right now often shows us exactly where your nervous system’s still running its survival patterns. I’ll ask questions to help you make connections, reflect, and notice what’s really going on under the surface.

🕰 How long will I need to be in therapy?

Everyone’s different. A lot of my clients start seeing shifts after 3–6 months and decide from there. Some reach their initial goals and wrap up; others keep going because new things surface they want to work on. You’re never locked into anything — we check in regularly and make sure it’s working for you.

🌎 Where can you work with clients?

For psychotherapy, I work with clients living in Washington State.

If you're outside of Washington, I offer mental health coaching that’s available nationwide. Not sure which applies to you? Fill out the consultation form and we’ll figure it out together.

📅 What’s your availability?

Current hours:

Monday: 9am - 12pm
Tuesday: 9 am – 4 pm
Wednesday: 9 am – 4 pm
Thursday: 9 am – 4 pm
Friday: 9 am – 12 pm

Appointments are booked first-come, first-served — but schedules shift, so reach out to see what’s open.

💻 Is this all online?

Yes — I currently offer sessions via secure telehealth only.

🔁 How often do we meet?

I recommend starting with weekly sessions for at least the first month — it gives us momentum. After that, we can adjust based on what feels right for you.

❓ What if I change my mind?

No contracts. No pressure. Book as you go. You’re always in charge of your process.

🙋‍♀️ Still have questions?

Email me at info@courtneyshrum.com or hit the Contact page — I’m happy to walk you through anything that feels confusing.

👉 Ready to get started? → Book your free 15-minute consultation.