Couples & Sex Therapy

in Oregon & Washington

Tombo Therapy Healing is a fully remote practice offering therapy for individuals and couples, with a focus on identity, intimacy, mental health, and relationships. My approach is neurodivergent-affirming, trauma-informed, and LGBTQIA+-affirming, grounded in cultural humility and respect for each person’s lived experience.

Therapeutic Services

Individual Therapy

Individual therapy offers an opportunity to better understand yourself and your needs, and to move through life in a way that feels more aligned with your authentic self.

Couples Therapy

You may feel stuck in familiar patterns or caught in the same argument again and again. Maybe you’re anticipating a major life transition and want support creating a collaborative plan so you can approach it as a team.

Couples therapy can provide structure, support, and tools to help you move toward the changes that feel most supportive for your relationship’s needs.

Sex Therapy

Sex Therapy is like any other talk therapy, that doesn’t shy away from discussing sexual concerns. My goal is to create a safe and sex-positive space for clients to build a relationship with sex and intimacy that best fits their needs.

Individual Therapy

$170 per 50-minute session

Relationship Therapy

$190 per 50-minute session

Insurance

Providence Health Plan

Regence BCBS Oregon

Moda Health Plan

I believe it is important to have open and honest conversations about the therapeutic process, including fees for services. I know that access to mental health care is impacted by systems of oppression—including financial ones—and am committed to being as clear and affirming as possible when it comes to the cost of therapeutic services at our practice.

At this time, Tombo Therapy Healing is only able to accept insurance from clients who are Oregon residents. My practice is in the process of getting credentialed with other insurance panels to increase accessibility to therapy.

Client Responsibilities

The best way to prevent surprise balances is to fully understand your insurance benefits and to keep me updated on any changes to your coverage. You are responsible for the following:

  1. Verifying your benefits before starting therapy services.
  2. Informing us promptly of any changes or lapses in private insurance.
  3. Updating us if major life changes occur that may impact your coverage (e.g., marriage, pregnancy, changes in disability status, turning 65, moving, or changing jobs).
Is couples therapy covered by insurance?

I cannot guarantee that your insurance plan will cover couples therapy sessions. Insurance only covers sessions when they are medically necessary to treat the diagnosis of one identified family member/client. Sessions cannot be solely focused on relationship growth or communication skills. 

I recommend asking your insurance network if they cover Family Therapy, if you are interested in pursuing coverage for relationship therapy. 

Questions to ask your insurance provider:

  1. Does my plan cover family therapy?
  2. If yes, is there a limit to the number of family (couples) therapy sessions covered by my insurance plan?

According to Oregon Law, the definition of family is broad and can include parents, siblings, spouses/partners, caregivers, and other primary relationships by blood, adoption, legal, or social connection.

Do you accept OHP or Medicare?

I am unable to submit claims or provide Superbills to Medicare or OHP.

What if I don’t have insurance or I’m not in-network?

For other insurance companies, our practice is considered an out-of-network provider. Some insurers will reimburse a percentage of your out of pocket expenses. It is your responsibility to verify your out-of-network benefits with your insurance provider before starting care. 

We can provide you with a Superbill that you can directly submit to your insurance for potential out-of-network reimbursement. 

If you plan to seek reimbursement, contact your insurance provider and ask the following questions: 

  1. Do I have out-of-network benefits for mental health services?
  2. What is my deductible, and has it been met? 
  3. What percentage of each therapy session is reimbursed?
  4. How many therapy sessions per year are covered by my plan?
  5. Does my plan cover couples therapy?
What if I do not want to use insurance due to the nature of topics we are discussing?

You are not required to use your insurance, and can choose to opt-out of using insurance. Clients may choose to opt-out of using insurance for a variety of reasons. Please see a few common reasons below:

  1. Insurance requires you to receive a diagnosis.
  2. Insurance can deny your claim or cut services at any time.
  3. You don’t have to worry about meeting a deductible or high co-pays.
  4. Loss of confidentiality.
  5. Losing your therapist if you switch insurance companies.
  6. You have more therapy options with private pay.
Do you offer sliding scale options?

Yes, I offer a limited number of sliding-scale appointments for clients experiencing financial difficulties, though availability is not guaranteed. This is something that I am happy to discuss with clients during the phone consultation.

Let’s Work Together

1

Schedule Free 20-Minute Phone Consultation

The phone consult is a way for both of us to determine if my approach best fits your needs.

2

Complete Phone Consultation

During this phone call, we will briefly discuss what is bringing you to therapy, as well as your goals and expectations. This gives both of us an opportunity to determine if my approach is the right fit.

3

Schedule Intake Session

If we decide to work together, we will discuss scheduling and session frequency (weekly or every other week).

4

Complete Intake Paperwork

You will receive an invitation via email to access your client portal on Sessions. You can access all intake paperwork and the link to our sessions through this portal.

Note: Finding a therapist that is “a good fit” is an important part of the therapeutic process. It is absolutely okay if you decide my style doesn’t fit your needs. My goal is to support you in finding the appropriate resources and services that best fit your goals and needs.

Are you experiencing an immediate crisis?