Laurin Rusch

FAQ

Why private pay therapy?

Many of our clients choose private-pay therapy because they are looking for care that is more personalized, relationally in-depth, and tailored to their unique needs rather than the limitations of an insurance company.

Insurance-based therapy often prioritizes short-term symptom reduction and medical necessity. While this model can be helpful for some, it may not support the kind of deeper, ongoing work many of our clients are seeking around relationships, perfectionism, burnout, ADHD, anxiety, identity, emotional patterns, and long-term personal growth.

Private-pay therapy allows for greater flexibility, privacy, and autonomy in your care. Many of our clients are highly capable, high-functioning individuals who may not appear to be “in crisis” externally, but still feel overwhelmed, emotionally exhausted, disconnected in relationships, stuck in painful patterns, or chronically hard on themselves. Therapy does not need to wait until things completely fall apart to be valuable. Private-pay therapy also gives you greater freedom to choose a therapist who feels like the right fit for your personality, goals, and relational needs rather than being limited to a short list of in-network providers.

We believe that therapists are able to provide the highest quality care when they are supported in maintaining sustainable, balanced, and fulfilling professional lives. Our practice is intentionally designed to allow therapists the time, energy, training, consultation, and presence needed to offer thoughtful, emotionally attuned, and deeply engaged care to our clients.

While we are not in-network with insurance companies, many clients are able to use out-of-network benefits for partial reimbursement depending on their plan. We are happy to provide the documentation needed for reimbursement.

What if I’ve tried therapy before?

Many of our clients come to us after having previous experiences in therapy that felt helpful in some ways, but ultimately incomplete. They may have gained insight into their patterns, learned coping skills, or had a space to talk openly, yet still found themselves repeating the same relational dynamics, struggling with the same internal conflicts, or not seeing the change they were hoping for.

Our approach to therapy is rooted in the belief that insight alone is not enough to create lasting transformation.

We view the therapeutic relationship itself as one of the most important parts of the work. The way you relate, protect yourself, avoid vulnerability, seek approval, manage conflict, over-function, shut down, or navigate emotional closeness often shows up in the therapy room as well. Rather than simply talking about your patterns from a distance, we work with them in real time together.

We will hold up a mirror to the ways that you see yourself and the world. We will gently and firmly challenge you to confront the things that are holding you back and to feel your feelings rather than intellectualizing your problems. We will dig into the stuck places so that you can emerge transformed with greater capacity for resilience, emotional growth, and significant shifts in the long-standing ways that you have related to yourself and others. 

What can we expect in couples therapy?

At the core of couples' conflicts are unmet attachment needs. The need to feel emotionally safe, valued, understood, chosen, and connected to the person we love is universal. 

In Emotionally Focused Couples Therapy (EFT), we help couples move beyond surface conflict to better understand the underlying emotions, fears, longings, and attachment injuries that are driving their interactions and negative cycles. 

One partner may pursue connection through criticism or pushing for change, while the other may cope by becoming defensive, withdrawing emotionally, or avoiding conflict altogether. Couples therapy with us will focus on breaking these cycles that lead couples to feel disconnected, helpless, and trapped. 

EFT is especially helpful for couples to repair attachment injuries caused by betrayal, emotional neglect, chronic conflict, affairs, and major life stressors. Healing happens not through intellectual talking about the pain but through creating new emotional experiences where each partner feels emotionally accessible, responsive, and engaged. 

Our therapists actively guide the process by helping couples identify reactive cycles, deepen emotional awareness, strengthen communication, and create more secure ways of relating to one another.