Schedule an Appointment
How Sessions Work
All sessions are conducted by secure, HIPAA-compliant video through SimplePractice. I am licensed in Colorado and see clients throughout the state, including the Denver metro area, Boulder, Colorado Springs, and Fort Collins. Appointments are available on Tuesdays, Wednesdays, and Thursdays.
Contact Phone: 303-351-2251
Email: rachael.stclaire@hush.com
Virtual Office: Littleton, Colorado
For the privacy and security of clients, I do not communicate by SMS text. All correspondence is through secure, encrypted channels.
For routine messages, I return calls and emails Monday through Friday, 9:00 a.m. to 5:00 p.m. If you are in crisis, please see the Crisis Services page rather than waiting for a reply.
Getting Started
Phone Consultation
We begin with a phone consultation at no cost. It is a chance to describe what brings you to therapy, ask about how I work, and decide together whether we are a good fit before committing time or resources. If we decide to move forward, we schedule an initial evaluation and I provide access to the Client Portal.
To request a consultation, call 303-351-2251 or use the button below.
What to Expect
Initial Evaluation
Our first full session is a diagnostic evaluation. We review practice policies and consent forms, discuss your reasons for seeking therapy, and begin to understand the nature and history of your concerns. Over the first one to three sessions, I gather the relevant history, assess symptoms, and we develop a treatment plan together.
Ongoing Psychotherapy
We decide session frequency together, based on your needs and goals, and I give an estimated course of treatment when possible. You are free to end therapy at any time, for any reason.
Couples Psychotherapy
I also see couples when the relationship itself is the concern, or when one partner’s treatment would benefit from the other’s participation. The two situations are billed differently; see Insurance and Fees below.
Returning clients may schedule appointments directly through the Client Portal.
Insurance and Fees
In-Network Insurance
I am in network with the following plans:
Aetna
Anthem Blue Cross Blue Shield
Carelon Behavioral Health
Cigna
Kaiser Permanente Colorado
Kaiser Permanente Medicare Advantage
United Healthcare
If I am in network with your plan, you pay only your plan’s copayment or coinsurance for each session. We confirm your behavioral health benefits together before we begin.
Out-of-Network Clients
I also welcome clients whose insurance I am not in network with. Sessions are paid at the self-pay rate, and I provide a detailed statement of services, called a superbill, with the diagnosis and procedure codes insurers require. You may submit it to your plan for reimbursement. Whether a plan reimburses, and how much, is determined by the plan, not by my practice, so it is worth checking your out-of-network mental health benefits before we begin. Health savings and flexible spending accounts may also be used.
A Note on Couples Sessions and Insurance
Health plans cover couples sessions only when they are part of treating a diagnosed mental health condition in one partner, with the other partner taking part to support that treatment. Sessions focused on the relationship itself, rather than on one person’s condition, are usually not a covered benefit, whether in network or out of network, and are paid at the self-pay rate. If we plan couples work, we clarify at the outset which situation applies. If you want to check your own coverage, ask your plan about “family psychotherapy with the patient present” (CPT 90847) rather than “couples therapy,” since plans often answer the two questions differently.
Self-Pay Rates
Phone consultation (15 minutes): no charge
Diagnostic evaluation: $250
Individual psychotherapy, 38–52 minutes: $200
Individual psychotherapy, 53 minutes or more: $200
Couples psychotherapy: $200
Twice-Weekly Psychodynamic Psychotherapy
Longer-term psychodynamic work often deepens when we meet twice each week: patterns come into view sooner, and there is more continuity between sessions. Whether this frequency fits your situation is something we decide together in consultation. For self-pay and out-of-network clients in twice-weekly psychotherapy, the fee is $75 per session, and two recurring appointment times are reserved for you each week. Because those hours are held, the late cancellation and no-show fee for twice-weekly clients is $75, with 48 hours’ notice required. Insurance rarely reimburses much at this fee, and in-network plans are billed at their contracted rates, so this arrangement is designed for people paying out of pocket.
Cancellation Policy
Appointments must be cancelled at least 48 hours in advance through the Client Portal. A $50 fee applies for late cancellations and no-shows. For twice-weekly clients, the fee is $75, as described above.
A credit card is kept on file for all clients.