Frequently Asked Questions About Therapy in Washington State
Find answers to common questions about somatic therapy sessions, telehealth, outdoor therapy, insurance, and getting started.
Frequently Asked Questions
Whether you're considering online therapy Washington State residents can access remotely, or outdoor sessions in Seattle, these answers can help you decide if this practice is the right fit.
Services
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I offer 50- and 90-minute sessions depending on your needs and the type of work we are doing.
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I use a sliding scale model inspired by The Green Bottle Method by Alexis J. Cunningfolk, which considers class privilege and access to resources, not just income. I encourage you to self-select the tier that feels most aligned with your circumstances.
50-Minute Sessions:
Tier 1: $80 · Tier 2: $115 · Tier 3: $150 · Tier 4 (Standard Rate): $17590-Minute Sessions:
Tier 1: $145 · Tier 2: $205 · Tier 3: $270 · Tier 4 (Standard Rate): $315Intake sessions are billed at 1.5× your 50-minute tier rate.
Placement also depends on availability within each tier. If your financial situation changes, we can revisit your rate together. I keep a waitlist for lower tiers if they are full.
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No. I can provide superbills upon request for you to submit to your insurance for possible reimbursement.
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I offer online therapy throughout Washington State and in-person outdoor therapy in Seattle's Washington Park Arboretum. Park Address: Arboretum on 2300 Arboretum Drive E, Seattle, WA 98112.
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Yes. When helpful, I collaborate with dietitians, primary care providers, psychiatrists, and other members of your care team to support integrated care.
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Often, yes. Especially when eating disorder recovery is a primary focus. We can talk together about what level of support would be most helpful for your care.
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Yes. I work with teens and adults, and support family involvement when it is helpful and desired.
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No. Many people seek support without a formal diagnosis. I also respect self-understanding and self-diagnosis as valid and meaningful.
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No. I do not provide diagnostic evaluations, but I can offer referrals if needed.
Outdoor Therapy
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Dress for the weather and in whatever feels comfortable to move and be outside. Layers are often helpful since we may adjust based on temperature, movement, and comfort.
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We'll stay in communication ahead of sessions. Light rain is often workable under tree cover and gazebos in the Arboretum. If conditions don't feel appropriate, we can shift to telehealth.
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That's completely okay. Sessions can include sitting, walking, or a mix of both. You always have choice in how you engage.
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This can happen outdoors. We'll talk ahead of time about how you'd like to navigate that, and you can choose how (or whether) to engage.
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You can pause at any time. We can slow down, shift focus, or take a break. Your pace guides the session, and nature often provides grounding support if things feel activated.
Begin Online Therapy in Washington State
Serena Stark Therapy offers online therapy across Washington state via somatic and talk therapy. Seattle clients access through outdoor sessions in the Washington Park Arboretum. Whether you are looking for telehealth support or in-person nervous system regulation therapy, reach out to explore whether this work feels like a fit.