Thanks for asking!

How to pronounce Bahiyyih

… and yes, it’s ok to ask again when we see each other.

Message me below, or email hello@rivermoss-ak.com.

I provide in-person sessions in my Anchorage office and telehealth services for clients anywhere in Alaska. We can work together to choose the best mix of both to fit your needs.

I work one-on-one with clients aged 15 and older. Parents or guardians must attend the first session to give permission for services and agree on treatment planning. We will talk about the next steps during that session.

Families may include children of any age.

I am an in-network provider Premera BCBS and Aetna.

Initial 15-minute consultation: no charge

Mental health assessment (60+ minutes): $300

Individual sessions (50-55 minutes): $250

Couples & Family Therapy (50-55 minutes): $300

In compliance with the Good Faith Estimate requirements of the No Surprises Act (H.R. 133), River & Moss Counseling will provide Good Faith Estimates once services begin at your request in consultation with your therapist. For more information about this, visit www.cms.gov/nosurprises.

If you notify me at least 24 hours before your appointment, I am happy to reschedule or cancel for free.

If you don’t give 24 hours’ notice, arrive more than 11 minutes late to a scheduled appointment, or miss a scheduled appointment, you will be charged the full session self-pay fee, $250. Insurance does not cover this charge.

That said, you may miss one appointment per year without a charge, and I am always happy to discuss extenuating circumstances with you. I know that life happens. I, too, am human.

Reaching out for therapy is a vulnerable thing. Talking to someone you don’t know about your inner world takes courage — and it’s normal to feel nervous. If you’re here reading this, you’ve already begun.

You don’t have to be certain. You just have to be willing.

We’ll start with a free 15-minute consultation by phone or telehealth. I’ll ask a few questions about what’s bringing you to therapy, and you’ll have space to ask anything you’d like. The goal is simple: to see whether working together feels like a good fit.

Fit matters.

If it turns out I’m not the right therapist for you, that’s okay. I’m happy to help you find referrals to other providers, agencies, or community resources that may be a better match.

If we do move forward, I’ll send you a brief questionnaire to complete before our first session. This gives me some helpful background so we don’t have to start from scratch when we sit down together.

You don’t have to carry the whole story in with you.

Your first full session is about getting oriented and beginning to know each other. I’ll ask about you, your history, your relationships and community, and what you’re hoping for from therapy. We’ll talk about what feels most important right now and what support might look like going forward — which may include therapy, collaboration with other providers, or community-based resources, depending on your needs.

There’s no right way to begin.

A few important things to know:

• You are always in control of what you share. You won’t be pushed to say anything you’re not ready to say.

• I may ask brief, surface-level questions about trauma, but I won’t ask you to go into detail in the first session. It matters to me that you leave feeling grounded and safe.

• You are free to pause or end therapy at any time, for any reason.

You are not trapped here.

If questions or concerns come up at any point, you’re welcome to reach out. Therapy is a collaborative process, and my role is to offer a space that is steady, thoughtful, and human where we can move at a pace that feels right for you.

We’ll take this one step at a time.

Clients usually have a 50+ minute session once a week. This can be adjusted depending on their availability, individual needs, and personal preferences. We will discuss and tailor this arrangement during the first session to ensure it best supports your goals and schedule.

Unfortunately, I am only licensed in Alaska at this time. If you are not living in Alaska, I cannot be your therapist.

Depending on where you are and what you’re looking for in a therapist, I may be able to help point you in a helpful direction. Feel free to message me below. I’ll do what I can!

No — I’m not a medical provider and can’t prescribe medication. Therapy is one part of a larger picture, and when medication or medical care is relevant, I’m happy to work alongside your other providers or help you connect with one.

I approach therapy with the understanding that you are a whole person. Mental health doesn’t exist in isolation from physical health, relationships, or life circumstances.

When medication or other kinds of healthcare are parts of your treatment, I’m glad to collaborate with your healthcare providers so your care feels coordinated and supportive rather than fragmented. If you need help finding a provider or thinking through next steps in treatment, that can be part of our work together.

From Brainspotting.com: “Brainspotting gives us a tool, within this clinical relationship, to neurobiologically locate, focus, process, and release experiences and symptoms that are typically out of reach of the conscious mind and its cognitive and language capacity.”

Learn Online: Brainspotting.com

Read a Book: Brainspotting: The Revolutionary New Therapy for Rapid and Effective Change by David Grand, PhD

From the Internal Family Systems (IFS) Institute: “IFS is a transformative tool that conceives of every human being as a system of protective and wounded inner parts led by a core Self. We believe the mind is naturally multiple and that is a good thing. Just like members of a family, inner parts are forced from their valuable states into extreme roles within us. Self is in everyone. It can’t be damaged. It knows how to heal…”

Learn More Online: IFS Institute

Read a Book: No Bad Parts by Richard Schwartz, PhD

From the Sensorimotor Psychotherapy Institute: “Sensorimotor Psychotherapy (SP) is a therapeutic modality for trauma and attachment issues. SP welcomes the body as an integral source of information which can guide resourcing and the accessing and processing of challenging, traumatic, and developmental experience. SP is a holistic approach that includes somatic, emotional, and cognitive processing and integration.”

Learn Online: SP Institute

Read a Book: Trauma and the Body: A Sensorimotor Approach to Psychotherapy by Pat Ogden, Kekuni Minton, and Clare Pain

It's normal to seek help when you're unhappy, uncomfortable, or unsure why life isn't going as you hoped, and it’s normal to not know what kind of help you need exactly. We can work through it together.