FAQs

Therapy is a collaborative process in which clinician and client work together to navigate problems, overcome obstacles, and achieve goals. Therapy helps individuals reclaim their truth, overcome trauma, and thrive in relationships by reaching a place of optimal emotional, psychological, and spiritual well-being. Therapeutic space allows for deep relational attunement and trust, which enables the emergence of one’s wisest, most authentic Self.

I collaborate with my clients to help them harness strengths and ultimately learn how to navigate life’s ebbs and flows connected to their values, needs, and desires. I deeply believe in the radical and transformative power of unconditional love, unity, and harmony. It is my clinical passion and my soul’s mission to be of service to you and provide multimodal, integrative, and individualized psychological care.

During the first session, you’ll learn a bit more about the process of therapy itself and begin exploring your wishes and intentions for therapy. From there, we will explore how the complex interplay of your thoughts, emotions, values, experiences, and identities are influencing and impacting your life. We will also focus on ways to build self-awareness, resilience, and confidence, while integrating skills to improve your relationship(s) and expand happiness. Before the end of your intake session, you will spend time learning and practicing at least one coping skill so you can rest assured that you are leaving the office or virtual space feeling more able to navigate the world.

In addition to traditional talk therapy, I offer brainspotting therapy, psychedelic preparation and integration therapy, and intensive sessions (multimodal therapy for 2 to 5 hours). All talk therapy related services are offered virtually and in-person. Brainspotting therapy and intensive sessions are only available in person due to the nature of the process itself. It is most suitable, safe, and contained in person. I am currently running two groups - The Mindful Mountain Queers and The FLOW (Following Light, Owning Wisdom) Group, and also offer clinical consultation for clinicians.

To find out more about the services and groups I offer, please refer to the additional information below.

Brainspotting therapy is a revolutionary treatment modality that addresses and treats a wide variety of brain, body, and trauma-based issues. Brainspotting therapy targets, unlocks, and releases stored trauma deep within the subcortical region of the brain which enables unprocessed and unresolved concerns to surface and re-integrate with a sense of relief and peace.

One of the most frustrating stuck places in therapy is when we have a sense of knowing without a felt sense of believing. Traditional top-down therapies and strategies neglect to integrate the brain's knowing with the body and soul's somatic wisdom. With Brainspotting therapy, the body and mind recalibrate itself, and the central nervous system is able to re-regulate reaching an equilibrium and homeostasis.

Brainspotting therapy has been found effective for a wide variety of issues including mood disorders (i.e. depression, bipolar 1 and 2), anger, rage, anxiety, panic, phobias, addictions (both chemical and behavioral), ADD/ADHD, OCD, trauma stemming from abuse, neglect, and/or intimate partner violence, trauma resulting from war & natural disasters, trauma from bodily injury, trauma resulting from medication interventions & treatment, stress & trauma-related medical illnesses (i.e. fibromyalgia, lupus, chronic fatigue syndrome), chronic pain disorders, asthma, and stuttering.

If you’re curious to find out more about Brainspotting therapy, reach out for a free consultation.

Psychedelic preparation and integration therapy focuses on what happens before and after someone's psychedelic experience to make meaning, deepen understanding, and apply new insights to daily life. Psychedelics have been used for thousands of years to promote spiritual growth, healing, and community building. During the past century, psychedelics entered mainstream culture and, even more recently, there has been a boom in academic and clinical research demonstrating the numerous benefits of psychedelics for mental and physical wellness. Psychedelic therapy encompasses a range of activities (including psychotherapy) that are conducted to maximize therapeutic benefits and minimize harm from psychedelic experiences.

Psychedelic preparation incorporates education on proper set and setting, harm reduction techniques, and contraindications as well as careful considerations for at-risk populations (i.e. individuals with a history of dissociative trauma, psychosis, mania, unregulated blood pressure and heart rate, as well as seizure-related disorders). Additionally, during psychedelic preparation sessions, clients learn tips and tricks for navigating the trip itself.

Psychedelic integration refers to taking the gained insights, emotions, or attitudes from the psychedelic experience, and processing how to enact them in desired areas of your life. This process may involve taking ownership of mistakes, speaking your truth, reconnecting with undervalued parts of yourself, or facing fears. Psychedelic integration includes, but is not limited to:

• Making sense of confusing experiences

• Creating new meaning or generating useful narratives/stories about life’s experiences

• Addressing lingering distress or symptoms

• Thoughtfully make changes based on new insights

• Resolving conflict between psychedelic experience and one’s prior belief systems

• Coping with the fading of the experience itself and returning to older habits and behaviors

• Addressing psychological content, such as repressed trauma

• Building and increasing connections and social support

• Increasing engagement with non-rational aspects of life such as dance, creativity, movement, art, nature, etc.

Intensive sessions are offered on Fridays in the office, and range from 2 to 5 hours. The structure of these sessions is determined by individual need and healing preference, but typically include a blend of somatic practices, brainspotting therapy, art exercises, nature-based rituals, and experiential activities. This time frame allows for deeper integration and emotional processing. Sessions may include spiritual and metaphysical exercises like tarot reading, dowsing, smoke cleansing, and chakra balancing. I am deeply fascinated by culture and learning to appreciate different ways of being, understanding, and connecting to Self and beyond. I never push or influence anyone to explore or try anything that feels unsafe, uncomfortable, or, frankly, uninteresting. I merely offer a cornucopia of ways to play, imagine, and embrace psychological self-understanding and exploration.

In addition to individual services, I also offer services for groups and the greater community.

Individual therapy is sacred, but also limited when it comes to the true embodiment of community. Through the course of my work, it came to my attention that many like-minded, spiritually curious and gifted people were expanding their understanding of themselves and the world, but they were alone in the process. It is a fact of life that community, connection, and cohesion aid in the waking up and healing process.

That’s why I started The FLOW Group - Following Light, Owning Wisdom - a community of spiritually open people seeking to expand their gifts and skillsets, and connect with other like-minded, cool, kooky humans. Each cycle of The Flow Group includes six 90 minute sessions held at the beautiful group space at Helia Health, located in the Roland Park area of Baltimore City Maryland. Each session includes psycho-education on a metaphysical topic, group process, and experiential exercises that relate to grounding, energy work, divination, dreams, astrology, and sacred ceremony. FLOW Group members are invited to return to each cycle of FLOW and are welcomed to bring a friend. This work is about expansion, belonging, and welcoming. The community is growing and ever abundant! For more information, please visit The FLOW Group information page.

I also run a mindfulness-based hiking group for the queer community called The Mindful Mountain Queers. The group is free to join and meets monthly on every first Saturday of the month from 12PM to 2PM at Lake Roland in Towson Maryland. To join the group, please email me at hello@sacredcrowcc.com. For additional information, check out The Mindful Mountain Queers information page here (INSERT LINK WHEN IT EXISTS).

In addition to services for the community, I also offer individual Clinical Consultation to mental health practitioners. My clinical expertise is in working with trauma, complex personality adaptations, neurodivergence, IFS and parts work, eating disorders and intuitive eating counseling, and helping clients learn to trust their emotionality and body.

I also run an informal group Peer Supervision group that meets every second Friday of the month via Google Meet. It is free and open to all licensed clinicians. The group mostly consists of providers in the DMV area, however, our group stretches up the east coast, across to the West, and even reaches as far as Egypt! It’s a communal gift. Please do not hesitate to email me if you’d like to join - hello@sacredcrowcc.com.

A summary of all services and fees are listed below:

• Psychotherapy (Talk Therapy)

  • 60 minute - $160

  • 90 minute - $240

• Brainspotting Therapy

  • 60 minute - $160

  • 90 minute - $240

• Multimodal Intensives

  • 2 hour = $320 

  • 3 hour = $500

  • 4 hour = $660

  • 7 hour = $800

• Psychedelic Assisted Psychotherapy - Preparation and Integration

  • 60 minute $160

  • 90 minute $240

Pro Bono and Sliding Scale Services Available Upon Consultation/Discussion

If you are insured and have out of network benefits, Sacred Crow Counseling and Consulting will provide a superbill immediately following your appointment so that you file for reimbursement.

It is important to note that I am an out-of-network provider, which means I am not directly credentialed or affiliated with any insurance network.

For clients who have out of network benefits and plan to submit paperwork for reimbursement, I provide a superbill, which is an itemized list of all services received. The superbill contains additional information about your visit including my practice information, session code(s), and diagnostic code(s). You can then submit the superbill to your health insurance company for reimbursement. If you have out-of-network benefits, your insurance company will reimburse you directly for part or all of your session fees. It’s important to check with your insurance ahead of time to confirm that you have a plan that reimburses for out-of-network providers if necessary.

Payment in full is due at the time of service.

Navigating the process of filing a reimbursement claim for mental health services with your insurance provider can seem daunting, but with the right guidance, it can be straightforward and rewarding. Follow these steps to ensure a smooth reimbursement process:

1. Understand Your Insurance Coverage:

Begin by reviewing your insurance policy or contacting your insurance provider to understand your mental health benefits. Take note of any copayments, deductibles, or coinsurance amounts you're responsible for, as well as any coverage limitations or exclusions related to mental health services. When contacting insurance, be sure to explicitly ask if you have “Out of Network Benefits” - this is the language needed in order to clarify if your plan includes reimbursement benefits (in dollar amount or percentage of service cost).

It’s also important to get clarity on the reimbursement rate itself as insurance companies may only reimburse up to a certain percentage of the insurance based price versus the provider’s price itself. Some insurance companies only reimburse based on the insurance company’s rate for mental health providers. For example, Insurance Company A pays therapists credentialed with Insurance Company A $100. Emily Dufrane costs $160. Insurance Company A out of pocket reimbursement rate is based off of their own provider cost, meaning they reimburse 70% of $100 (not $160), which is $70 total reimbursement for the client.

2. Obtain a Superbill or Invoice from Your Provider:

A superbill is a detailed invoice for mental health services rendered. I provide my clients with a superbill that contains all essential information, such as the date of each session, the type of service provided (i.e. individual therapy, group therapy), the CPT (Current Procedural Terminology) or procedure codes, as well as my credentials and contact information.

3. Complete Any Necessary Forms:

Your insurance provider may require you to fill out specific forms when submitting a reimbursement claim for mental health services. These forms typically require details such as your demographic information, the services received, and the total amount paid to the therapist.

4. Submit Your Reimbursement Claim:

Submit your reimbursement claim to your insurance provider either online, by mail, or through their designated mobile app. Include all required documentation, such as the completed claim form, the therapist's invoice or superbill, and any other supporting documents requested by your insurance company.

It may be useful to keep copies for your records, plan to follow up with your insurance provider as needed, and keep track of all reimbursements. If there are any discrepancies, contact your insurance company promptly to address them.

Filing a reimbursement claim for mental health services with your insurance provider may require some effort and attention to detail, but it's an essential step in accessing the care you need while managing your healthcare expenses. By following these steps and staying proactive throughout the process, you can maximize your insurance benefits and receive the reimbursement you're entitled to for your mental health treatment.

I offer both sliding scale and pro-bono sessions through my volunteer work at Pro Bono Counseling and the Open Path Collective for a select number of clients based on client need as well as my availability.

Currently I do not have additional availability for new pro-bono or sliding scale clients for weekly or biweekly services.

The Sacred Crow Nest (AKA office) is located at 600 Wyndhurst Ave, Suite 100F, Baltimore MD 21210. The space is located next to the Stony Run Trail and is lovely for walk and talk therapy.

There is a spacious, free, lit parking lot, as well as overflow street parking. My office is ADA accessible and has gendered public restrooms.

I work with clients virtually and in person Monday through Friday. Sessions are scheduled through me directly or via email. Sessions are offered..

• Mondays from 10AM to 8PM

• Tuesdays from 10AM to 7PM

• Wednesdays from 10AM to 7PM

• Thursdays from 10AM to 4PM

• Fridays - reserved for intensive sessions (2 to 5 hours)

• Feminist - Feminist therapy focuses on the particular challenges and stressors that women face as a result of bias, stereotyping, oppression, discrimination,and other factors that threaten their mental health. A goal of this therapy is to strengthen humans, in particular femmes, in areas such as assertiveness, communication, relationships, and self-esteem.

• Anti-Oppressive - Anti-oppressive, anti-system, anti-capitalist counseling acknowledges the dedication to de-colonizing one’s therapy practice, meaning to examine the ways in which white supremacy and white values are perpetuated in the field of counseling along with within my practice. In the counseling setting, I use an anti-oppressive framework when working with all clients in order to help people process racial trauma, identity related trauma, along with examining areas of oppression and privilege. Additionally, anti-racist counseling encompasses advocacy and action when addressing and confronting implicit and explicit racist ideals, disclosures, and values in the therapy space. I operate from a non-pathologizing lens. The DSM is a big ol’ dictionary of experience, not human “disorders”.

• Identity Affirming - Identity Affirming Therapy supports and affirms the expression of an individual’s identity and identities. Identity Affirming therapy also encompasses learning how the complex and delicate interplay of the intersections of identities impact and influence experience. This approach intentionally centers itself around the notion that diversity and individuality are an inherent part of the vibrancy of life.

• Existential - Existential therapy focuses on unpacking concepts that are universally experienced (like death & loss, freedom, responsibility, and the meaning of life) in an honest, open, and comprehensive manner. This type of therapy helps folkx live more authentically vs superficially, and encourages people to take ownership of their lives in order to find meaning and be fully present.

• Humanistic - Humanistic therapy utilizes a holistic approach that focuses on free will, human potential, and self discovery. This type of therapy aims to help someone develop a healthy and strong sense of self, explore their thoughts and feelings, find meaning, and build on one’s strengths. This therapy is built around empathy and holding another person with unconditional positive regard.

• Internal Family Systems - Internal Family Systems Therapy, IFS for short, is a transformative and evidenced based therapeutic model that helps people heal by accessing their wounded, vulnerable, protective, and critical “parts.” In therapy, IFS or “parts work” is centered around uncovering one’s core Self, and learning how to create opportunities for more Self led experiences - meaning navigating the world as our true curious, compassionate, and calm essence.

• Psychodynamic - Psychodynamic therapy is a form of depth psychology in that it involves focusing on the interpretation of mental and emotional processes as well as the role of the ego in psychological functioning and struggle. This therapy also centers around strengthening one’s internal resources so that one can navigate challenges moving forward without the help and support of a therapist. This therapy focuses on uncovering the root of struggles, which oftentimes can lead way to processing traumas and other significant occurrences in childhood as well as across the lifespan.

• Mindfulness - A mindfulness-based framework encompasses learning how to stay mentally present in the here-and-now experience by paying close to sensory stimuli and body sensations. When mindfulness is brought into the counseling setting, the clinician will help guide and teach the client how to use grounding skills, breathing techniques, and other body + cognitive based strategies that assist with bringing a person back into a present moment awareness versus being stuck in one’s head, worrying or planning for the future, or ruminating in the past.

• Acceptance and Commitment Therapy - ACT is an empirically based treatment framework that uses acceptance and mindfulness-based skills along with commitment and behavioral interventions in order to increase psychological flexibility, mitigate avoidance, and tackle fear. ACT also helps people learn how to make healthy contact with thoughts, feelings, and emotions in a compassionate and grounded way.

There are several things to look out for when determining if therapy is working. Typically, clients initially feel a sense of ease and relief once therapy begins. As the therapy process progresses, you can expect to notice an increase in your emotional and body awareness. You may also become more deeply connected with loved ones and notice an increased ease with distancing yourself from relationships that no longer serve you. You could notice being better able to prioritize your needs, act more assertively, and exhibit mastery over the rupture and repair process that follows interpersonal conflict. You will be more consistently regulated and better able to consistently re-regulate yourself in times of need.

And how do you know when therapy is done? It’s a felt sense of complete and ready for a good goodbye from your therapist. You will feel ready to come back to therapy simply when you notice you need it...through the process of therapy you will learn to trust yourself to know what you need, when, and how. The work will be “done” and you will “feel” complete, and always open to continual growth.

Confidentiality - One of the most important and truly sacred aspects of counseling is it’s confidential nature. Almost anything shared in session stays in session, unless you request to have your records released to a particular person or agency. There are a few limits to confidentiality as they pertain to safety of client and community. The limitations of client privilege to confidentiality are listed below:

• If a client threatens or attempts to commit suicide

• If a client threatens grave bodily harm or death to another person

• If the therapist has a reasonable suspicion that a client or other named victim is the perpetrator, observer of, or actual victim of physical, emotional or sexual abuse of children under the age of 18 years, elderly people, or adults of a vulnerable population.

• If a court of law issues a subpoena for client records or information.

It is important to note that occasionally I may need to consult with other professionals or members of your treatment team in order to provide the best therapy for you. Information about you may be discussed however, I will be sure to consult with you and receive your informed consent before sharing relevant personal information with another provider.

Scheduling and Cancellations - Clients can schedule appointments with me directly via email or text. I require at least 24-hours in advance for cancellations or rescheduling. Late cancellations and no-show sessions are subject to the full fee for service as the cancellation fee.

If you need to cancel or reschedule an appointment, please either call me directly at (410)881-7010 or email me at hello@sacredcrowcc.com.

I often get asked “What’s up with the crow thing?” and it’s truly one of my favorite questions. My answer is vast, deep, and personal as crows are pure magic and wonder to me!

Several years ago, I began working with a shamentic practitioner, and during an animal spirit card reading, I chose The Crow as my spirit card. This reading came at a particularly difficult and, in that way, meaningful time in my life, and the sentiments of Crow Spirit ran so true to my own beliefs and perceptions of my essence, it stuck with me and continues to be an anchor of spiritual, emotional, and psychological peace, rebirth, and reconnection. In short, The Crow spirit card represents the supernatural, the tendency to pick-peck at one’s shadow, and the ability to shape shift. Crow Law asserts that “all things are born of women” and crow signifies an omen of change. The Crow Spirit encourages change, authenticity, and balance.

These birds represent quite a bit symbolically outside of shamanism as well. Crows are symbols of both transformation and change. Indigenous people believed that crows were cleaners of the mind, in that crows signify emotional and spiritual change. Some believe that crows represent bad luck, but it is quite the opposite. Crows also symbolize intelligence, cleverness, teamwork and reciprocity, and psychic abilities, all of which resonate with the collaborative and adaptive process of therapy. The Celtic crow symbol stands for individuality, unapologetic esteem, and prophetic knowledge, which again echoes themes in psychotherapy.

Crows are incredibly smart creatures, with a keen sense of observation and intuition, characteristics that many animals do not possess. Crows are very resourceful and can make a nest or tool out of just about anything. They are protective birds, and guard their territories and nests...you can only imagine that those baby crows have incredibly secure attachment...*insert cheesy therapist joke*. Crows have increased activation of their forebrains, meaning that they are capable of cognitive functions on the same level as primates. Crows have incredible memories, and can even recognize human faces. Once you befriend a crow by feeding it and showing it love, it will never forget your friendly face and will most likely bring you gifts in return. Crows prefer to congregate in large crowds called a murder and communicate with one another using 250 different sounds. Crows help one another stay safe by warding off predators as a team. Crows are monogamous and mate for life, and are one of the few animals within their species to show an emotional response to the death of a fellow bird. Crows are magnificent and in so many ways mirror the beauties of humanity.