Services
Therapy services for California and Oregon
Telehealth therapy focused on the challenges ambitious adults actually face: ADHD, anxiety, perfectionism, burnout, and life transitions.
What I offer
Every service below is available as telehealth for adults in California and Oregon, with Nicole Skeele, LCSW, ADHD-CCSP.
ADHD Therapy for Adults
Build executive function, tame overwhelm, and translate intention into action.
Anxiety Therapy
Evidence-based therapy for worry, overwhelm, and high-functioning anxiety.
Therapy for Perfectionism
Loosen the grip of self-criticism without losing your edge.
Burnout Recovery
Structured recovery for professionals whose high-performance gear has ground to a halt.
Therapy for Writers, Readers & Creative Thinkers
Bibliotherapy-informed therapy for people whose inner life is shaped by language and narrative.
Executive Function Coaching
Planning, prioritization, and follow-through skills for adults with ADHD.
Mindfulness-Based Therapy
Build present-moment awareness, reduce reactivity, and create space between stimulus and response.
Therapy for Life Transitions
Support for career changes, identity shifts, and the in-between seasons of adult life.
Therapeutic Journaling
Structured between-session practice integrated with ongoing therapy.
For clinicians
Clinical supervision and consultation services for Oregon CSWAs working toward independent LCSW licensure.
Clinical Supervision for CSWAs
Individual and dyadic supervision for Oregon CSWAs, with depth in ADHD, anxiety, perfectionism, and adult private practice populations.
Rates and insurance
Individual therapy sessions are $175. Clinical supervision for CSWAs is $120–$175 per session. My practice is primarily private pay, but I also work with select insurance plans through Alma: UnitedHealthcare, Oxford, Aetna, UMR, Oscar, All Savers, Harvard Pilgrim, Meritain, and Optum.
I accept cash, credit card, and HSA/FSA. A Good Faith Estimate is available per the No Surprises Act. You can check your insurance coverage directly through my Alma profile.
Common Questions About Services
Which service should I pick?
If you are not sure, start with a free consultation — we will talk through what you are navigating and I will recommend the right starting point. Many clients work across more than one area (for example, ADHD and perfectionism together).
Can I combine services?
Yes. The services on this page are overlapping lenses, not separate programs. Most clients end up working across two or three areas over the course of our work together.
Do you offer a free consultation?
Yes — briefly, so we can both see if we are a good fit before committing to regular work.
How does insurance through Alma work?
My practice is primarily private pay at $175 per session. I also work with select insurance plans through Alma — if you have one of those plans, your copay or coinsurance typically applies instead. Use the 'Check Insurance Eligibility' button below to go directly to my Alma profile and verify your coverage.