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Frequently Asked Questions

  • I see all clients virtually using SimplePractice software. The video appointments are secure and encrypted, and no downloads are required.

    You will receive a unique, session-specific link before each appointment without needing a login or password.

  • I work with adults (18+) and primarily specialize in complex trauma. Many clients bring a longing to feel more connected to themselves, their body, emotions, needs, purpose, authenticity, and sense of aliveness. When disconnected from those deeper parts of ourselves, symptoms like anxiety, depression, shame, compulsivity, and relational struggles often begin to take over.

    Some of the areas I commonly support clients with include childhood trauma, healing from emotionally abusive or narcissistic relationships, toxic shame, codependency, panic and anxiety, and the lasting impact of emotionally immature caregiving. I also work with individuals who recognize narcissistic or borderline adaptations within themselves and want support relating differently to their emotions, relationships, and sense of self.

    I do not work with children or couples at this time.

  • I have found experiential, somatic, and relational modalities to be most effective and aligned. I draw on my training in NARM (Neuro-Affective Relational Model) to facilitate a paced and embodied reconnection to your authentic self.


  • NARM (NeuroAffective Relational Model) is a compassionate, relational approach to healing complex trauma and attachment wounds. It focuses on how we learned to adapt in order to stay connected, safe, and alive - and how those adaptations may now limit our vitality or sense of self. NARM works in the present moment, supporting increased self-connection, capacity, and freedom, while honoring the wisdom of the nervous system. Click here to learn more about the adaptive patterns formed in childhood and how they may still be influencing us today.

  • 50 min. teletherapy session (state-wide) $150

    Payment is accepted by card through the client portal.

    When spots are open, I will offer sliding scale options to make services more affordable and accessible. Reach out to inquire if spots are open.

    I offer a free 20-minute consultation to see if my offerings could work for you.

  • I do not accept insurance but I’m happy to provide a monthly receipt form (called a superbill) to apply for possible reimbursement with your insurance company. Each insurance company has a different policy on how much they will reimburse for out of network providers, so it is important to clarify your specific benefits with your insurance.


  • I am available Tuesday through Friday during mornings, afternoons, and some evenings. If you would like to explore whether our schedules might align, please feel free to complete the contact request form and indicate whether you prefer an email or phone call.


  • Under Section 2799B-6 of the Public Health Service Act, the "No Surprises Act," you have a right to receive a "good faith estimate" explaining how much your therapy services will cost. Under this law, health providers must give an estimate of the cost for those without insurance or who are not using their insurance for services.

    Please remember that it is an estimate and not a bill.

    • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

    • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

    • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

    • Make sure to save a copy or picture of your Good Faith Estimate.

  • As a client, you have the right to access and obtain copies of your health care records. To request your records:

    • Submit a written request to Onawa Beth at onawabeth@gmail.com. While verbal requests may be accepted, a written, signed, and dated request is recommended.

    • Specify the records you need (e.g., "all session notes from September 2023 through present" or "my intake assessment only").

    • Include identifying information — your full legal name, date of birth, and contact information so your identity can be verified.

    • Fees: A reasonable, cost-based fee may be charged for mailing records. Records will not be withheld solely because of an outstanding balance for services.

    • Response time: Your request will be addressed within 30 days.

  • Item dIf you have questions about professional standards, want to verify my license, or wish to report a concern about professional conduct, you may contact:

    Texas State Board of Examiners of Professional Counselors c/o Texas Behavioral Health Executive Council (BHEC) 1801 Congress Ave., Suite 7.300 Austin, TX 78701

    3. File a Consumer Complaint

    If you have a concern about billing practices, deceptive practices, or other consumer protection issues, you may file a complaint with the Texas Office of the Attorney General:

    Office of the Attorney General — Consumer Protection Division

    • Website: texasattorneygeneral.gov

    • Phone: (800) 621-0508

    • Online Complaint Form: Available at the link above. You will be asked to describe the issue, provide relevant dates and documentation, and identify a desired resolution.

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