Yes! I am currently accepting new clients. Feel free to reach out through the contact form on this site to book a free consultation to see if we might be a good fit.

That is a great question and one I take seriously. I offer a free 15-minute consultation so we can get a sense of each other before committing to working together. If something feels right, it probably is. If it doesn’t that’s important information too, and I would rather you find the right fit than stay somewhere that does not feel like one.

Yes. I offer a free 15-minute phone consultation for prospective clients. It is a low pressure opportunity to ask questions, get a feel for how I work, and see whether this feels like the right fit.

You can reach out through the contact form on this site or email me directly at lpullinenmft@proton.me. I will get back to you within two business days.

I currently offer virtual sessions only, via a secure and HIPAA-compliant video platform. Many clients find that virtual therapy is just as effective as in-person work, and it offers a lot of flexibility and convenience. If you need in-person, reach out and we can explore options.

My hours vary. Please reach out and we can find a time that works for your schedule.

Sessions are typically 50 minutes.

I ask for at least 24 hours notice for cancellations or rescheduling. Late cancellations or missed appointments are subject to a cancellation fee of $150. Life happens, and I try to be understanding, but consistent attendance is an important part of the therapeutic process.

My fee is $200 per session. I also have a limited number of sliding scale spots available for clients who need reduced fees. Please reach out to discuss whether this might be available for you.

I do accept a limited number of insurance clients through the Grow Therapy platform. Availability varies, so if you are interested in using your insurance, the best way to check is to visit my Grow Therapy profile directly to see current availability and accepted plans.

If I do not have availability for your insurance or am not paneled with your provider, I am happy to provide a superbill that you can submit to your insurance company for potential out-of-network reimbursement.

Yes, on a limited basis. I believe therapy should be accessible and I do my best to work with clients who are facing financial constraints. Please reach out to have an honest conversation about fees.

I use Ivy Pay, a secure and HIPAA-compliant payment platform that makes the payment process simple. Ivy Pay accepts all major credit and debit cards including Visa, Mastercard, Discover, and American Express, as well as HSA and FSA cards. Upon your first payment you will receive a secure text link to save your card on file, and from there payments are processed automatically so you never have to worry about it at the end of a session.

That depends on you and what you are working toward. I am not a short term therapist by nature. The kind of deep, exploratory work I do takes time, and I work best with clients who are open to a longer arc of treatment, generally six months or more. That does not mean therapy forever, but meaningful change rarely happens in a handful of sessions. We will check in regularly about how things are going and whether our work together continues to feel useful.

Most clients start by meeting weekly, which I generally recommend, especially at the beginning of our work together. As things progress, some clients move to every other week, or eventually monthly. We will figure out the right rhythm together.

My approach is integrative, rooted in psychodynamic therapy and influenced by client-centered, somatic, and positive psychology. In plain terms, that means I am interested in the whole person, not just the presenting symptoms. I pay attention to patterns, history, the therapeutic relationship, and the connection between mind and body. I tailor my approach to each individual client rather than applying a one-size-fits-all method.

Occasionally, but not in the way you might expect. I am not going to hand you worksheets or ask you to track your thoughts in a log every week unless that genuinely appeals to you. What I am more likely to do is suggest something that grows organically out of what we explored together, maybe a journaling prompt, a meditation, a movement practice, or simply an invitation to notice something in your daily life.

Yes. Everything you share in therapy is confidential, with a few important legal exceptions. I am required by law to break confidentiality if there is a risk of imminent harm to yourself or others, if there is suspected abuse or neglect of a child or vulnerable adult, or if I receive a court order. Outside of those circumstances, nothing you share leaves the room without your written consent.

As mentioned above, the limits include imminent risk of harm, mandated reporting of abuse or neglect, and court orders. I will always discuss confidentiality with you in our first session so you feel fully informed.

If you are experiencing a mental health crisis between sessions, please contact the 988 Suicide and Crisis Lifeline by calling or texting 988. You can also go to your nearest emergency room or call 911. I am not available for crisis support between sessions, and I want to make sure you have the right resources if something urgent comes up.

Yes. I work with children, adolescents, and adults. My virtual practice is primarily focused on adults, but I do have experience working with younger clients and incorporate play and art therapy modalities when working with children and teens. If you are interested in therapy services for your child in-person, please let me know and we can discuss options.

I work best with teens and adults who are curious about themselves, open to deep exploratory work, and navigating life transitions, anxiety, depression, grief, identity, or relational difficulties. I also work with children and adolescents. I love working with clients who are ready to go beyond symptom management and do the real work of understanding themselves more fully.