You can reach out through our contact form, and you will receive a response either from our admin staff or from Miranda directly.

Your first session is really about getting a feel for each other.
We’ll spend some time talking about what’s bringing you in, but there’s no pressure to have a perfectly organized story, or even know where to start. I am ready to ask a lot of questions, and at the same time, am open to direction from you if you need to slow it down. You always have the right to choose not to talk about something.

I tend to show up with a lot of curiosity and openness. I’ll ask questions, reflect things back, and try to understand you as a whole person, not just what’s “wrong,” but your relationships, your identities, and the context you’re living in.

You’re also getting a sense of me in that first session. You get to notice how it feels to talk with me, what lands, what doesn’t, and whether this feels like a space where you can be yourself.

By the end, my goal is that you feel a little more settled, a little more seen and understood, and have a clearer idea of how we might work together moving forward. We don’t have to figure everything out right away, we just need to start.

My style is direct, relational, playful, and collaborative.

I’m less of a ‘nod and mhmm’ kind of therapist, more of a ‘let’s get into it’ therapist. I’ll ask questions, reflect patterns that I’m noticing, prompt you for your own insights, and name things that might feel hard to say out loud. I also LOVE teaching you about something that I understand, when it interests you. That sometimes looks like learning about how you experience emotions differently, how to do the Hard Thing, or what makes sense about why your brain is working the way that it is. If you decide you want to work with me, I can almost guarantee that you will see me geek out about something like that during our time together.

I care a lot about building a real, human connection in the room. What that means in here, is that you don’t have to perform, mask, filter, or have everything figured out. I want to co-create a space with you where we can be honest and curious, and yes, even messy in the process.

I tend to look at the bigger picture and context of your life with you, too. We look at how your experiences, memories, relationships, and identities shape what you’re carrying and ow you move through the world. From there, we work together to figure out what you want or need to shift, and how to get you there in a way that feels doable and true to you.

All of that said, therapy is not a one-size-fits-all situation. While I am still my authentic self with you, I also adjust how I show up depending on what you need. That might mean you like more or less structure, more space or time to process, more direction or direct challenge, or more problem solving and support. All of that is okay. If you come in knowing what you like from a therapist, that’s great. If not, we will figure it out together.

Definitely not! While I (Miranda) have extensive training in DBT and additional training in Prolonged Exposure Therapy, I also pull from lots of hands-on modalities to help you feel connected to the work you’re doing. Sometimes this involves creative activities, story telling, mind mapping, role playing, creating family maps (or genograms). I have additional trainings in Narrative Therapy with adults and with youth.

Tl;dr: We decide together what you want your therapy experience to look like.

Short answer - yes, I do.

Sometimes diagnoses are required, especially if you’re using insurance or if documentation calls for it. Diagnoses come from established (medical) systems like the DSM-5 and ICD-10, which are used across the mental health and medical fields.

That said, I don’t see a diagnosis as the full picture of who you are. It’s a tool that can help with communication, access to care or other services, or understanding patterns. At the same time, a diagnosis does not define you or your experience.

We can always talk openly about diagnoses in our work together. While I do have extensive training in assessment and diagnosis, you bring the expertise on your own self and your own context. Together, we can collaborate on both what seems to best fit your situation and whether it’s useful to you to use it directly as a tool.

More than anything, my focus is always on understanding your experiences in context, whether that’s your relationships, identities, systems, oppression, or other aspects that you’re navigating. It’s never about assigning a label.

No. Psychological testing is performed specifically by psychologists, and that is not my degree or licensure.

What I can do is do diagnostic assessments, use screening tools available to all mental health providers to help sort and clarify information. Certain screening tools require specific training and/or certification and those I will not be doing, if I am not trained in them. I am also more than happy to collaborate with you and a psychologist (or psychiatrist, or primary care doctor or anyone else you deem beneficial) that you work with, if needed.

I can also help you decide whether or not psychological testing is a route you want to take to gain more nuanced diagnosis clarification. This can be really helpful for some folks, especially in systems that require certain testing in order to have access to care or supports.

A resounding YES! I never want to be in a place of speaking for you, or stepping on your voice. I want to do what is within my power to support you, your voice, and your needs for care. This is true for my own folks that I work with and the folks that my supervisees work with as well. A letter from me comes when you and I have a clear picture of what it is you are advocating for and what type of support you need to get there.

The ever-changing landscape of our sociopolitical climate has an impact on access to services, particularly for those that live with marginalized identities. In some circumstances, one letter from one therapist is no longer considered ‘enough’ to grant access to the care that you seek. I’m committed to working with you to understand how we can best explore and advocate for what you need.

Any letter written will be in accordance with my professional code of ethics and scope of competency.

Typically pre-treatment is 3-5 sessions that includes

• your initial assessment

• discussing goals

• targets for treatment

• an orientation to the different DBT skills areas and

• exploring how DBT is structured to support you in those goals

• discussing comprehensive DBT vs DBT-informed therapy

Pre-treatment is a chance for you and Miranda to decide whether a full Comprehensive DBT program best fits what you are looking for. Some folks consider Comprehensive DBT and find that DBT-informed therapy may fit their needs better. It’s a collaborative process, so be ready to ask and answer questions.

It’s important to note that at this time, the skills training component of comprehensive DBT with Miranda is via private skills only.

We are hoping to get a DBT adolescent/family and DBT adult skills training group up and running soon!

No. DBT phone coaching is available only for those enrolled and participating in a Comprehensive DBT program with Miranda. This service is available to support folks looking to integrate the skills they are learning in real-time and out in the wild of their lives. Specific details will be discussed further during DBT pre-treatment.

Yes! I am currently credentialed with Blue Cross Blue Shield (BCBS and BCN) in Michigan.

For those considering Comprehensive DBT AND wanting to use insurance, I recommend connecting with your insurance provider to clarify which of the services they will cover. The BCBS statement on when DBT is considered the evidence-based treatment is provided here, last updated on 01/2026.

Comprehensive DBT typically bills as at least two individual therapy sessions per week (therapy, skills training). Once groups are up and running and if that is the route you’d like to go, plan for one individual therapy session and one group therapy session per week. Adolescents in treatment with their families should plan for one individual therapy session, one family or parent therapy session, and one group therapy session.

While BCBS of Michigan states that they do cover Comprehensive DBT that includes individual therapy and therapy groups, there are provider requirements and other regulations. Sometimes preauthorization is required to ensure that you are not surprised. Coverage varies by specific policy plan, so you should ALWAYS verify with your provider.

You have the right to decide whether you would like to bill through your insurance or pay out of pocked for your services.

The BCBS statement on DBT coverage is provided here, if that informs your decision-making process.

Initial Assessment: $225

Individual Therapy: $200

Relational Therapy: $200

Limited reduced fee slots are available. Please let us know if you’re interested in a reduced fee and we can provide more information.

If you’re interested in paying a slightly higher fee at a solidarity rate in order to support more reduced free slots, please let us know that, too! This also operates as a sliding scale opportunity.

In accordance with the No Surprises Act, you have the right to receive a Good Faith Estimate (GFE) from any healthcare provider who is not in-network with your insurance. This GFE ensures that you are aware of the estimated annual cost for your services. If you have questions about the GFE that you receive from us at the time of scheduling, please contact us and we will be happy to help!

No. Intensive outpatient programs (or IOPs) typically include 9-12 hours of a services per person, making it a higher level of care. Currently, there are not enough staff involved to support an IOP at this time.

There is a LOT that can be said about this, and I encourage you to keep learning more about it.

In short, it means that I believe there needs to be a separation between police, force, and mental health care. Psychiatry has a long, harmful history, and for a long time, this has impacted mental health care and what is considered ‘right’ or ‘safe’ practices, and those practices have been harmful or traumatic for many folks. That never was okay, and it is certainly not okay now.

This translates to this therapy being centered around you, community resources, and keeping your care voluntary. Therapy here is not about trying to force you into change or trying to control you, what you think, and what you do. You are a whole person, with a unique story, who does not have to earn the right to be treated like a person.

Many folks don’t know about resources available to them in their local communities, and I view it as an essential part of our work together to help you access those.

If you’re interested in learning more about this right now, I recommend checking out some or all of these resources:

• Z Perry-Hodges on Anti-carceral suicide care

• #PoliceFreeSchools on carceral approaches to youth mental health

• Stanford Law School Three Strikes Project - a more technical read

• Ash Parker for Project HEAL: The Police Don’t Belong in Crisis: A Non-Carceral Approach to Mental Health Support

More information and specific resources are provided on the Resources page here