FAQs

I’m here to offer you the best care and support possible!

Like many in my profession, I’m not part of any insurance network, but I strive to keep my fees affordable. My rates reflect my commitment to you, and they’re lower than the local average!

My fees are a reflection of my commitment to real help — because help that is not affordable is of no help at all.
Azizeh

It’s totally possible that your insurance might help cover out-of-network psychotherapy! To find out about your mental health coverage options, give your insurance company a quick call. Take your time to review your coverage and make sure you understand everything they tell you.

Here are some friendly questions you might consider asking your insurance company:

Do I have mental health insurance benefits?
What is my coverage for outpatient mental health and out-of-network?
What is my deductible and has it been met?
What is the coverage amount per therapy session?
Is approval required from my primary care physician?
How many sessions per year does my health insurance cover?
Book an Appoinment
Reduced Fee
In order to help some clients that are struggling with financial difficulties as well, I offer reduced fee services on a limited basis. If you require a reduced fee, please contact me to discuss how I may be able to help you.

Fees are due at the time of service and can be paid with Apps like Zelle, Apple Pay, Venmo, and PayPal.

Receipts are provided upon request for insurance, flex spending accounts, and tax purposes.

In the event that you do not attend your scheduled therapy appointment and fail to provide us with notification at least 48 hours in advance, you shall be obligated to remit the full cost of the session.

 

To schedule an appointment, a 20-minute free consultation, or to ask additional questions, please contact us.

Schedule your Free 20-minute consultation.
FAQs

Marriage Counseling FAQs Silicon Valley
Your Questions Answered

We completely understand that you may have  lots of questions—especially if you’re new to therapy or considering couples counselling for the first time. That”s perfectly ok!  Frequently Asked Questions (FAQ) page is here to address the most common questions we’ve heard over the years. Remember, you’re not alone in feeling unsure  and we’re here to help clarify things for you.

We also invite you to book a free 20-minute consultation to see if therapy feels right for you and if working with Azizeh Rezaiyan aligns with your needs. This journey is all about you, and we’re here to provide support every step of the way.

Azizeh brings a global perspective and deep clinical insight to help you recognize unhelpful patterns and develop practical strategies for meaningful change. Through thoughtful guidance and clear, compassionate feedback, she supports you in understanding yourself and your partner more deeply, navigating challenges with confidence, and moving toward growth, clarity, and emotional well being.

Strong relationships are built on clear, compassionate communication. Stress, past experiences, or misunderstandings can create disconnection, but therapy provides a safe space to rebuild connection. Together, we explore practical tools to express needs, listen with empathy, and navigate conflict—fostering deeper understanding, emotional safety, and lasting intimacy.

A number of benefits are available from participating in couples therapy, individual therapy and family mediation. Therapists can provide support, problem-solving skills, and enhanced coping strategies for issues such as depression, anxiety, relationship troubles, unresolved childhood issues, grief, stress management, body image issues and creative blocks. Many people also find that counselors can be a tremendous asset to managing personal growth, interpersonal relationships, family concerns, marriage issues, and the hassles of daily life. Therapists can provide a fresh perspective on a difficult problem or point you in the direction of a solution. The benefits you obtain from therapy depend on how well you use the process and put into practice what you learn. Some of the benefits available from therapy include:

  • Attaining a better understanding of yourself, your goals and values
  • Developing skills for improving your relationships
  • Finding resolution to the issues or concerns that led you to seek therapy
  • Learning new ways to cope with stress and anxiety
  • Managing anger, grief, depression, and other emotional pressures
  • Improving communications and listening skills
  • Changing old behavior patterns and developing new ones
  • Discovering new ways to solve problems in your family or marriage
  • Improving your self-esteem and boosting self-confidence

Everyone goes through challenging situations in life, and while you may have successfully navigated through other difficulties you’ve faced, there’s nothing wrong with seeking out extra support when you need it. In fact, therapy is for people who have enough self-awareness to realize they need a helping hand, and that is something to be admired. You are taking responsibility by accepting where you’re at in life and making a commitment to change the situation by seeking therapy. Therapy provides long-lasting benefits and support, giving you the tools you need to avoid triggers, re-direct damaging patterns, and overcome whatever challenges you face.

People have many different motivations for coming to psychotherapy. Some may be going through a major life transition (unemployment, divorce, new job, etc.), or are not handling stressful circumstances well. Some people need assistance managing a range of other issues such as low self-esteem, depression, anxiety, addictions, relationship problems, spiritual conflicts and creative blocks. Therapy can help provide some much needed encouragement and help with skills to get them through these periods. Others may be at a point where they are ready to learn more about themselves or want to be more effective with their goals in life. In short, people seeking psychotherapy are ready to meet the challenges in their lives and ready to make changes in their lives.

Because each person has different issues and goals for therapy, therapy will be different depending on the individual.  In general, you can expect to discuss the current events happening in your life, your personal history relevant to your issue, and report progress (or any new insights gained) from the previous therapy session.  Depending on your specific needs, therapy can be short-term, for a specific issue, or longer-term, to deal with more difficult patterns or your desire for more personal development.  Either way, it is most common to schedule regular sessions with your therapist (usually weekly).

It is important to understand that you will get more results from therapy if you actively participate in the process.  The ultimate purpose of therapy is to help you bring what you learn in session back into your life.  Therefore, beyond the work you do in therapy sessions, your therapist may suggest some things you can do outside of therapy to support your process – such as reading a pertinent book, journaling on specific topics, noting particular behaviors or taking action on your goals. People seeking psychotherapy are ready to make positive changes in their lives, are open to new perspectives and take responsibility for their lives.

It is well established that the long-term solution to mental and emotional problems and the pain they cause cannot be solved solely by medication. Instead of just treating the symptom, therapy addresses the cause of our distress and the behavior patterns that curb our progress. You can best achieve sustainable growth and a greater sense of well-being with an integrative approach to wellness. Working with your medical doctor you can determine what’s best for you, and in some cases a combination of medication and therapy is the right course of action.

Therapy is completely confidential, so unless you choose to share this information no one will know. It’s common for people with depression to struggle with low self-esteem and fear of judgment. It is important to remember you are not alone in dealing with depression. In sessions, Azizeh provides a non-judgmental, secure environment where you can openly discuss other difficult thoughts and emotions.

Therapy will make you more aware of those events in your life that are having a negative impact on you and those surrounding you. Although rehashing events may be painful at times, like correcting a broken bone, pain is necessary to heal and move forward. And, knowing what is wrong is the first step toward fixing it.

To determine if you have mental health coverage through your insurance carrier, the first thing you should do is call them. You can also review Oregon’s Behavioral Health resources to understand your options.

Check your coverage carefully and make sure you understand their answers.  Some helpful questions you can ask them:

  • What are my mental health benefits?
  • What is the coverage amount per therapy session?
  • How many therapy sessions does my plan cover?
  • How much does my insurance pay for an out-of-network provider?
  • Is approval required from my primary care physician?

Confidentiality is one of the most important components between a client and psychotherapist. Successful therapy requires a high degree of trust with highly sensitive subject matter that is usually not discussed anywhere but the therapist’s office.   Every therapist should provide a written copy of their confidential disclosure agreement, and you can expect that what you discuss in session will not be shared with anyone.  This is called “Informed Consent”.  Sometimes, however, you may want your therapist to share information or give an update to someone on your healthcare team (your Physician, Naturopath, Attorney), but by law your therapist cannot release this information without obtaining your written permission.

However, state law and professional ethics require therapists to maintain confidentiality except for the following situations:

  1. Suspected past or present abuse or neglect of children, adults, and elders to the authorities, including Child Protection and law enforcement, based on information provided by the client or collateral sources.
  2. If the therapist has reason to suspect the client is seriously in danger of harming him/herself or has threatened to harm another person.

Still Have Questions?

Still Have Questions? We’re here to help. If you have any questions or need more information about our services, please don’t hesitate to reach out. You can email us directly at azizeh@azizehrezaiyancouplestherapy.com, and we’ll get back to you as soon as possible.