My services are fee-based (fee for service).  My fees are $125 - $200/hour.  I offer a 10% discount on a package of 10 sessions.  I do not accept insurance, and do not have a sliding scale.

The intial consultation is to learn about you and your concerns as well as giving you an opportunity to get to know me. By the end of the consultation, I will have given you my thoughts and recommendations about the concerns that prompted you to contact me and answer your remaining questions.

If I think I can be of help and you feel that you may be able to come to trust me, we will engage in a collaborative effort toward reaching your unique and specific goals.  Therapy is a collaborative effort in which language and human presence are the tools for healing and change.  I will rely on you to identify your primary issues and concerns at each session. Therapy can be short-term, focusing on a specific issue or longer-term, addressing more complex issues or ongoing personal growth. It is common to schedule a series of weekly 60 minute sessions.

Therapy helps you make your life the best it can be.  It can provide insight and new perspectives into life's challenges and can help create solutions to difficult problems. However, for therapy to be effective you must be an active participant, both during and between the sessions. During sessions, you choose the topics for discussion. Between sessions it is important that you continue to process what we've discussed and work to integrate it into your life.

Many people find that working with a psychologist can enhance personal development, improve relationships as well as ease the challenges of daily life. Sometimes, just having someone there to listen attentively is helpful. Overall, people who achieve their goals during our work together have lower levels of anxiety and stress, decreased conflict, and improved quality of life.

Some of the benefits available from therapy include developing new skills for handling stress and anxiety; modifying unhealthy behavior and long-standing dysfunctional patterns; attaining insight into personal patterns and behavior; increasing confidence peace, vitality, and well-being; improving ways to manage anger, depression and moods; discovering new ways to solve problems; navigating life’s obstacles more effectively; improving listening and communication skills; and enhancing the overall quality of life.  

I am currently accepting new clients.  I schedule appointments by appointment only, Monday through Thursday.  The last appointment I will schedule is 6.30 p.m.  I will accommodate special requests to schedule appointments outside regularly scheduled office hours on Fridays & Saturdays, at a higher rate (+$25).  I do not schedule appointments on Sundays.  

For general inquiries, or if you’d like to request an appointment, please call me or send me an email with your request.  My email is docnelson@protonmail.ch  Please leave your name and phone number and a brief message about the reason for your inquiry, describing specifically what problem(s) you’re trying to solve.  The safest way to do this is through an encrypted email service.  To protect your confidentiality, sign up for an email account at www.protonmail.com and email me through that service so we can communicate through encrypted emails in both directions.  There is no cost to you - they offer free encrypted email accounts.  If you choose to use an unencrypted email service provider, know that email correspondence will be public information, not confidential.  If you call on a cell phone, your message may not record clearly.  If you do not hear from me, do not assume I received your message.  Try again.  I usually respond to new inquiries within 24 hours.  

Successful therapy does not make life stress free but it does allow a person to become his/her own therapist, parent, teacher. Perhaps the best way to measure the outcome is to look at the cost.  Dating back some thirty years to a study of 10,000 Kaiser patients, it has been repeatedly demonstrated that psychotherapy is cost effective.  Patients who receive treatment reduce their health care utilization to a degree sufficient to entirely "offset" the cost of therapy.  They spend less days in the hospital when they need care and they visit physicians less frequently. The reason is that a substantial number of physicians visits - up to 75% - are essentially motivated by emotional or stress-related problems.  . . . Yes, therapy works.  (psyris.com)

The average individual who received therapy was psychologically healthier than 80% of untreated individuals (Smith, Glass, & Miller, 1980).  

The results of psychotherapy tend to last longer and be less likely to require additional treatment courses than psychopharmacological treatments (Hollon, Stewart, & Strunk, 2006; Shedler 2010).

A meta-analysis of psychotherapy outcome studies concluded that no one type of therapy (e.g., client-centered, psychodynamic, cognitive, cognitive-behavioral, experiential) is more effective than another (Wampold et al., 1997; Castonguay & Beutler, 2006; Livesley, 2007, Norcross, 2011).

The general or average effects of psychotherapy are widely accepted to be significant and large (Chorpita et al., 2011; Smith, Glass & Miller, 1980; Wampold, 2001).  

Therapy has been shown to be an effective means of helping people cope with emotional pain and interpersonal problems (Strupp, 1996).