Do you accept insurance?

We do not generally accept insurance. We accept cash, credit card, and checks at the time of service. We do provide statements (‘superbills’) for you to send to your insurance to try to get some reimbursement depending on your out-of-network benefits.

One exception is that John Irias does accept Lyra Health employer-sponsored EAP. If you believe you would qualify to receive services under this EAP, please go through Lyra to identify available appointments.

What are your office hours?

John provides online sessions from Monday through Thursday, 9a-5p; John also provides some in-person sessions in the city of West Linn, OR. Please inquiry about availability for in-person sessions.

Beth's office hours are on Monday through Friday, 9a-5:00p.

What are your rates for individual therapy?

Individual 50-min therapy sessions: $220

Individual therapy sessions are typically 50 minutes, providing a focused space for meaningful progress. For those who feel they may benefit from additional time, extended sessions are available and billed on a prorated basis to accommodate your needs.

“Right to Receive a Good Faith Estimate of Expected Charges” Under the No Surprises Act: You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. 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. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call your therapist.

What are your rates for couples therapy?
Fees for the assessment of your therapy are based on the number of hours needed to complete the four-step process. Generally, the assessment requires about 4 to 4 ½ hours in 3 to 4 sessions. It also requires 1 to 2 hours of completion of the Gottman Checkup Questionnaire.

The components and fees of the assessment are as follows:

  • Step 1: Couple Intake Interview - 70 minutes: $275
    • This session is designed to gather a detailed understanding of your relationship history, strengths, and challenges.
  • Step 2: Complete Gottman Relationship Checkup: $39
    • The Gottman Relationship Checkup is an online assessment that evaluates a couple’s strengths and challenges, offering insights into communication, intimacy, conflict, and shared goals. Based on the results, it provides personalized recommendations to guide therapy and strengthen the relationship.
  • Step 3: 2 separate Individual Interviews - 50 minutes: 220/ea
    • The individual sessions are used to build trust with each individual and learn more about each partner’s perspective, family-of-origin, history, possible co-morbidities, hopes, expectations, and commitment to the relationship.
  • Step 4: Feedback Session & Treatment Planning - 70 minutes: $275
    • This session is a follow-up to the initial assessments and intake sessions, where I share a comprehensive overview of your relationship’s strengths and areas for growth. We’ll discuss key findings from the Gottman Relationship Checkup and intake and outline a tailored therapy plan

Couples sessions after assessment: $275

  • Couples sessions are typically 70 minutes, allowing us ample time to work deeply and effectively with Gottman Method Couples Therapy. This session length ensures we have the necessary time to introduce and practice interventions, creating meaningful progress and allowing you to experience real change in your relationship.

Pulse Oximeter Devices: $40/device

  • In Gottman Method therapy, pulse oximeters help monitor heart rate to identify stress responses during sensitive discussions. This real-time feedback supports couples in learning self-soothing techniques for more constructive communication. The fees for the devices are refundable upon the return of the devices.

“Right to Receive a Good Faith Estimate of Expected Charges” Under the No Surprises Act: You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. 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. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call your therapist.

What can I expect from our first session?

Our first in-person meeting is what’s known as an 'intake' or evaluation session. This will be a time when we talk about your overall history, why you have decided to come to therapy, and what your goals are for our time together. It’s an opportunity to build rapport, ask any questions you may have, and to see how we connect. At the end of the session, we can decide together if it feels right to move forward in scheduling another session to begin working on your goals.

How long does therapy last?

The duration of therapy looks different for everyone. For some it may be just a few sessions to target one specific goal. For others, it may be many sessions to work through many complex issues in order to meet goals. We will frequently be checking in to make sure we are on track in meeting your needs for therapy and identifying when it may be time to stop.

Where can I get therapy?

We are currently licensed to provide therapy for clients who are in the states of California and Oregon.

Online sessions are sessions held via video conferencing through a HIPAA-compliant and secure platform for anyone physically located in the states of California or Oregon.

John also has limited availability to see clients in-person in West Linn, Oregon.

Do you prescribe medication?

As Licensed Marriage & Family Therapists we do not prescribe or advise on any types of medication. We work closely with various practitioners and can provide referrals to help you with any medication needs.

How often do we meet for therapy?

This would depend on your individual needs. The standard frequency would be to start with weekly sessions. Some people may start therapy with more serious issues and could benefit from two sessions per week. We would discuss the appropriate frequency during our initial intake session.

What are your practices around privacy?

Please see our Privacy Practices page to learn more about how we keep your personal information private.