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; and provides in-person sessions on Tuesdays from 9a-5p

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

What are your rates?

Our fees differ depending on types of services you are looking for. Here are some costs for common services:

Initial 80-minute evaluation session: $340
This initial session consists of getting to know each other and gathering a lot of information in order to help understand your needs and begin making a plan for your success in therapy.

Individual 50-min therapy sessions: $220
Standard length for a therapy session is 50 minutes. Some people feel that they may need more time in session. These extended sessions are billed pro rata. Collateral meetings (scheduled meetings with a caregiver to discuss a client) are also billed the standard individual therapy rate.

Couples & Family Sessions: $250
These would be sessions when there is more than one individual involved in the therapy session.

For California Residents:

“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.

It is anticipated that your treatment will require weekly 50-minute psychotherapy sessions throughout the next 12 months at $220 for individuals and $250 for conjoint sessions for a total of 50 weeks, taking into consideration vacations, holidays, emergencies, and sick time, for an estimated 12-month total of $11,000 for individuals and $12,500 for conjoint sessions.

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 sees client in-person in West Linn, Oregon.

It looks like you work with individuals. What about couples and families?

We do provide therapy to couples and families! Many times the issues you are going through can have an affect on your relationships. When appropriate, we work with couples and families to address the issues that affect the whole system.

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 psychiatrists 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.