6118 SE Belmont Street      Suite 410      Portland      OR      97215      503-875-5011      [email protected]

Due to the COVID-19 pandemic "stay at home" order for Oregon:
The link to access the video counseling platform is unique for each client and will remain the same for every appointment.
If you are an established client and you do not have the link (or can't find it) you can access it from the client portal (click on "appointments" after you sign in), or you can text Charmagne at 505-875-5011 to request it.
Click here for basic tips and instructions for using Telemental Health
  Frequently Asked Questions

Do you offer a free consultation?
In order to free up my schedule so that I can spend as much time as possible with my clients, I am no longer offering a free, in-person or phone consultation. You are welcome to contact me via email or text and ask me as many questions as you’d like prior to scheduling your initial assessment. 

Why don’t you offer a phone consultation?
Well, there a few reasons for this:
  • My  primary focus is spending face-to-face time with my clients and this takes up the majority of my work day. I also offer after-hours support for established clients. Then there’s the required paperwork, phone calls with insurance companies, continuing education/trainings, etc. All of this adds up very quickly and leaves little free time.
  • I have found that attempting to set up a consultation typically results in a frustrating game of phone tag which inevitably leads to a referral to the online registration process in the end, so I chose to make this the beginning instead.
  • I receive A LOT of phone calls and emails. Depending on the time of the year (and the state of the union), I can receive up to 30 calls and emails per week. 
  • I am hearing impaired. Though I am not completely deaf, I do wear hearing aids and I have to remove them order to use the phone. I can get by without my hearing aids (I use my “good” ear when I’m on the phone), but it’s my least favorite way to communicate as I am afraid will miss something important. I do much better via text, email or face-to-face and those are my preferred methods of communication.

What is your approach to therapy?
I am primarily a DBT therapist specializing in emotion regualtion. DBT (Dialectical Behavior Therapy) tends to be more interactive than traditional talk therapy. In DBT the client is introduced to concepts, theories and skills related to: awareness of self, empathy toward others, emotion regulation, effective interpersonal communication, distress tolerance, decision-making and reality acceptance. Individual therapy focuses on validation and acceptance, enhancing motivation and helping people learn and apply specific coping skills. In addition, I've added concepts and skills that I don't feel are given enough attention in the standard DBT program such as active listening, divergent (flexible) thinking, self-acceptance and self-compassion. Other research-based treatment modalities I have found to be beneficial for clients are: IFS (internal family systems or "parts work") and using bilateral stimulation to strengthen internal resources.​ I'm a neuroscience news junkie so I am always adding new, research-based techniques as soon as they are introduced.

Okay, now that all the of the technical stuff is out of the way, I can share some stuff about me and my approach to life itself. Humor has helped me get through some very hard times in my life so it's deeply ingraned in who I am. You don't have to laugh at my jokes, just know that there WILL BE jokes. I can't help myself.

I am deeply passionate about people. I have always felt driven to help people see their individual worth (ok, not always - I was a pretty angry teenager - but now I am old and everything feels like always). Maybe it was the impact of watching Mr. Rogers or It's a Wonderful Life when I was a kid. Maybe it was my own attempts to feel worthy while manuevering through a world full of mixed messages and way too much trauma. I'm not sure exactly why or when, but at some point I realized that none of this was my fault. In fact, I did more than realize it, I actually felt it. Don't get me wrong, life is in no way a ball full of sunshine. I still get sad and angry and scared. Sometimes I get really sad and really, really angry (have you read the news?). I make mistakes on a regular basis and have a list of bad habits that's at least a mile long (I'm sure others have their own lists as well). It's just a hell of a lot easier to cope with all the shit life throws at you when you know, when you actually feel on a very deep level, that none of this is your fault. This epiphany changed the way I perceive myself and others in the world and I really, really want everyone else to feel it too. Luckily, I have found a profession that actually allows me to do just that. I seriously love my job and I care deeply for every single one of my clients. And sometimes, when I'm feeling really passionate about something, I use profanity - you know, for emphasis or whatever.

You can click on "about" (above), watch this video or check out my blog in order to get to know even more about me. If you have additional questions, feel free to email me directly at: [email protected].

Do you accept insurance?
Acuity Mental Health is contracted with the following insurance* plans:
  • Regence/Blue Cross Blue Shield
  • Cigna
  • Pacific Source
  • Providence
  • Providence Preferred
  • TriCare
  • United HealthCare

*It is your responsibility to contact your insurance provider (the number on the back of your insurance card) to confirm coverage, deductible and co-pay, prior to attending your first session. Insurance coverage is always "estimated" and not guaranteed. Your insurance provider may reject your claim for reasons outside of you, or your therapist's control. If this is the case you may be responsible for the contracted session fee.

What are your fees?
Current Fees* (07/01/18):
Individual Psychotherapy: $150 (45-55 minutes)
Psychiactric Dianostic Assessment: $200 (up to 60 minutes)
​Couple/Family Active Listening Session: $200 (up to 90 minutes)

*The "contracted" insurance fee is typically lower than the fees listed above.

How do I pay?
The preferred method of payment is via automatic deduction from your credit card, debit card or HSA/FSA account. At your initial session, your therapist will enter your credit card into Stripe (a level 1 PCI Service Provider), and your fee or copay will be set up for an automatic deduction at the end of each session.
Accepted methods of payment:
  • Credit card (including Care Credit)
  • Debit card
  • FSA and HSA accounts
  • Personal check or money order
  • Cash (exact amount only)​

Payment is required prior to each session. If you are using insurance to cover the session, Acuity Mental Health will bill your insurance provider directly. Your monthly statements are available via the client portal.

Do you offer discounted rates or a sliding scale?
Acuity mental health accepts a limited number of clients at a discounted rate. Please contact Acuity via email ( [email protected]) or text (503-875-5011) to inquire further.

     Clients who are struggling financially may be eligible for the payment plan option. In a nutshell, the client agrees to have a monthly           fee automatically deducted from their bank account or credit card. This monthly payment will continue to be deducted from the 
     client's account after treatment goals have been met and/or the client or therapist end (or suspend) therapy, until the balance is paid
     in full.

About Charmagne
Fees and Insurance

If you have further questions that cannot be answered via one of the links above, please feel free to
text (503-875-5011) or email ([email protected]).