Frequently
Asked
Questions
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Psychodynamic therapy is a relational evidence-based approach derived from Psychoanalytic theory.
This approach emphasizes present emotion, being known in relationship, increasing insight into personal history, and an exploration of conscious and unconscious patterns with curiosity.
Psychodynamic therapy is often longer-term and depth-oriented.
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Therapy is an investment in your emotional health, relationships, and overall well-being. Session fees are set to reflect the level of individualized attention, clinical expertise, and continuity of care we provide.
Individual Sessions: $200/ 50 minute session
Relationship Sessions: $255 / 75 minute session
If finances are a barrier, I offer limited reduced-fee sessions depending on availability. I also provide detailed receipts, called “superbills,” which may allow you to seek partial reimbursement from your insurance company if you have out-of-network benefits.
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Compassionate Collective is a private-pay practice and does not directly bill insurance. This allows therapy to remain focused on your personal goals, emotional experience, and treatment needs rather than insurance-driven diagnoses or session restrictions.
Some patients choose to use out-of-network benefits if their plan allows it. Upon request, I am happy to provide a detailed receipt you may submit to your insurance carrier for possible reimbursement.
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I work with adults and couples navigating emotional, relational, and identity-related concerns. Although I work with a variety of issues, I specialize in treatment of religious and relational trauma, anxiety, perfectionism, and body image.
As a psychodynamic therapist, my therapeutic approach is depth-oriented and relational. This means I am interested not only in symptom relief but also in understanding the breadth and depth of patterns, experiences, and meanings that shape your life.
If you are feeling stuck, overwhelmed, or disconnected from yourself or others, I aim to create a space where you can explore those experiences with compassion and curiosity.
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You don’t need to be in crisis or have everything figured out before starting therapy. Many people come to therapy when something in their life feels painful, confusing, or difficult to carry alone.
Psychodynamic therapy can be a good fit if you are interested in developing a deeper understanding of yourself beyond quick fixes or symptom management.
Psychodynamic therapy invites you into a space of deeper knowing and meaning-making. The work can feel emotionally and personally challenging at times, but I strive to make it a relational, holding, and gentle environment. My goal is to support real change that unfolds without judgment or shame.
If you are looking to better understand your patterns, relationships, identity, or emotional experiences, therapy may be helpful.
If you are unsure, you are welcome to schedule a consultation so we can talk about your concerns and see whether working together feels like a good fit.
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Psychodynamic therapy is often considered long-term work, but that does not mean therapy must last for years.
What it means is that I do not place an arbitrary clock on your therapy. Instead, I focus on doing the work together until it feels like it has reached a natural and meaningful conclusion.
We will regularly check in about how therapy is feeling for you, whether your goals are shifting, and whether the work still feels useful. I always make space for time — we continue the work until it feels complete rather than rushing toward an endpoint.
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Compassionate Collective provides Telehealth therapy sessions for adults and couples in Oregon and Washington.
Dr. Kittinger is not currently accepting any in-person sessions.
Patient Resources
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You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, healthcare 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 one business day before your medical service or item. You can also ask your healthcare 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 503-622-8964.
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Cancelation & No-Show
Your appointment time is set aside specifically for you. If you are unable to make your appointment please provide at least 24 hours notice. If you cancel less than 24 hours you will be charged the full session fee for the missed session. If you do not arrive for a scheduled session or arrive 10 minutes late for the scheduled time, you will be marked as a "no-show" and charged the full session fee for the missed session. Sessions that begin late will still end at their scheduled times.Payment
All established patients are expected to have an active card on file and enrolled in Autopay.Confidentiality
All information revealed by you during your time is confidential and will not be shared with anyone without your prior written permission. Due to clinicians being mandated reporters, there are certain caveats under which we are required by law to release information without your prior consent. These include: imminent danger to yourself or other(s), child or elder or vulnerable adult abuse, use or distribution of child pornography, or duly issued subpoena.Complaints
If you have a concern or complaint about your treatment, please talk with us about it. Your concern will be heard and taken seriously. If you believe that we’ve been unwilling to listen and respond, or that we have behaved unethically, you can contact:
Oregon Board of Psychology
503-378-4154
Oregon.gov
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If you are experiencing a mental health crisis, please seek help immediately.
Suicide & Crisis Lifeline: call or text 988
Lines For Life Oregon Behavioral Health Support: call 1-800-923-4357
The Trevor Project: call 1-866-488-7386 or text 678-678
You can also go to your nearest emergency room.