Leg five · The summit
Now accepting new clients · evening and weekend hours available
Rates and booking
Everything is stated here, so there is one less thing to wonder about. If you would rather talk before deciding anything, the consultation is free.
Rates
Rates.
Every rate below links straight to booking. The practice is private pay, and superbills are provided for out-of-network reimbursement.
Paying. Payment is due at the time of service, and credit card, HSA, and FSA all work. You will receive a written Good Faith Estimate of the expected fees before your first appointment, as the No Surprises Act requires.
What you are paying for. Every approach used here is evidence-based: tested in clinical trials, shown to work, and delivered the way it was designed. Doctoral-level training and an APA-accredited internship in the VA system sit behind it. Sessions run on a schedule you can plan around, and you review progress together as you go.
Superbills. A monthly superbill is provided, which you can submit to your insurer for out-of-network reimbursement. Many plans in this area reimburse a meaningful share once the out-of-network deductible is met. Dr. Thaxter will help you check your specific benefits before you commit to anything, so you are working from a real number rather than a guess. Submitting a superbill does put a diagnosis in front of your insurer, which is worth knowing before you decide.
Groups
Structured groups, running alongside individual work.
Groups are not a lesser version of individual therapy. They do something individual work cannot: they put you with people dealing with something similar, which is often the first proof that you are not the only one. Each group below is a structured, evidence-based program with a clear beginning and end. You can enroll directly, whether or not you see Dr. Thaxter individually.
Simple pricing. $50 for a 1-hour group session and $75 for a 90-minute group session, billed per session. Enroll in any group directly from the calendar.
Trauma · 12 sessions · 1 hour
Cognitive Processing Therapy group
The same protocol delivered in a group format, working on the beliefs that formed during a very hard time and have not been looked at since.
$50 per session, 12 sessions ($600 for the full course)
Trauma · 8 sessions · 90 minutes
Trauma skills group
A gentler way into trauma work. You build the skills first, and you are never asked to share the details of what happened to you. This is the one group that begins with an intake, so Dr. Thaxter can make sure it suits you.
$75 per session, 8 sessions ($600 for the full course)
DBT · 8 sessions · 90 minutes
Managing emotions
Dialectical Behavior Therapy skills for emotion regulation and distress tolerance: what to do when the feeling arrives faster than the thinking.
$75 per session, 8 sessions ($600 for the full course)
Postpartum · 6 sessions · 90 minutes
Postpartum moms group
For the worry that will not switch off, the thoughts that arrive uninvited, and the loneliness of being told you should be happy. Six sessions with other new mothers, built on CBT and led by a psychologist who trained in women’s mental health at the VA.
$75 per session, 6 sessions ($450 for the full course)
Health · 6 sessions · 1 hour
CBT for chronic pain
A short, structured course. Pain that has outlasted its original cause responds to a different kind of work, and this is the area of Dr. Thaxter’s doctoral research.
$50 per session, 6 sessions ($300 for the full course)
Sleep · 6 sessions · 1 hour
CBT for insomnia
CBT-I is the recommended first-line treatment for chronic insomnia, ahead of medication, and it is one of the most reliably effective protocols in the field.
$50 per session, 6 sessions ($300 for the full course)
Skills · 12 sessions · 90 minutes
Mindful Self-Compassion
A structured course in treating yourself the way you would treat someone you care about, built on mindfulness and self-compassion practice. It pairs well with almost everything else on this page, and it is often the thing that makes the rest of it stick.
$75 per session, 12 sessions ($900 for the full course)
Practical
How groups run
Twelve places are held for each group, and a group runs once at least two people are enrolled. If a group doesn’t fill, you’ll hear before you’re charged for anything, and a full-course payment is refunded in full.
Getting started
Three ways in, and all of them start in the portal.
Pick your route
Not sure? Book a free 15-minute consultation first. Individual therapy begins with an intake appointment. Groups you enroll in directly, with no intake required, apart from the trauma skills group.
Request it in the portal
Everything starts in the secure client portal, with no phone tag and no forms to print. You request a consultation, an intake or a group place, and any paperwork comes to you there.
Complete your paperwork
Consent forms, practice policies and the Good Faith Estimate, all signed electronically. About ten minutes, and it means the first appointment is spent on you rather than on forms.
Choose a time, then start
Pick a slot on the calendar. An intake runs 60 to 90 minutes and comes before any course of individual treatment. Groups run to a fixed schedule you can see before you enroll.
Individual therapy
Start with a free consultation, or book the intake
The consultation is 15 minutes and free. The intake is 60 to 90 minutes, $300. Either way, choose a time on the live calendar; any paperwork arrives in the portal once your request is in.
Book a SessionGroups
Enroll in a Group
Name the group you want, and Dr. Thaxter will confirm your place and send the paperwork through the portal. The trauma skills group needs an intake first.
Enroll in a GroupNot sure yet? Book a free 15-minute consultation, or send a message and Dr. Thaxter will reply within one business day. Already a client? Sign in to the portal to book your next session. The portal is a secure, HIPAA-compliant system; please don’t send health details by email, because email isn’t secure.
What actually happens at the intake
Your history, what has been going on, what you have already tried, and what you would like to be different. Dr. Thaxter will ask about your background, mood, sleep, substance use and safety, because a good plan needs the whole picture. You won’t be asked to walk through the details of a trauma at intake. By the end you’ll have a clear recommendation, the thinking behind it, and a realistic sense of what the work involves.
Practical questions
The things people ask before they book
What do I need for a telehealth session?
A private room, a device with a camera, and a reasonable connection. Sessions run through a HIPAA-compliant platform: you click a link, with no software to install. Headphones help more than people expect, both for sound and for privacy.
Do I have to be in Virginia?
Yes, physically, at the time of each session. Dr. Thaxter holds a Virginia license, and licensing follows where you’re sitting rather than where you live on paper. She’ll ask you to confirm at the start of each appointment. If you travel often, mention it at intake and it can be planned around.
How quickly can I get in?
Usually within a week or two for the intake appointment. Current availability shows on the calendar in the portal, so you can see real openings rather than guessing.
When are appointments available?
Daytime, weekday evenings until 9 pm Eastern, and Saturday and Sunday. The calendar shows real openings, so you can pick a time that fits around work or family rather than guessing.
Is what I say confidential?
Yes, with the limits every clinician has: imminent risk to you or someone else, suspected abuse of a child or vulnerable adult, and a court order. Dr. Thaxter will walk you through exactly where those lines sit during the intake, and they are set out in writing in your consent paperwork.
What if I need someone between sessions?
This isn’t an emergency service, and Dr. Thaxter isn’t available around the clock, but you won’t be left without a plan. Your consent paperwork names a covering clinician and sets out the crisis pathway. If you are in crisis, call or text 988 (Veterans press 1), or call 911 if you are in immediate danger.
You don’t have to have it figured out to start.
Not sure where to start? Book a free 15-minute consultation with Dr. Thaxter: a short, live call over telehealth about what is going on and whether this is the right place, with no paperwork and no charge. When you are ready, the same button lets you book an intake for individual therapy or enroll in a group. Everything runs through the secure client portal, and the first step takes about two minutes. If you would rather talk first, call (571) 206-0096 or send a message.