We understand complexity.

Our clinicians bring different areas of training and expertise, but we share a belief that people rarely make sense when viewed through only one lens.

We pay attention to what is happening inside a person and what is happening around them. We think about development, relationships, family, culture, biology, environment, behavior, and experience.

Sometimes the diagnosis is right, but it still doesn't explain enough.

Sometimes the person isn't the problem. The pattern is.

The whole picture matters.

No. Greenlake clinicians do not complete FMLA, ESA, or disability paperwork.

That’s OK. You don’t need to diagnose yourself before you call us. We can start with what you’ve noticed and take it from there.

Therapy and psychological assessment answer different kinds of questions. Therapy may be the right place to work on emotional distress, relationships, behavior, or patterns that are getting in the way of your life.

An assessment may be helpful when you need a deeper understanding of attention, learning, development, personality, neurodivergence, psychological functioning, or a diagnosis that hasn't quite made sense.

If you're not sure which direction makes sense, that's part of what an initial consultation is for.

The relationship matters.

You should feel that your therapist understands what you're trying to say, can tolerate the complicated parts of your story, and has a way of thinking about problems that makes sense to you.

Different therapists bring different training, personalities, and ways of understanding people. It can be worth talking with more than one person before deciding who feels like the right fit.

At Greenlake, we don't believe you have to fit yourself into a particular therapist's way of working. The therapist should be able to understand you and adapt their approach to what you need.

Research indicates that client-therapist fit is one of the most important factors in the success of therapy. It is essential that you feel safe, connected, and have trust in your therapist’s ability to help you. Every therapist is different and you may need to interview a few to find the best fit for you.

Consider each therapist’s approach. Listen to them describe how they think problems develop, what psychological health looks like, how they see the roadmap to reaching that goal in therapy, and any techniques they use to help you achieve your goals. There should be a solid research base underlying their approach and it should feel like a good fit for your needs and personality.

Meet our clinicians to find the right therapist for you!

A diagnosis can be useful. It can give you language for what you're experiencing and point toward helpful treatment. But a diagnosis doesn't explain everything.

We look at the larger picture, including development, relationships, environment, behavior, and patterns that have developed over time.

The goal isn't to ignore a diagnosis. It's to understand what it explains, what it doesn't, and what that means for what comes next.

We aim to be fully transparent about our rates.

Our clinicians have different fees based on their training, experience, and services provided. We want to be fully transparent about costs. Please visit each clinician’s page for their current fees.

If you have questions about cost or which services may be available to you, please contact us. We are also happy to help connect you with community resources when Greenlake is not the right financial fit.

Some of our clinicians accept Colorado Medicaid. Please see their individual pages for the most up-to-date information.

If you have out-of-network benefits, we can provide a superbill that you may submit to your insurance company for possible reimbursement. Reimbursement depends on your individual plan.

If you are considering obtaining a superbill, we recommend first asking the following questions to your insurance company:

1. What are my mental health benefits?

2. Do you accept out-of-network providers?

3. How much do you reimburse for an out-of-network provider?

4. Do I need approval from my primary care physician?

Using insurance benefits is a convenient and potentially inexpensive way to gain access to mental health care. However, many clients report challenges accessing available therapists even with insurance, whether due to high caseloads or high deductibles and copays. Research suggests clients who find their therapist via insurance are less satisfied than those with more choices available. With a better fit, psychotherapy will be deeper, more efficient, and have longer-lasting results.

For many clients, private pay may be cheaper in the long run, especially if you have a high deductible insurance plan. Private pay allows you and your therapist to tailor therapy to your unique needs and circumstances. In fact, insurance companies dictate certain types of treatment without taking your personal situation into account, impose session limits, and require access to your confidential medical file. They do not cover every diagnosis and may deny your claim, leaving you responsible for the bill. The hassle of this back-and-forth negotiation, confusing billing systems, poor customer service, and even finding a provider who takes your insurance to return your call can be stressful and time-consuming.

First, we’ll want to make sure we answer your questions about all the paperwork you just filled out!

You don't need to prepare the perfect story or know exactly what you want to accomplish. We'll talk about what has been happening, what you've noticed, and what you're hoping might be different.

From there, we'll begin thinking together about what might actually be helpful.

Sometimes that means therapy. Sometimes it means an assessment, a consultation, or a referral elsewhere. The first appointment is partly about figuring that out.

These are different kinds of care.

Psychiatry is medical care for mental health conditions and may include medication management. Some psychiatrists also provide psychotherapy.

Coaching generally focuses on goals, decision-making, motivation, and moving toward a desired future. Coaching is different from psychotherapy and has different professional and legal standards.

Psychotherapy is a clinical treatment that can address emotional distress, psychological symptoms, relationships, behavior, and longstanding patterns. It is grounded in psychological science and is shaped by the individual, their circumstances, and the therapeutic relationship.

Sometimes people benefit from more than one kind of support. We are happy to help you think through what combination of care might make sense.

There are several different mental health professions, each with its own training and clinical perspective.

Psychologists typically receive doctoral-level training in psychology, including advanced preparation in assessment, research, psychotherapy, and clinical practice. Marriage and family therapists receive specialized training in relationships and family systems. Counselors and social workers bring their own distinct areas of training and expertise.

These differences can matter, depending on what you're looking for.

At Greenlake, we particularly value the integration of individual psychology and systemic thinking. We believe it is important to understand both the person and the relationships and systems in which that person lives.

Trainees and unlicensed professionals at Greenlake Psychology offer reduced session fees and accept Medicaid. Because they are in training, their work is supervised closely. They attend twice-weekly meetings where they discuss their cases, brainstorm ideas, and receive feedback from experienced supervisors.

Our trainees have been waiting a long time to realize their professional dream of becoming a therapist, and they are motivated, enthusiastic, and thoughtful about offering high-quality therapy.

Yes. For most Greenlake clinicians, you can meet virtually as long as you are physically located in Colorado at the time of your therapy session.

Dr. Gall is also authorized through PSYPACT to provide telepsychology services in participating jurisdictions outside Colorado. Because authorization requirements can change, please contact us to confirm whether services can be provided in your location.

It depends on where you are physically located at the time of your appointment and which clinician you are working with.

Therapy takes place where the client is physically located during the session. If you are physically within Colorado at the time of your session, we can see you virtually. If not, we will need to reschedule.

Dr. Gall is currently the only Greenlake clinician authorized through PSYPACT to provide telepsychology services in participating jurisdictions outside Colorado. This can be particularly helpful for families whose members live in different states or for clients who travel frequently.

Our therapy is provided by appointment. We generally do not provide ongoing therapeutic communication by text or email between sessions. Brief administrative communication is fine, but substantive therapeutic concerns are best addressed during an appointment.

We do not provide emergency or crisis services.

If we believe you would be better served by a more intensive therapy program, we will provide referrals.

If you cancel your appointment within 48 hours of the scheduled time, fail to show up at the appointment without notice (“no-show”), excluding emergency situations, or appear more than 15 minutes past the scheduled start time of your session, your session will be considered cancelled, and you will be charged for the full amount of the session. We will not begin a session if you are more than 15 minutes late. Please be aware that most insurance companies will not provide reimbursement for cancellation fees, and you will be personally responsible for the payment of any such fees. Medicaid patients are not billed for missed sessions.

If we do not hear from you for 72 hours after a “no-show,” or if you have a total of two “no-shows” (not necessarily consecutively), your therapy will be considered terminated, your file will be closed, and we will open your time slot. If you want to resume therapy after termination, please discuss this with us.

Medication can be a useful part of treatment. Yet treating symptoms without addressing the underlying cause can leave you frustrated or in an endless search to find the "right" medication.

For some people, medication provides enough relief from symptoms to make therapy more accessible and effective. For others, medication may not be the right approach.

We don't see medication and therapy as competing choices. When medication is appropriate, we can work collaboratively with a psychiatrist or other medical provider while also looking at the larger picture of what is happening.

That doesn't necessarily mean therapy won't help.

It may mean that the approach wasn't a good fit, the timing wasn't right, the relationship didn't work, or that the thing being treated wasn't actually the whole problem.

Sometimes it helps to step back and ask a different question:

What's actually going on?

We can help you look at the larger picture and think about what might be different this time.

Please see our specific policies for families and children with divorced parents.