I work with adults navigating PTSD, complex or developmental trauma, medical trauma, cancer treatment and survivorship, chronic illness, grief, and major life changes. You do not need to know whether your experience “counts” as trauma before reaching out.
Tell me a little about what feels hardest now. We’ll talk about fit, availability, and what support could look like. Get to know me or read about trauma and PTSD therapy.
I offer in-person therapy in Northwest Hills, Austin, and Lakeway, and online therapy for clients in Texas and Virginia. I confirm office availability before scheduling.
Private-pay rates:
EMDR intensive and group rates vary. I’ll provide a quote before you decide. A limited number of reduced-fee individual therapy spots, usually $80, may be available. Please talk with me about your options. I can’t bill BCBS and offer a sliding-scale fee for the same visit. If you use insurance, your cost depends on your plan’s deductible, copay, or coinsurance.
I accept Venmo and most major credit cards through the client portal. Payment is expected at the time of your session.
Please confirm that your specific plan lists Marissa Gilbert at Friedman Gilbert Therapy as in network. Ask about your deductible, copay or coinsurance, and coverage for your appointment type and location.
For other plans, I can provide a superbill for possible reimbursement. Reimbursement depends on your plan.
I am out-of-network for Medicare and Medicaid.
Start Here opens the secure new-client inquiry. It asks what brings you in, when you are available, and what support you are looking for. You can keep your answers brief and leave optional details for our conversation. I aim to reply by the next business day.
We will clarify fit, availability, and fees or insurance. If we decide to move forward, I will send intake paperwork and confirm appointment details.
I try to be fair in understanding that life happens and you can’t always make an appointment, but last-minute cancellations prohibit me from seeing others who are also in need.
A cancellation with less than twenty-four (24) hours’ notice incurs an $80 late-cancellation fee. A missed appointment without notice incurs the full session fee.
In emergency situations, please immediately contact me and if the situation is determined to be dire, this fee will be waived. This fee cannot be waived more than twice.
Tell me what brings you here and which location or telehealth format you prefer. I’ll follow up with the next step.
We start with what is affecting you now and what support feels useful. I draw from EMDR, parts work, body-based practices, and attachment-informed approaches. Together we decide whether the session calls for preparation, practical support, or room to process, and leave time to check how it landed.
Compare regular EMDR sessions and intensives and learn about trauma and PTSD therapy.
There isn’t one timetable. We’ll regularly review what feels different, what remains hard, and whether the pace and approach fit you. I don’t promise a specific number of sessions or a particular result.
No. We need enough information to understand your goals and plan care safely, but you do not have to describe every detail of a traumatic experience. We can focus on what is affecting you now and decide together what, if anything, to approach next.
We can pause, reduce the intensity, change course, or stop. We pay attention to whether you can stay oriented and make choices, and we protect time to close the session before you leave.
Therapy can help you make sense of what happened, respond to reminders, and find support for navigating ongoing care. We start with your current needs and choose a pace together.
Medical trauma can follow a diagnosis, surgery, hospitalization, cancer treatment, chronic illness, pain, or another frightening medical experience. It may show up as anxiety after surgery, fear of appointments, scanxiety, feeling on guard, disconnection, or dread about what comes next.
Yes. We can consider your treatment schedule, energy, symptoms, and upcoming appointments when deciding what to focus on. A session may be for preparation, practical support, or deeper trauma work when that fits; we can adjust the pace and leave time to close.
EMDR may be one option for working with distressing memories and body responses connected to cancer treatment, hospitalization, procedures, or difficult medical care. Learn more about EMDR therapy and trauma and PTSD therapy.