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  <url>
    <loc>https://www.cascadingjoy.org/services</loc>
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    <priority>0.75</priority>
    <lastmod>2023-03-08</lastmod>
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      <image:title>Services - Services</image:title>
      <image:caption>Telehealth Individual therapy via telehealth is available at this time. Fee Structure Each session is $130, payable through a secure client portal. If seeking counseling for support and accessing letters for gender affirming hormone therapy or surgeries, there is no additional fee beyond the session fee. Method of Payment Payments can be made via credit or debit card, including HSA, through the client portal. To Schedule a Session Please call or email to schedule a session. If you are interested in being seen in person or would like to use your insurance Hours of operation vary, as I try to keep a flexible schedule to meet the needs of clients, including providing some evening sessions. When I am not in session, I am available to answer calls and emails Monday through Thursday 10:00am to 6:00pm, and Fridays until 12:00pm.</image:caption>
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  <url>
    <loc>https://www.cascadingjoy.org/contact</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-02-18</lastmod>
  </url>
  <url>
    <loc>https://www.cascadingjoy.org/home</loc>
    <changefreq>daily</changefreq>
    <priority>1.0</priority>
    <lastmod>2023-03-08</lastmod>
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      <image:title>Home - Strengthen your relationships with others</image:title>
      <image:caption>Understanding why we react to certain situations can help us feel empowered to cultivate deep and lasting friendships and relationships. When we feel safe and empowered we can show up authentically in our relationships, ask for what we need, and set healthy boundaries.</image:caption>
    </image:image>
    <image:image>
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      <image:title>Home - Invest in yourself</image:title>
      <image:caption>Starting therapy is such a brave thing to do. Congratulations on taking this first step. I hope that we can create a space for you that feels supportive and encouraging. A saying that I hear often in sessions is “I’m so broken”, but my experience tells me that couldn’t be further from the truth. It is human nature to try to get our needs met and do the best we can in the moment. One of my favorite things to do with clients is to discover how we have learned certain behaviors, and recognize how they helped us. So often we are not reacting to things because we are broken, we are reacting because we are simply smart. Once we move to understanding, we can learn different ways of reacting that match our new settings and relationships. I would love to be your advocate and help you discover a kinder, gentler way to treat yourself.</image:caption>
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  </url>
  <url>
    <loc>https://www.cascadingjoy.org/about</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-04-20</lastmod>
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      <image:title>About</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/602b18cd6e2e5511b4c42b3d/1613616361682-AHJH278Y240LY4MMBJW5/bookstore.jpg</image:loc>
      <image:title>About</image:title>
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  </url>
  <url>
    <loc>https://www.cascadingjoy.org/specialties</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2023-03-08</lastmod>
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