Frequently Asked Questions

Once we've decided to start working together, I'll send you online paperwork to complete and sign before our first session. 

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Individual therapy

During our first session, I'll ask questions about your life story, including family background, school experiences, relationship history, sex history, spirituality/religion, other pertinent information, and concerns you bring to therapy. We'll identify some goals that give us direction for our work ahead.

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The 2-1-2 model for couples/ poly families

After our initial session where we all meet together, I ask to do one individual session with each partner in the relationship to ask about your own life story, including family background, school experiences, relationship history, sex history, spirituality/ religion, other pertinent information, and concerns you bring to therapy. From there, we'll resume meeting all together and begin the work within your relationship(s).

Every person or couple's needs are different, but therapy generally lasts from 6-12 months, depending on the nature and severity of the issues you need to address. I believe weekly or every-other-week sessions are ideal in the active stage of therapy, as the consistent flow and rhythm between sessions is optimal for effective therapy. Once the therapeutic relationship has been established and initial goals have been met, we can discuss moving to meeting every 4-6 weeks for the maintenance stage of therapy for a limited number of sessions. Some remain in regular, ongoing therapy sessions for those who benefit from processing their life experiences and relationships as they unfold in real time. 

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Once we've terminated ongoing therapy, the door is open for mental health 'tune-ups' as issues come up in your life or relationship. 

I am available Monday - Thursday, 10:00 am - 7:00 pm; closed Fridays and weekends. 

I am only available to do telehealth sessions via the Simple Practice portal within the state of Colorado. I have chosen to continue doing sessions remotely given the convenience it provides my clients to meet while at home or in the office. It enables me to see clients throughout the state of Colorado, and not be limited to metro Denver. It also helps to avoid busy commutes through traffic, inclement weather in the winter months, and accessibility for those with transportation issues.

In couples work, it's still important to be in the same shared space where you can fully read each other's body language and emotional expressions; please situate yourselves by sitting and facing one another in front of one stabilized computer screen or device when possible.

I charge $190 per 50-minute individual session and $270 per 80-minute individual/ couples/ poly families.

I do not work directly with insurance providers or accept insurance payments, but I can provide a monthly superbill outlining services provided to submit to your insurance company as an out-of-network provider. Please check with your insurance company for possible availability of mental health benefits. Most insurance companies do not provide coverage for couples therapy; I cannot give an individual mental health diagnosis for payment with your insurance company when providing couples therapy. I am also not authorized to work with clients who have Medicaid insurance.

It is my policy to receive a cancellation notice at least 48 hours in advance. An appointment means that specific time is reserved for you. Changes made within 48 hours or no-shows will result in being charged the full fee, as I may be unable to schedule another appointment within a smaller window of time. All cancellations must be made through the client portal at https://tammy-kaia-bruski.clientsecure.me/. 

As of January 1, 2022, all healthcare providers are required to provide a Good Faith Estimate document to patients who do not have insurance or opt to not use their insurance (self-pay) to prevent "surprise billing" if requested by an individual seeking services. You have the right to request a Good Faith Estimate document from your provider during your initial consultation or at any time during the course of your treatment. This document calculates estimated therapy costs and frequency of appointments for up to 12 months. If you receive a bill that is at least $400 more than your Good Faith Estimate, you may dispute those charges with the U.S. Department of Health and Human Services (HHS).

If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days of the date on the original bill. For more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.

I utilize Simple Practice, a virtual practice management system that allows clients to access their private portal for scheduling and managing online appointments, engage in telehealth sessions, complete and submit paperwork, and process payments via debit/ credit/ FSA/ HSA cards. 

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Current clients may access their online portal at any time using the link below: