Evidence-based trauma therapy for a life no longer ruled by the past.
Evidence-based trauma therapy for a life no longer ruled by the past.
Evidence-based trauma therapy for a life no longer ruled by the past.
Ann Inouye, PsyD
Ann Inouye, PsyD
Licensed clinical psychologist specialized in PTSD treatment
You may be successful, responsible, and capable while still carrying trauma that affects your body, relationships, sleep, mood, work, or sense of safety.
I specialize in evidence-based treatment for PTSD. My work is designed for adults who are ready for focused, high-quality therapy that goes beyond supportive listening and helps create measurable change.
With training at Yale and Brown and experience at a leading PTSD research center, I use gold-standard trauma treatments including Prolonged Exposure, Cognitive Processing Therapy, CBT, DBT, ACT, and other trauma-informed approaches. My style is warm, direct, and results-driven.
Together, we will work to understand how trauma is still shaping your life, process painful experiences, reduce avoidance, and help you move forward with greater clarity, confidence, and freedom.
I am a Licensed Clinical Psychologist in Maryland and Virginia and provide telehealth therapy in PSYPACT-participating states.
Trauma may have shaped parts of your life. It does not have to keep running them.
Individual Trauma Therapy
$250 · 55 min
$340 · 80 min
Evidence-based trauma therapy for deeper healing and lasting change.
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Individual Trauma Therapy
$250 · 55 min
$340 · 80 min
$250/55min session $300/80 min session Personalized, evidence-based treatment that goes beyond coping to resolve what’s underneath and help you thrive holistically.
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Individual Trauma Therapy
$250 · 55 min
$340 · 80 min
$250/55min session $300/80 min session Personalized, evidence-based treatment that goes beyond coping to resolve hat’s underneath and help you thrive
read more
Couples Trauma Therapy
$280 · 55 min Session
$400 · 80 min session
Structured work to strengthen communication, trust, and connection.
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Couples Therapy
$285 · 55 min Session
$385 · 80 min session
$275/55min session $800/80min session Structured work to strengthen communication, trust, and connection
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Couples Therapy
$285 · 55 min Session
$385 · 80 min session
Structured work to strengthen communication, trust, and connection.
read more
General Individual Therapy
$250 · 55 min session
$340 · 80 min session
Evidence-based care that addresses root drivers and builds lasting change.
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General Individual Therapy
$250 · 55 min session
$340 · 80 min session
$600/55min session $800/80min session Clear, strategic coaching to elevate performance, confidence, and resilience under pressure.
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Trauma Intensives
$4,000 · 14 days · 90min/day
Accelerated PTSD therapy in extended sessions for deeper processin and focused momentum.
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Trauma Intensives
$4,000 · 14 days · 90min/day
$2,000/2day intensive $5,000/10 day intensive Accelerated, trauma-focused treatment delivered in extended sessions for deeper progress
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How It Works
How It Works
Reach Out
Schedule a complimentary 20-minute phone consultation
Reach Out
Schedule a complimentary 20-minute phone consultation
Define Direction
We’ll use key clinical measures to clarify what’s driving your symptoms, identify the patterns keeping you stuck, and build a personalized treatment map with clear goals, targeted strategies, and practical next steps.
Define Direction
We’ll use key clinical measures to clarify what’s driving your symptoms, identify the patterns keeping you stuck, and build a personalized treatment map with clear goals, targeted strategies, and practical next steps.
Meaningful Progress
Each evidence-based online session is structured for momentum: clear priorities, targeted tools, and a practical plan you can apply between sessions.
Meaningful Progress
Each evidence-based online session is structured for momentum: clear priorities, targeted tools, and a practical plan you can apply between sessions.
Ready to find
your path?
Ready to find
your path?
Where we service:
Where we service:
our values
our values
We help people build clarity, resilience, and lasting change through grounded, collaborative, and deep connection.
We help people build clarity, resilience, and lasting change through grounded, collaborative, and deep connection.
Emotional, relational, cognitive, and physiological parts of healing
We focus on progress that lasts
Insight and action, thoughtfully integrated
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1,872+
1,872+
1,872+
Therapy sessions
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Therapy sessions
completed
Therapy sessions
completed
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Clients
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Clients
supported
Clients
supported
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Years of professional
experience
Years of professional
experience
Years of professional
experience
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Programs and
tools offered
Programs and
tools offered
Programs and
tools offered
Your questions.
Answered.
How do I know if therapy is right for me?
How do I know if therapy is right for me?
Therapy isn’t just for crises. It’s for anyone curious about growth, clarity, or navigating life’s changes with more support and self-awareness.
What can I expect from the first session?
What can I expect from the first session?
After your free consultation, your first paid session is a comprehensive assessment. We’ll explore what’s bringing you in, your history, and what you want to be different.
By the end, you’ll leave with clear goals and a plan for how we’ll work together.
Do you offer both online and in-person sessions?
Do you offer both online and in-person sessions?
We offer solely secure video sessions for clients who prefer remote work or have scheduling constraints. Virtual therapy can be just as effective as in-person sessions for most concerns. All virtual sessions use HIPAA-compliant platforms to protect your privacy.
How often should I come to therapy?
How often should I come to therapy?
There’s no one-size-fits-all answer. Some people come weekly, others bi-weekly or monthly. You and your therapist will decide what feels right based on your needs and pace.
Why don't you take insurance?
Why don't you take insurance?
Insurance companies dictate treatment length, require diagnostic labels that follow you forever, and demand access to your private records. As a private-pay practice, your sessions are completely confidential, unlimited in scope, and tailored entirely to your needs. We provide superbills for out-of-network reimbursement.
How much does therapy cost?
How much does therapy cost?
Our fees vary by session length—most clients choose a 55-minute session ($200). We also offer an extended 80-minute session ($300) for deeper work. We accept all major credit cards and ask that you keep a card on file.
Is everything I share kept private?
Is everything I share kept private?
Yes. Therapy at Thrivana is confidential, and as a private-pay practice, your sessions aren’t routinely shared with insurance companies for payment or authorization.
We only share information in two situations:
With your written permission (for example, if you ask us to coordinate care or provide a document).
When required by law, including:
Suspected abuse or neglect of a child, elder, or dependent adult (mandatory reporting)
Immediate safety concerns, such as a specific, imminent threat of serious harm to you or to an identifiable person (duty to protect/warn rules vary by jurisdiction)
A valid court order requiring disclosure
We’ll review these limits clearly so there are no surprises and so you can feel safe being fully honest in session.
How long does treatment usually take?
How long does treatment usually take?
It depends on your goals. Some clients achieve what they need in 12-16 focused sessions. Others benefit from longer-term work. Our goal is to give you the tools to thrive independently. We'll regularly assess progress and adjust accordingly.
What is your cancellation policy?
What is your cancellation policy?
We require 24 hours notice for cancellations. Sessions cancelled with less notice are charged $100.
What therapeutic approaches do you use?
What therapeutic approaches do you use?
We draw from multiple evidence-based approaches—Acceptance and Commitment Therapy (ACT), Prolonged Exposure (PE) for trauma, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT) for emotion regulation, and somatic techniques to support nervous system health.
There’s no one-size-fits-all here. We tailor the approach to you—choosing the right tools for your goals so you can make meaningful progress as efficiently as possible.
Your questions.
Answered.
How do I know if therapy is right for me?
How do I know if therapy is right for me?
Therapy isn’t just for crises. It’s for anyone curious about growth, clarity, or navigating life’s changes with more support and self-awareness.
What can I expect from the first session?
What can I expect from the first session?
After your free consultation, your first paid session is a comprehensive assessment. We’ll explore what’s bringing you in, your history, and what you want to be different.
By the end, you’ll leave with clear goals and a plan for how we’ll work together.
Do you offer both online and in-person sessions?
Do you offer both online and in-person sessions?
We offer solely secure video sessions for clients who prefer remote work or have scheduling constraints. Virtual therapy can be just as effective as in-person sessions for most concerns. All virtual sessions use HIPAA-compliant platforms to protect your privacy.
How often should I come to therapy?
How often should I come to therapy?
There’s no one-size-fits-all answer. Some people come weekly, others bi-weekly or monthly. You and your therapist will decide what feels right based on your needs and pace.
Why don't you take insurance?
Why don't you take insurance?
Insurance companies dictate treatment length, require diagnostic labels that follow you forever, and demand access to your private records. As a private-pay practice, your sessions are completely confidential, unlimited in scope, and tailored entirely to your needs. We provide superbills for out-of-network reimbursement.
How much does therapy cost?
How much does therapy cost?
Our fees vary by session length—most clients choose a 55-minute session ($200). We also offer an extended 80-minute session ($300) for deeper work. We accept all major credit cards and ask that you keep a card on file.
Is everything I share kept private?
Is everything I share kept private?
Yes. Therapy at Thrivana is confidential, and as a private-pay practice, your sessions aren’t routinely shared with insurance companies for payment or authorization.
We only share information in two situations:
With your written permission (for example, if you ask us to coordinate care or provide a document).
When required by law, including:
Suspected abuse or neglect of a child, elder, or dependent adult (mandatory reporting)
Immediate safety concerns, such as a specific, imminent threat of serious harm to you or to an identifiable person (duty to protect/warn rules vary by jurisdiction)
A valid court order requiring disclosure
We’ll review these limits clearly so there are no surprises and so you can feel safe being fully honest in session.
How long does treatment usually take?
How long does treatment usually take?
It depends on your goals. Some clients achieve what they need in 12-16 focused sessions. Others benefit from longer-term work. Our goal is to give you the tools to thrive independently. We'll regularly assess progress and adjust accordingly.
What is your cancellation policy?
What is your cancellation policy?
We require 24 hours notice for cancellations. Sessions cancelled with less notice are charged $100.
What therapeutic approaches do you use?
What therapeutic approaches do you use?
We draw from multiple evidence-based approaches—Acceptance and Commitment Therapy (ACT), Prolonged Exposure (PE) for trauma, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT) for emotion regulation, and somatic techniques to support nervous system health.
There’s no one-size-fits-all here. We tailor the approach to you—choosing the right tools for your goals so you can make meaningful progress as efficiently as possible.
Your questions.
Answered.
How do I know if therapy is right for me?
How do I know if therapy is right for me?
Therapy isn’t just for crises. It’s for anyone curious about growth, clarity, or navigating life’s changes with more support and self-awareness.
What can I expect from the first session?
What can I expect from the first session?
After your free consultation, your first paid session is a comprehensive assessment. We’ll explore what’s bringing you in, your history, and what you want to be different.
By the end, you’ll leave with clear goals and a plan for how we’ll work together.
Do you offer both online and in-person sessions?
Do you offer both online and in-person sessions?
We offer solely secure video sessions for clients who prefer remote work or have scheduling constraints. Virtual therapy can be just as effective as in-person sessions for most concerns. All virtual sessions use HIPAA-compliant platforms to protect your privacy.
How often should I come to therapy?
How often should I come to therapy?
There’s no one-size-fits-all answer. Some people come weekly, others bi-weekly or monthly. You and your therapist will decide what feels right based on your needs and pace.
Why don't you take insurance?
Why don't you take insurance?
Insurance companies dictate treatment length, require diagnostic labels that follow you forever, and demand access to your private records. As a private-pay practice, your sessions are completely confidential, unlimited in scope, and tailored entirely to your needs. We provide superbills for out-of-network reimbursement.
How much does therapy cost?
How much does therapy cost?
Our fees vary by session length—most clients choose a 55-minute session ($200). We also offer an extended 80-minute session ($300) for deeper work. We accept all major credit cards and ask that you keep a card on file.
Is everything I share kept private?
Is everything I share kept private?
Yes. Therapy at Thrivana is confidential, and as a private-pay practice, your sessions aren’t routinely shared with insurance companies for payment or authorization.
We only share information in two situations:
With your written permission (for example, if you ask us to coordinate care or provide a document).
When required by law, including:
Suspected abuse or neglect of a child, elder, or dependent adult (mandatory reporting)
Immediate safety concerns, such as a specific, imminent threat of serious harm to you or to an identifiable person (duty to protect/warn rules vary by jurisdiction)
A valid court order requiring disclosure
We’ll review these limits clearly so there are no surprises and so you can feel safe being fully honest in session.
How long does treatment usually take?
How long does treatment usually take?
It depends on your goals. Some clients achieve what they need in 12-16 focused sessions. Others benefit from longer-term work. Our goal is to give you the tools to thrive independently. We'll regularly assess progress and adjust accordingly.
What is your cancellation policy?
What is your cancellation policy?
We require 24 hours notice for cancellations. Sessions cancelled with less notice are charged $100.
What therapeutic approaches do you use?
What therapeutic approaches do you use?
We draw from multiple evidence-based approaches—Acceptance and Commitment Therapy (ACT), Prolonged Exposure (PE) for trauma, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT) for emotion regulation, and somatic techniques to support nervous system health.
There’s no one-size-fits-all here. We tailor the approach to you—choosing the right tools for your goals so you can make meaningful progress as efficiently as possible.