Chelsea Brieman, PhDLicensed Clinical Psychologist

When privacy has been part of the hesitation

Sometimes getting support feels complicated when privacy matters more than usual.

Maybe your work is highly visible. Maybe your license, certification, reputation, leadership role, or public image makes you think twice before asking for help. Or maybe parts of your personal life are simply yours—and you want a therapist who understands that discretion and judgment-free care matter.

Minimalist professional desk with a silver laptop, smartphone, notebook, and subtle greenery
Private by designSecure telehealth
No waiting room

When you’re always having to be “on”

You need a place where you can stop performing and just be you for a minute.

01

People depend on you

You are used to being calm, competent, decisive, and the person others turn to. There may not be many places where you get to be uncertain.

02

Your work comes with scrutiny

A professional license, medical certification, security clearance, leadership position, or public-facing role can make ordinary help-seeking feel unusually high-stakes.

03

Your personal life is private

Your relationships, family dynamics, identity, social world, or choices may not fit neatly into what colleagues or others assume about you—and you are not looking for judgment or unnecessary explanation.

04

You want useful therapy

You are not looking for vague reassurance. You want an experienced psychologist who can understand nuance, challenge patterns, and give you practical tools you can actually use.

Discretion without drama

Your therapy does not have to become part of your public identity.

Therapy is a professional healthcare service, not a statement about your competence. My practice is fully virtual, which means no office waiting room, no commute, and more flexibility to meet from a private location that works for you.

Secure telehealthSessions are conducted virtually through a secure clinical platform.
Direct communicationWe keep logistics simple and minimize unnecessary back-and-forth.
Private-pay comes with more freedom.Private pay means less red tape, although you still have the option to submit claims through your insurance if you so choose.
Clear boundariesConfidentiality is protected by professional and legal standards, with the usual safety and legal exceptions that apply to psychotherapy.

What “private” actually means

Privacy works best when you know exactly what to expect.

Good privacy-conscious care means understanding what is confidential, what records exist, when information may need to be disclosed, and what choices you have before treatment begins.

Therapy is confidential

I follow professional confidentiality requirements and applicable privacy laws. I do not share information simply because an employer, colleague, family member, or other person wants it.

There are standard exceptions

Like all psychotherapy, confidentiality has legal and safety limits—for example, certain emergencies, abuse-reporting obligations, or valid legal requirements. We can review these before treatment.

Insurance changes the paper trail

Insurance claims generally require billing and diagnostic information. If discretion around third-party claims matters to you, we can discuss private-pay versus insurance options so you can make an informed choice.

Records still exist

Private-pay therapy is not fully “off the record” because licensed psychologists must maintain clinical records as required by law and professional standards. However, the goal is thoughtful and appropriate documentation.

A note for pilots & aviation professionals

You should not have to choose between taking care of yourself and understanding your career obligations.

Aviation has a culture all its own: high standards, constant evaluation, irregular schedules, fatigue, responsibility for other people's safety, and understandable concerns about what mental health treatment could mean for medical certification.

The FAA's current guidance explicitly says pilots can seek therapy, that psychotherapy can be compatible with medical certification, and that talking with a therapist does not automatically create a diagnosis. At the same time, pilots have specific reporting and fitness-for-duty responsibilities.

I do not provide FAA medical certification decisions or promise that treatment will have no aeromedical implications. If aviation requirements are part of your concern, we can approach treatment thoughtfully and I may encourage you to clarify certification questions with an Aviation Medical Examiner (AME) or other appropriate aviation-medicine professional.

Who this page is really for

People whose lives are more complicated than their résumé suggests.

You might be a pilot, physician, attorney, executive, founder, first responder, clinician, public figure, senior leader, or someone whose work simply makes privacy important. Or your profession may have nothing to do with it—you may just want a therapist who can talk openly about relationships, identity, ambition, sex, family, money, power, or the parts of life people do not usually put in a bio.

What working together looks like

Warm enough to be human. Structured enough to be useful.

01

A low-pressure first call

We start with a free 15-minute consultation. You can ask practical questions about privacy, fit, scheduling, payment, or how treatment works before deciding whether to move forward.

02

Clear goals

We identify what you actually want to change—less anxiety, better boundaries, more emotional control, a healthier relationship, better sleep, less burnout, or simply a place to think clearly.

03

Evidence-based treatment

I use CBT, DBT-informed skills, mindfulness-based strategies, trauma-focused treatments, and other evidence-based approaches matched to your needs.

04

Practical progress

Therapy should translate into your real life. We will pay attention to what is helping, what is not, and how to make the work useful outside the session.

Questions people often have

Especially when privacy is part of the decision.

Will my employer know I am in therapy?

Not simply because you contact my practice. Therapy is confidential, and I do not routinely communicate with employers. There are standard legal and safety exceptions to confidentiality, and some professions have their own reporting or certification requirements. We can discuss the limits of confidentiality before treatment begins.

Can I pay privately instead of using insurance?

Yes. Private-pay is available. Some people choose not to involve insurance because claims generally require billing and diagnostic information. I can explain the practical differences so you can decide what works best for you.

Do I have to tell you my profession or why privacy matters?

No. You can share context at your own pace. If your profession has safety, licensing, certification, or legal requirements that could affect treatment decisions, it may eventually be important for us to discuss that context—but you do not need to arrive with a polished explanation.

Do you work with nontraditional relationships or private relationship concerns?

Yes. I work from a nonjudgmental, evidence-based perspective. You are welcome to talk openly about relationship structures, boundaries, jealousy, communication, intimacy, trust, or other concerns without having to defend the fact that your life may look different from someone else's.

If I am a pilot, will therapy automatically affect my FAA medical certificate?

No single answer applies to every pilot. Current FAA guidance says therapy itself can be compatible with medical certification and that speaking with a therapist does not automatically create a diagnosis. Pilots also have reporting and fitness-for-duty obligations, so I recommend confirming aeromedical questions with an AME or other qualified aviation-medicine professional rather than relying on a therapy website for certification advice.

You can ask questions before you commit

Sometimes the first useful step is simply having one conversation where you do not have to manage anyone else's impression of you.

Telehealth for eligible clients in 40+ states through PSYPACT.

In crisis? Call 911, or call or text 988 for the Suicide & Crisis Lifeline.