Virtual psychotherapy · Ana Bulnes, MSW, LICSW (she/they)

Therapy for people who don't fit the default script.

Life can be a handful for all of us, and being different can make the path trickier than it needs to be. Being neurodivergent, queer, in non-monogamous relationships or carrying old trauma can add layers of complexity. There are ways through, and they work best when they're built around you.

  • EMDR & trauma
  • ADHD & autism
  • Neurodiverse couples
  • LGBTQ+
  • ENM & relationship diversity

Licensed in Texas, Florida, Massachusetts, Illinois, Washington, Vermont and Iowa. Sessions are online, and because licensing follows where you are, you'll need to be at an address in one of these states for every session. You'll share that address during intake, and I'll confirm where you are at the start of each session.

Who I work with

Adults, couples and families who are tired of masking.

My clients often say they spent years in therapy explaining their basic reality before anything useful could happen. I start from understanding, so we can dig deeper and do the work.

EMDR & trauma

EMDR therapy for single-incident trauma, complex trauma and the patterns they leave behind. Weekly sessions or focused intensives.

ADHD & autism

Neuroaffirming care for adults, including late-identified clients. Executive function, burnout, emotional regulation and rejection sensitivity, without trying to make you more "normal."

LGBTQ+

Self-discovery, showing up in the world as your genuine self, and the relationships and everyday choices that come with living authentically, at whatever pace feels right.

ENM & relationship diversity

Clinical expertise in polyamory, open relationships and other non-monogamous structures. Opening a relationship, agreements and boundaries, autonomy and hierarchy, metamour dynamics, jealousy and compersion, using interventions built for how these relationships actually work.

Individual therapy

Ongoing sessions, one on one

Most people start here. We meet by video on a regular schedule and work on whatever brought you in, using approaches that fit how your brain works. That might be EMDR, or talk-based work on burnout, relationships, identity or executive function.

You can see me as your only therapist, or alongside a therapist you already have. Some clients see me for focused autism or ADHD work while their primary therapist covers everything else. Others see me for weekly EMDR, including for complex trauma, and keep their primary therapist as their home base.

Many clients stay for six to nine months, and some longer. We'll check in along the way about what's helping and when you're ready to space sessions out or finish. Less frequent sessions also work well for check-ins, or for staying on track after more intensive work is done.

Session length40 to 50 minutes
Fee$200
How oftenWeekly, every other week, or less often for check-ins
WhoAdults, including college students
Alongside another therapistYes, with a signed release
FormatSecure video

Couples & families

Neurodiverse couples therapy

When one or both partners are autistic or have ADHD, standard couples advice often misses. Misread tone, different needs for processing time, and very different ways of showing care can look like a relationship problem when it's really a translation problem.

I'm listed in AANE's directory of providers trained to work with neurodiverse couples. Sessions are 80 minutes, which gives enough time to slow down and actually understand each other.

Session length80 minutes
Fee$350
WhoCouples, partners in ENM relationships, families
FormatSecure video

Focused trauma work

Virtual EMDR intensives

An intensive condenses EMDR into a longer block of time, so we can do deep processing without stopping every 50 minutes. It can be a good fit if weekly sessions keep getting interrupted by life, or if you're ready to work on something specific, such as:

  • Performance anxiety
  • Fear of public speaking
  • The aftermath of a car accident or other single event
  • A specific memory or pattern that keeps getting in the way

Right now I offer intensives to clients who have an ongoing therapist. Your therapist stays your home base before and after, and I coordinate with them, with your permission.

  • Free 15-minute meet-and-greet. Get a sense of how I work and ask questions about intensives. We won't go into your history in this call.
  • Readiness assessment, 90 minutes. We look at your history and current life together and decide whether to schedule an intensive, prepare first, or explore other options.
  • Preparation session, 2 to 3 hours. Only if we're moving ahead. You learn what to expect and practice the resources we'll use during the intensive.
  • Intensive session, about 4 hours.
  • Longer intensives, about 6 hours, are available once you've completed a 4-hour intensive and it felt manageable. They include a 30-minute break for a meal, rest, a walk or other self-care, plus shorter breaks whenever you need them.
  • Follow-up session, with a summary sent to your therapist.

Is an intensive right for you right now?

EMDR can bring thoughts, memories and feelings that usually stay in the background into everyday awareness. That's part of how it works, and it also means timing matters. Intensives tend to go best when your life has some stability and predictability: enough sleep, enough energy to take care of yourself, and room in your schedule to rest afterward. A demanding season at work, ongoing burnout, or a stretch of poor sleep can make it harder to process well.

If now isn't the right time, that doesn't mean never. Many of my clients started with the goal of EMDR and spent time getting ready first, and that preparation is meaningful work in itself.

EMDR processing often keeps unfolding after an intensive, just more slowly. Some clients choose to stay on afterward for ongoing EMDR at whatever pace fits them, which can be especially helpful for complex trauma (CPTSD).

You'll need

  • A current therapist and a signed release so I can coordinate with them
  • A private room, stable internet, headphones, and a laptop or tablet
  • A clear day, with no work or driving afterward
  • A support person nearby who knows you're doing this

The readiness assessment is paid whether or not we move ahead. If an intensive isn't right yet, I'll explain why, and we can talk about getting ready.

Intensives are paid in full when scheduled. Fees cover the full scheduled time, including breaks. Cancellations need at least 14 days' notice. You'll receive the full policy before booking.

Intensive fees are shared during your initial inquiry.

About me

Hi, I'm Ana (she/they).

I'm a Licensed Independent Clinical Social Worker with more than twenty years of experience, EMDR-trained and a member of EMDRIA. I'm also autistic, nonbinary, Latinx and a person of color, so the neuroaffirming, difference-respecting approach here comes from lived experience, not a training module.

I see you as the expert on your own life. My job is to bring structure, curiosity and clinical skill, and to help you build insight you can actually use.

Fees & insurance

Private pay, with help getting reimbursed

I don't bill insurance directly. Many clients with out-of-network benefits get part of each session fee back. There are two ways to do that:

  • Thrizer. Thrizer checks your benefits, submits claims for you and can lower what you pay up front.
  • Monthly superbill. I send you a superbill each month to submit to your insurance yourself.

How much you get back depends on your plan. Your payment to me doesn't depend on what your insurer pays.

Individual session, 40 to 50 min$200
Couples or family, 80 min$350
Meet-and-greet call, 15 minFree
EMDR intensiveShared on inquiry
PaymentCard on file, required to book

For providers

Referrals and collaboration

I work alongside prescribers, evaluators and other therapists. With a signed release, I coordinate care and keep you updated on shared clients.

Prescribers

For adults with ADHD or autism who want therapy alongside medication management. I focus on executive function, emotional regulation, burnout and rejection sensitivity, and I'll keep you informed about what we're seeing.

Neuropsych and ADHD evaluators

A place to send clients after a new diagnosis, especially late-identified adults making sense of their history. I can build treatment around your recommendations.

Therapists and generalists

Specialty support when a client's needs move into autism or ADHD, EMDR, neurodiverse couples work, or ENM. You can stay the primary therapist while I see your client for focused specialty work, such as autism-specific sessions, weekly EMDR including for complex trauma, or an EMDR intensive. Full referrals are welcome too.

Getting started

How to begin

  1. Request a time

    Pick an opening and answer a few short questions. For paid sessions, a card is required to hold the time.

  2. I review your request

    I'll confirm the time or suggest another one.

  3. Complete your paperwork

    You'll get a secure link to intake forms through the client portal.

  4. Meet online

    Your first full session is a chance to talk through your history and decide together whether we're a good fit to keep working. Your card is charged after the session.

Not sure yet? The free call is a chance to meet me and ask questions about working together. We won't go into clinical history on the call.

If none of the available times work for you, for a free call or for ongoing sessions, email [email protected] and we'll find a time that does.

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