What is my first step in seeking services?

Your first step is to consider whether or not you wish to use your insurance benefit. For further information on factors to consider in making that decision, click here.

If you decide to use your benefit, contact your insurance company. Call the number on your insurance identification card. Your benefit company can tell you what your coverage is, and what you need to do in order to obtain treatment. For example, you may need to contact your Primary Care Physician to obtain a referral to a particular psychologist.

When you are ready to schedule, call or email our office.

What if I need help with my child or adolescent?

The procedure for seeking services is the same as for adults (see previous): If you decide to use your insurance, contact your benefit company by calling the number on your insurance identification card. Make it clear that you would like your child or adolescent to be seen by Dr Mills (Dr Roll does not see children). Follow their instructions. If anything is unclear, or if you choose not to use your benefits, contact our office. Be aware that many managed care companies will not pay for treatment of certain mental health issues.

What are the specialties of the clinicians at Seattle Psychologists?

Dr Roll provides psychotherapy primarily for adults, and treats a wide range of difficulties involving feelings of anxiety, depression, anger, and distress. Dr Roll's area of expertise and specialization is in working with people who have histories of trauma and abuse. She is eclectic in her approach to psychotherapy, believing that no single model of human emotion and behavior entirely encompasses every problem faced by every person. In her work, she therefore draws from many diverse schools of psychology, including psychodynamic, interpersonal, Jungian, cognitive-behavioral, biopsychosocial, and cross-cultural. Regardless of the treatment perspective, Dr Roll sees the therapy relationship as a collaborative one, such that you as a client will have significant input into your treatment, and your treatment will be most successful when you are an active participant. Dr Roll views psychotherapy generally as a route to personal growth and development, by which people can learn to let go of reoccurring fears, pain, and suffering so that they can live their lives more fully in each present moment.

Dr Mills works primarily with children, adolescents and their families, and also sees younger adults with anxiety and attention difficulties. He has wide experience in the assessment and treatment of childhood disorders, particularly those involving anxiety, attention, and problematic behaviors at home and in school. He has strong interests in the relationships between parents and their children/adolescents, and the role of positive discipline in guiding young people to healthy adulthood. In his work with children and adolescents, Dr Mills develops a working relationship with the school, as necessary. Because every youngster and every family is unique, Dr Mills is flexible in his approach to psychotherapy, choosing treatment strategies that best fit the current situation. In every event, he believes that psychotherapy works most effectively when it is a collaborative effort. Regardless of age, as a client you will have the opportunity to shape your treatment, and your participation and feedback will be important to the outcome of your therapy. In the case of children, the participation of parents or guardians is seen as essential, not optional. Adolescents have significant rights to confidentiality, but parent input and participation are both sought and encouraged.

Where are the offices located?

Our offices are located in the Laurelhurst neighborhood of Seattle, close to Laurelhurst Park, the University Village, and Children's Hospital. We are easily accessible from I-5 and SR-520. Address provided upon appointment.


What are your office hours?

Office Hours for Dr Mills:

Tues, Thur2:30 p.m. – 7:30 p.m.
Fri 8:30 a.m. – 7:30 p.m.
Sat8:00 a.m. – 11:00 a.m.

Office Hours for Dr Roll:

Mon3:30 p.m. – 8:30 p.m.
Tues, Thur9:00 a.m. – 2:00 p.m.
Wed9:00 a.m. – 8:00 p.m.

Phone: 206.545.7500

Press “1” for Dr Mills
Press “2” for Dr Roll

How long does it take to get an appointment?

It is our policy to schedule and see new clients as quickly as possible. Many first-time appointments are scheduled within the week. Bear in mind, though, that wait times can vary, and that you may be asked to schedule your initial appointment 10 to 20 days in the future. Also understand that the wait time for daytime appointments is generally shorter, because these times are in lower demand than after-school, evening, and Saturday appointments.

Are my visits to a psychologist confidential?

All contact with your psychologist is held in the strictest confidence. A psychologist may divulge information only with your written consent, or in cases of imminent danger to yourself or another person. Your treatment file will also be available to the payor (i.e., your insurance company or managed care company). You can read more about confidentiality here. Your therapist will also answer any questions you may have regarding confidentiality.

Bear in mind that confidentiality is a matter of professional ethics. Insurers, managed care companies, and their employees are not bound by the same guidelines as your therapist (for more information, click here). Any questions you have about their responsibilities regarding your personal information, should be directed to their representatives.

How long are sessions, how frequent are they, and how long will I be coming in?

At Seattle Psychologists, your initial intake session will last from 60 to 90 minutes. Succeeding sessions are 50 minutes in length unless decided otherwise by you and your psychologist.

Frequency of appointments and length of treatment are determined jointly by you and your psychologist. However, it is also important to understand that limited mental health benefits can interfere with the necessary length of treatment, no matter your judgment or the judgment of your psychologist.

What is the difference between a psychologist, a psychiatrist, a social worker, and a counselor?

The title of psychologist is reserved for individuals who have a doctoral-level degree (PhD, PsyD, EdD), and are licensed by the state. The doctoral degree typically requires 5-7 years of graduate training beyond the undergraduate level, plus a year-long supervised internship, and a further year of supervised work before licensure. In Washington State, a psychologist must pass a national examination and an oral examination in order to practice. Psychologists typically provide psychotherapy, and may administer and interpret psychological tests. For more information about psychology and psychologists, visit the website of the American Psychological Association.

A psychiatrist holds the MD degree, and has completed medical school and a four-year residency in psychiatry. A psychiatrist will have passed several written examinations administered by a national board, and is qualified to prescribe medications. Some psychiatrists also provide psychotherapy. For further information about psychiatrists and the practice of psychiatry, visit the website of the American Psychiatric Association.

A social worker has a master’s degree in social work (MSW or LCSW when licensed), requiring three years of formal education and training beyond a four year college degree. You may obtain more information about social work and its practitioners by visiting the website of the National Association of Social Workers.

The terms counselor, therapist, and psychotherapist are generic and can refer to all persons certified or registered by the State. Persons using these terms may have training ranging from a master's degree in psychology (a two-year degree, certified) to little or no formal training whatsoever (registered).

Will my insurance pay for therapy?

Both Dr Roll and Dr Mills believe that confidentiality is a critical part of psychotherapy, and are ethically bound to keep client information confidential. They also work to provide options for people who wish to use their insurance benefits. As a result, Dr Roll and Dr. Mills have made efforts to contract only with insurance companies that infringe least upon confidentiality.

If you wish to use your mental health benefit, Dr Roll and Dr Mills may be in your provider network, but if not, you may have an out-of-network benefit option available to you.

To find out more about your insurance benefit, call the number on your insurance identification card. You should ask:

  1. Whether Dr Roll or Dr Mills is an in-network provider (if not, ask if you have an out-of-network benefit)
  2. If authorization is necessary
  3. The amount of your co-pay or co-insurance portion
  4. The number of sessions available
  5. Whether a Primary Care Physician referral is necessary

Applicable co-pays, co-insurance portions, and deductibles are collected at the time of service.

What do I do in the event of an emergency?

If an emergency involves imminent risk to yourself or to someone else, call 9-1-1 immediately, or contact the crisis line at (206) 461-3222. This applies even if you are calling to set up an initial appointment with a psychologist in our office, or if you have scheduled an appointment that is pending.

If you are distressed, but do not feel you are in danger of harming yourself or someone else, contact our office during business hours to schedule an appointment. In your message, be very clear about the urgent nature of your situation, and be aware that whoever you contact may also ask you to call 9-1-1 or the crisis line, or may do so themselves, if they judge this to be necessary.

If you are a current client of either Dr Roll or Dr Mills—if you have already had at least one appointment—you may leave voice mail in the appropriate voice mailbox extension. Both Dr Roll and Dr Mills check voice mail regularly.