Your partner in chronic condition self-management

I don’t bill health insurance or submit insurance claims.

Practice Better can process HSA/FSA cards, but whether you can use those funds for this service depends on your plan’s eligibility rules and documentation requirements. Please confirm with your HSA/FSA administrator before using those funds.

I can provide a receipt or superbill, but that does not guarantee reimbursement.

Yes. Much of my work over the past 15 years has focused on preventing chronic conditions as well as managing them. You might have been told you're at risk of developing a chronic condition, have a family history you're thinking about, or simply want to take care of your long-term health.

The approach is the same: we focus on the few actions most likely to benefit you, based on the evidence, what matters to you and what's realistic in your day-to-day life.

You don’t need to arrive with a plan. Through your intake questionnaire and our first conversation, we explore what you’re managing, what you’d like to be different and what matters most to you. Together, we identify where support may be most useful and a few high-impact priorities to focus on.

Support can focus on the everyday side of living with a chronic condition, on a lifestyle area, or both.

Everyday self-management, for example:

• noticing patterns in your symptoms, energy and routines

• pacing yourself when energy is limited or unpredictable

• making it easier to stick with medications

• preparing for healthcare appointments

• deciding who to ask for help, and how

Lifestyle areas, for example:

• Physical activity and exercise: choosing an activity that fits your schedule, with a shorter option for busier days

• Nutrition: fitting a recommendation, like eating more fiber, into meals you already enjoy

• Sleep: changes to your evening routine or bedroom that make it easier to wind down

• Stress: a brief strategy, like a breathing exercise, for a stressful part of your day

• Social connection: finding a class, group or community, online or in person, with people who share your interests

• Tobacco, alcohol or other substances: planning for the moments when cutting back feels hardest

With your written permission, I'm happy to share a summary of our work with your providers. I can also help you prepare for appointments, so you can make the most of your time with your providers.

My work is meant to complement your healthcare team, not replace it. I don’t diagnose, treat, or prescribe medications.

Yes. I treat what we discuss and what you share with me as private and confidential, and I won't share it with anyone, including the person who referred you, without your written permission.

Your information is stored in a secure client portal. There are a few exceptions, such as when someone's safety is at serious risk or when the law requires it.

The Privacy Policy and the informed consent you'll review before we begin explain this in more detail.

No. You can work with me without a referral. Our work may build on recommendations from your healthcare providers, but it can also address other practical needs involved in living with chronic conditions.

My approach brings together five connected fields, each contributing something different:

• Chronic condition self-management: the foundation of our work together: the knowledge, skills, strategies and support for managing day-to-day life with chronic conditions.

• Evidence translation: evaluating research and professional guidance, and turning it into understandable information and practical options.

• Behavioral science: understanding how people make decisions and act, and how routines, surroundings and circumstances can make changes easier or harder to sustain.

• Lifestyle medicine: an evidence-based, whole-person approach to preventing and managing chronic conditions through areas like nutrition, physical activity, sleep and stress.

• Exercise physiology: understanding how the body responds and adapts to physical activity, and using that knowledge to guide activity planning around your health, symptoms and current capacity.

Which fields come into play depends on what you need. Physical-activity education and planning are part of every program. Individualized exercise-program design is planned as a separate service; let me know if you'd like to hear when it's available.

You’ll review and sign the informed consent and service terms before payment. Before our first appointment, you’ll complete an intake questionnaire. I review your responses before we meet.

During the 60-minute initial appointment, we discuss your day-to-day experience, priorities and where support would be most useful. Together, we agree on an initial action to put into practice. Follow-up appointments give us time to review what helped, what got in the way and what to adjust.

If my review shows that no area of support falls within my scope, I’ll contact you before the appointment and refund your program payment in full.

Yes. You can use the secure client portal for brief questions and updates. I may also check in through a portal message or short questionnaire.

I aim to respond within two business days, Monday through Friday, excluding federal holidays. If something needs a more detailed discussion or review, we’ll address it during an appointment. Messaging isn’t monitored continuously and isn’t intended for urgent concerns.

For urgent concerns, contact your healthcare provider, or call 911 in an emergency.

If you’d like to switch to a different program length, let me know. Where possible, I’ll credit what you’ve paid toward the new program. If you enrolled at launch pricing, that pricing applies to the new program.

You can also pause your program for any reason, without needing to explain why. Pauses are subject to the limits for your program and extend its end date. If you’re paying in installments, I’ll adjust the payment schedule so no payment is due during the pause.

You can cancel your program at any time by sending written notice through the client portal or by email. Any refund or remaining balance is calculated based on the appointment time completed or counted as used under the cancellation policy.

The full terms for program changes, pauses and cancellations are explained in the Terms of Service.

Yes. After completing your program, you can continue with a Monthly Maintenance Membership. It includes one 30-minute appointment each month and check-ins through the client portal.

The membership is month-to-month. You can cancel at any time, with cancellation taking effect at the end of your current billing month.

Email me at sophy@alittlemoreroom.com with a general description of what you’re looking for. We can discuss whether I can provide that support and agree on the scope, price and terms before it begins.