F e e s  a n d  I n f o r m a t i o n–what to expect





Depression - Anxiety - Marriage/couples counseling - Faith crises and Faith transition individual and couples counseling - Grief & Loss - Personal improvement, centering and balance - Pre-marital counseling and compatibility testing  - Parenting strategies - Anger-  Same Sex & transgender Individuals and Couples - Pornography Addiction


50-minute session fee: $110

Unless otherwise arranged, all sessions are 50 minutes long.  

The fee is the same for individuals as it is for couples/families. 

All fees are due at the time of service.

Cash, Check, or Credit Card

(I do not bill insurance companies) 

For online payments click here


Tuesday 9am-9:30pm

Thursday 1pm-9pm

Ever other Saturday by appointment


Initial Intake Form

to download:


To schedule an appointment:

Call (702) 343-3135 or email karalottlmft@gmail.com 




For many people, the thought of going to therapy holds great ambivalence.  Because of the stigma that some have attached to going to therapy (with the help of the media’s often negative presentation of therapy and therapists) many people feel that it means there is something “wrong” with them or that if they go to therapy, their marriage is doomed to failure.  There are all kinds of fears that play a part when you enter into unknown territory.   

It has been my experience that those who are experiencing anxiety prior to coming into my office for therapy are always pleasantly surprised at how comfortable they are and how relieved and encouraged they feel afterwards. My job is to create a safe and comfortable environment for my clients and give them new tools, options, outlooks, and solutions for whatever their concerns may be.   

Where marriage and couples therapy is concerned, often one partner is more willing than the other to accept therapy as an option for repairing a troubled relationship.  The fear of bringing an unknown third party into a close and private relationship is often very scary or seemingly intrusive.  Once you decide to take the step for marriage or relationship counseling, you can expect a collaborative, team effort to achieve the goals that you as a couple set. You tell me what you would like to change, and I help you to achieve that change.  It is not the job of the therapist to side with either partner or to decide who is “right” in any situation.  That, to me, is backwards movement.  More often than not, once couples learn how to really communicate with each other (not by throwing around “therapy jargon”, but in a way that feels authentic to them) and what it means and looks like to really listen and concentrate on creating closeness and intimacy rather than positions of right and wrong, amazing changes can happen.  When both people are willing to work hard to create an environment to allow those changes to occur, relationships can completely transform and take on the type of fulfillment both partners have been longing for. 


 A therapist may have all kinds of years of experience or plaques on their wall but research shows those things actually matter less than you think. Are you ready for this?  The single most important factor in therapeutic change, is actually the relationship that you have with your therapist.  

If you feel like your therapist is a truly authentic person who really listens and understands where you are coming from and what it is that you need, you are more likely to be honest in your sessions and put more work into your therapy.  As a result, you get more out of therapy.  The reverse is also true.  Because of what we see in the media, clients often times settle for the repetitive “how does that make you feel?” therapist who seems like they are verbally there but mentally checked out as far as an authentic connection with their client is concerned. Not that there’s anything wrong with that per se and maybe it works for some people, but if it doesn’t work for you, DO NOT SETTLE!  You don’t have to.  Go through therapists until you find one that you really “click” with.  I know this may feel like a hassle, but your money will go a lot further and you will get much better results. 



Positive change is just a phone call away!