Our Services and Specialties

Our Services Reach Nationwide

Our Services are available to clients located in 32 states: Texas (TX), Alabama (AL), Arizona (AZ), Arkansas (AR), Colorado (CO), Connecticut (CT), Delaware (DE), District of Columbia (DC), Georgia (GA), Idaho (ID) Illinois (IL), Indiana (IN), Kansas (KS), Kentucky (KY), Maine (ME), Maryland (MD), Minnesota (MN), Missouri (MO), Nebraska (NE), Nevada (NV), New Hampshire (NH), New Jersey (NJ), North Carolina (NC), Ohio (OH), Oklahoma (OK), Pennsylvania (PA), Tennessee (TN), Utah (UT), Virginia (VA), Washington (WA), Wisconsin (WI), & West Virginia (WV). If you live in one of these states, we would love to hear from you!

These 32 states have adopted into law the Psychology Interjurisdictional Compact (PSYPACT), which allows some psychologists to practice therapy across state lines. Based in Austin, Texas, Licensed Psychologist Miranda Nadeau PhD enjoys forming strong connections with faraway clients.
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A map of the US, featuring the 31 states where PSYPACT is active and Miranda Nadeau can practice

Between coming in to ourselves, coming out to others, learning to navigate public & private spaces, and really embracing our identities, we LGBTQ folks are often on a lifelong journey. At the same time, while negotiating straight spaces like many therapy offices, we can often be misunderstood, othered, and harmed. It’s easy to see why not enough LGBTQ+ folks are getting the mental health care we need!

At Panorama Therapy, Miranda Nadeau PhD provides a safe container for folks living outside the heteronormative lens to explore their identity and self-expression. We encourage diversity and embrace uniqueness. However you experience or identify or express yourself, we support you and want to further uplift you. Our approach to serving you comes from a place of experience and understanding.

Explore your sexuality and every other facet of your life in a space where you’re not only accepted but understood.

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Or continue learning here with some resources we put together just for you.
Our services reach out to a cute couple of interracial and same gender people who look like they love each other. We are so about this. A photograph of a dark-skinned man with LGBTQ+ pride rainbow ribbon. Panorama Therapy is about that.

Miranda Nadeau PhD believes that to live as a transgender or gender expansive person is to live with courage and ferocity, no matter how loudly. Imagine being seen for who you are within the expansive panorama that we strive for at Panorama Therapy. Trans* folks, we believe that you and your journey should be honored.

Gender-Affirming Letters. For our friends in the trans and gender expansive communities, we are committed to offering gender-affirming referral letter services. In the past, we’ve written safe travel carry letters, referral letters for hormone replacement therapy (HRT), referral letters for surgery, and others too.

Please note that we are limited in how many appointments we can offer each month, so we may have a waitlist for a referral letter. If you are interested in a letter, contact us to learn more or get started. Other letter writers nationwide can be found through The Gender Affirming Letter Access Project (GALAP). Request Our Services
Some ribbons and shapes making up the trans flag and trans symbols. Love these people. Our services include letter writing in keeping with The Gender Affirming Letter Access Project

Many BIPOC carry a legacy of trauma and continue to face race-related and other trauma throughout life. We all need help and healing, yet it’s easy to be discouraged away from mental health, a white-washed field with a terrible track record. We get it. We co-create a space that empowers you to live authentically and fully, no educating necessary. We’re here for your liberation and your community’s liberation.

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Woman with dark skin, a beautiful off shoulder top, and purple hair

If you are Mixed race or multiracial, you probably know all about nuance and complexity…about being somewhere in the spectrum of a panorama…about navigating and embracing duality and multiplicity. About not fitting into neat, distinct categories and struggling to be validated, understood, or to have a voice. At Panorama Therapy, we do too. As a multiracial woman of color, Miranda Nadeau PhD especially enjoys working with clients who are navigating the multiracial or Mixed journey.

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Miranda has spent much of her life creating connections across multiracial identities, learning about what makes us unique and what joins us together. For information on her discussion (non-therapy) group for multiracial folks who believe Black lives matter, click here.

Our services are catered right to my 100% hapa family Cover image for the book Part Asian 100% Hapa from Chronicle Books

You might wonder: What does it mean to face misguided societal ideas about a “model minority” while still striving to succeed, to face intergenerational trauma with limited spaces to heal, to navigate family demands & obligations in a wider culture that may not “get” it? As a Taiwanese American who has asked many of the same questions, Dr. Miranda Nadeau of Panorama Therapy works to deeply understand the experiences of diverse Asian Americans across the country and especially in 32 states.

We know it’s hard enough to do the work of therapy, without also having to explain your family culture, justify your values, defend your experiences of oppression, and keep your racial identity from being erased or over-dramatized. We get that.

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Or learn about our therapy group just for Asian American women & non-binary folks: Not Your Model Minority

Black and white photograph of a tattooed Asian woman

Perhaps none of the above categories feel like you. Maybe you fall outside these specializations or you’re over labels entirely. The biggest predictor of your benefitting from counseling is your therapeutic relationship with your therapist. If you think Panorama Therapy would be a good fit, however you see yourself, we’d love to hear from you!Request an Appointment Friends enjoying a drink together at an outdoor table. Our services are intentionally affirming and inclusive.

Concerns Within the Panorama

Panorama Therapy’s Licensed Psychologists are specialists in therapeutic topics including: 

A photograph of the undersides of two leaves of Monstera deliciosa. Fun fact: the more wind (or a/c draft) it gets, the heartier and deeper green its leaves get too. It gets stronger. 

  • relationships, connection, and disconnection (couples therapy)
  • sexual & gender identity
  • self-worth & self-compassion
  • racial, ethnic, and cultural identity
  • high achievers and adulting struggles
  • family of origin concerns
  • meaning & purpose in life
  • depression, discontentment, and dissatisfaction
  • psychedelic integration
  • personal development
Billing and insurance for therapy services. Please email our office to obtain information about billing options. We are in network for some Blue Cross and Blue Shield PPO insurance plans. If you have an alternate insurance provider and want to utilize your out-of-network benefits, we can provide you with SuperBill invoices to submit to your insurance for reimbursement.

Our Services Menu & Rates

$200 per clinical hour

Each individual therapy session is tailored to the client’s needs. Drawing from a multitude of evidence-based and affirming approaches, Miranda Nadeau PhD and her team at Panorama Therapy aim for sessions together to be a safe container for exploration, growth, and healing. In this space, all of you is welcome, and you are not in this fight alone. For more information on our services and approach to therapy, see the About page.

Billing and insurance for therapy. Please email our office to obtain information about billing options. Panorama Therapy is in network for some Blue Cross and Blue Shield PPO insurance plans. If you have an alternate insurance provider and want to utilize your out-of-network benefits, we can provide you with SuperBill invoices to submit to your insurance for reimbursement.

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$200 per clinical hour (50 minutes)
Extended sessions prorated per standard rate

In a committed relationship, things can go from connected to disconnected in seconds. In relationship therapy (a.k.a. couples therapy or marriage counseling), we will create and enhance those moments of connection, helping you to improve communication, strengthen your relationship, deepen intimacy (physical, emotional, & sexual), and learn to address conflict effectively. Relationship therapy services at Panorama Therapy are also ideal for couples navigating transitions together, whether related to identity, sex, finances, getting married, or starting a family.

Billing and insurance for couples therapy services at Panorama Therapy. Please email our office to obtain information about billing options for couples. Not all insurance plans cover relationship therapy. We are in network for some Blue Cross and Blue Shield PPO insurance plans. If you have an alternate insurance provider and want to utilize your out-of-network benefits, we can provide you with SuperBill invoices to submit to your insurance for reimbursement.

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15 min, no charge, with a Licensed Psychologist

We offer a complimentary Exploratory Consultation for potential clients interested in learning if we can match you with a psychologist who’s a good fit logistically and therapeutically. During this phone consultation, we will begin the getting-to-know-each-other process, work together to identify your treatment needs and wants, and discuss what therapy together may look like. Best for clients who have already verified insurance benefits and/or payment options for our services.

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50-55 minutes, costs your insurance copay if BCBS PPO
Ongoing therapy not required

For our siblings in the trans and gender expansive communities, Panorama Therapy is honored to conduct evaluations and write referral letters of support for gender-affirming medical care. In the past, we’ve written safe travel carry letters, referral letters for hormone replacement therapy (HRT), referral letters for surgery, and others too. Please plan ahead when requesting a letter.

Informed consent model. Panorama Therapy and our Licensed Psychologists operate with the understanding that you are a self-determined person with insight and awareness about how to use your bodily autonomy. 

Please note that we are limited in how many appointments we can offer each month, so we may have a waitlist for a referral letter. If you are interested in a letter, contact us to learn more or get started. Other letter writers nationwide can be found through The Gender Affirming Letter Access Project (GALAP).

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90 minutes, session cost varies

Have you ever wondered how you really land with others? Maybe you’ve asked whether there are patterns in how you’re perceived, or you’re looking to benefit from supercharged therapy in a closer-to-real-world setting. Group therapy is a powerful opportunity to learn about yourself and who you are in relationships. 

Not Your Model Minority: Asian American Therapy Group for Women & NB

Dr. Nadeau facilitates a supportive therapy group just for Asian American women & non-binary folks.

To stay updated on this and other groups, contact us.

 

Cost varies

Therapeutic assessment is a supplement to individual or relationship sessions at Panorama Therapy. As a Licensed Psychologist, Miranda Nadeau PhD is uniquely qualified to administer psychological assessments that can unlock a better understanding of yourself, your concerns, and how you can better navigate your mental health, life decisions, and relationships. Assessments are often fun and sometimes included in your insurance benefits!

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Good Faith Estimate

Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

  • Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises