
Kimiko works with children through play and talk, and meets parents on their own to plan what helps at home. She set up the room herself, from the lamp to the rug.
Reno, Nevada
Hush is a two-clinician practice in Reno. Children come to a quiet, low-lit room, and parents get sessions of their own. By video, the camera can stay off.

Who it is for
Better to know before you book, so no one loses time.
Who comes
Teens and adults on their own: we can suggest colleagues.
What we do
Medication: a pediatrician or another prescriber handles that.
Evaluations
A diagnosis or a school evaluation comes from an evaluation clinic or your pediatrician.
When
A crisis: call or text 988, or call 911. We are not an emergency service.
Who comes
Children from 5 to 12 with a parent or guardian, and parents on their own.
What we do
Talk and play at your child's pace, with a word for the parent after each session.
Evaluations
We do not diagnose or test. We work with what you already know about your child.
When
A planned session each week or every other week, in the room or by video.
Your clinicians
Both see children and parents. Both explain how they work before you decide anything.

Kimiko works with children through play and talk, and meets parents on their own to plan what helps at home. She set up the room herself, from the lamp to the rug.

Arash sees children and parents, in the room and by video. He keeps sessions slow, with one thing at a time and a clear end.
Services
Child sessions last 45 minutes and parent sessions 50. Your clinician sets the pace, and we do not promise a number of sessions.
Children from 5 to 12, with a parent's written consent.
Play and talk in the room. A parent can wait nearby or sit in.
From home, with the camera on or off. Your child can talk while drawing or playing out of frame.
Without your child, to plan what helps at home and at school.
Mornings, meltdowns that are really exhaustion, bedtime, school meetings: you bring the list.
Parents and siblings together, when your clinician thinks it fits.
The room
Many of our children do better when they know what the room is like. This is the guide families get before a first visit.
Lamps and daylight through sheer curtains. No fluorescent tubes, and you choose how bright it is.
Cushions, rugs and curtains soften the echo. The door closes quietly and no music plays unless your child asks.
Armchairs, floor cushions and a table. Sit, lean or stand; no one asks you to sit still.
A basket of fidgets and textured balls within reach. Take one, put it down, ask for another.
Blocks, paper and crayons, laid out the same way each visit so nothing changes unannounced.
By video, the camera can stay off for the whole session. Your child can talk, draw or play out of frame.
How sessions from home workThe answers to what nearly every parent asks before a first session.
Hush is out of network with insurance plans, so you pay for each session yourself. We do not take Medicare or Medicaid. If you want a clinician who bills your plan, we will gladly give you the names of colleagues.
Out of network with insurance plans
No Medicare or Medicaid
You pay at the end of each session by card, including HSA and FSA cards. Your clinician gives you the fee in writing before you start. A limited number of reduced-fee spots are open; ask how to request one. We ask for 24 hours' notice to change an appointment.
Each month we give you an itemized receipt (a superbill) with the dates and kind of session, to send to your plan, which may reimburse part of out-of-network care. It carries a diagnosis code your insurer can see. Your plan decides whether it pays anything, so ask it before you start.
If you pay without insurance, you have the right to receive a written estimate of what your care will cost before you start. We give you one before the first session. If the final bill is $400 or more above the estimate, you can dispute it. The estimate is not a contract.
Your rights, at cms.gov/nosurprisesWe do not check benefits, because we do not bill your plan. If you want to know whether your plan reimburses, call it before the first session and ask about out-of-network mental health services for a child.
By video
By video we see families in states where we are licensed: today, Nevada. Your child and you must be in Nevada during the session.
If you are outside Nevada during the session, we cannot see you yet. We will help you find someone licensed where you live.
Licenses
Each clinician's license number is in the footer, with the board where you can check it.
Kimiko Tamura, Licensed Clinical Social Worker (LCSW)
NV Lic. # 000000 · Nevada State Board of Social Work Examiners
Required to practice therapy in Nevada
Arash Hakim, Licensed Marriage and Family Therapist (LMFT)
NV Lic. # 000000 · Nevada Board of Examiners for Marriage and Family Therapists and Clinical Professional Counselors
Required to practice therapy in Nevada
Questions
Hush is out of network with insurance plans. You pay for each session yourself, and we give you an itemized receipt in case your plan reimburses part of it. We do not take Medicare or Medicaid.
It lasts about an hour. You talk with your clinician first, while your child settles in or waits in the quiet corner. Your clinician explains how they work, the limits of confidentiality and the possible risks and benefits of therapy. At the end, you decide together whether to continue.
No. We do not diagnose or test. We work with what you already know about your child. If you are still looking for an evaluation, we can help you find a clinic that does them.
Yes. The camera can stay off for the whole session, and your child can talk while drawing or playing out of frame. If your child wants it on later, that is also fine.
A parent or legal guardian signs consent before every child's first session. Your clinician explains Nevada's rules in writing. We see children from 5 to 12; for teens we can suggest colleagues.
Call or text 988, any time. In an emergency, call 911. This site and our messages are not monitored around the clock, so do not use them to reach us in a crisis.
Read the guide, then write to us and tell us what helps your child. We reply within one business day.
Write to us
We reply within one business day, by the method and at the time you choose.