Anchorage, Alaska
Fathom is a trauma therapy practice for adults who cannot hold a weekly hour: a rotation, a long drive, a season that takes over. You meet for three hours at a time, after a preparation call, with a plan for the days that follow.
Which pace fits
Both are real ways to do this work. Fathom starts with blocks, and offers weekly or monthly sessions when those suit you better.
| Blocks | Weekly sessions | |
|---|---|---|
| Schedule | BlocksThree hours at a time, on days you choose | Weekly sessionsOne 50-minute session, the same day each week |
| Often chosen by | BlocksPeople on a rotation, outside town, or with a season that takes over | Weekly sessionsPeople whose week can hold a standing appointment |
| Getting ready | BlocksA preparation call, then a written plan for the hours after a block | Weekly sessionsPreparation happens inside the first sessions |
| Between meetings | BlocksWeeks may pass, with a short follow-up in between | Weekly sessionsSeven days, and the next session |
| What it asks of you | BlocksA clear half day, and rest after it | Weekly sessionsA regular hour, week after week |
Services
Everything else Fathom does is there to prepare a block or to carry it forward.
Three-hour blocks of EMDR, with grounding at the start and a closing plan at the end.
How a block runsSlow, body-based skills for steadying yourself: where you look, how you breathe, how fast you go.
About somatic workA 50-minute check-in after a block, in person or by video, to look at how the days went and what comes next.
About follow-upsWho you meet
Lan is a licensed clinical social worker in Alaska. She started Fathom for adults whose weeks never leave room for a standing appointment.
You talk with Lan from the preparation call to the last block. Emmett Redmond, who works under her supervision, leads the follow-up sessions, so the person who knows your plan is the person you see afterward.
EMDR training through an EMDRIA-approved program
Training in somatic approaches to trauma
Adults 18 and older
Lan Dang
Founder and therapist
How it works
Four steps, in this order. You can stop and ask questions at each one.
Fifty minutes by phone or video. You decide how much history to share. We talk through your supports and what a block asks of you.
Three hours with breaks. We ground first, work in short rounds, and end with time to settle before you leave.
A written plan for the evening and the next day: food, rest, who to be near, how to reach us.
A short check-in after each block. Then you and Lan decide whether another block, weekly sessions or a pause fits.
Your first session
Where we practice
Many people come to Anchorage from across the state. We schedule blocks around your travel, not the other way round.
Blocks start at 9 a.m. or 1 p.m. There is parking behind the building.
Get directions to Fathom, Spenard officeWhat most people ask before booking a preparation call.
Fathom is out of network with insurance plans. You pay for each preparation call, block and follow-up yourself, and we do not bill your plan. We do not take Medicare or Medicaid. If you would rather see a clinician who bills insurance, we will gladly give you the names of colleagues who do.
Out of network with insurance plans
No Medicare or Medicaid
What you pay depends on what you book: a preparation call and a follow-up are 50 minutes, a block is three hours, and a package is blocks booked together. We give you your fee in writing before you start, so you hear it before you commit to anything. You pay by card, including HSA and FSA cards: at the end of a call or a follow-up, and at the end of each block. A package is paid when you book its first block. A small number of reduced-fee blocks are held back each year; ask how to request one.
Each month we give you an itemized receipt (a superbill) with the dates and kinds of service, to send to your plan, which may reimburse part of out-of-network care. The receipt carries a diagnosis code your plan can see, and your plan decides whether it pays anything, so ask it before you start.
If you pay without insurance, you have the right to a written Good Faith Estimate of what your care will cost, before you start. We send you one before your preparation call and update it if your plan changes. If the final bill is $400 or more above the estimate, you can dispute it. The estimate is not a contract.
We do not check benefits, because we do not bill your plan. If you want to know whether yours reimburses, call it before you book and ask about out-of-network mental health benefits: how much, and whether a deductible comes first.
Questions
Fathom is out of network with insurance plans, so you pay yourself and we do not bill your plan. We do not take Medicare or Medicaid. If your plan reimburses out-of-network care, the monthly receipt we give you is what you send it.
If you pay without insurance, you have the right to receive a written estimate of what your care will cost before you start. We send you one before your preparation call. If the final bill is $400 or more above the estimate, you can dispute it. The estimate is not a contract. You can read about your rights at cms.gov/nosurprises.
It is a 50-minute call by phone or video, before any trauma work. We talk about what a block asks of you, what supports you have, and the risks, and you decide how much of your history to share. At the end we decide together whether a block fits, and when.
A block is three hours, with breaks. Some people book blocks weeks apart and some on back-to-back days. Your clinician sets the pace with you after the preparation call, and there is no set number of blocks. Weekly or monthly 50-minute sessions are an option too.
Lan and Emmett are licensed in Alaska. We see you in person in Anchorage, or by video when you are in Alaska at the time of the session. If you live in another state and will not be in Alaska, we can't see you, and we are glad to help you find someone.
What you tell us stays between you and us, with limits the law sets: a risk of serious harm to you or someone else, abuse of a child or of a vulnerable adult, and a court order. We explain them in writing before you tell us anything, and we keep your records private and share them only as the law allows.
Tell us when you can talk and how. We reply by the way you choose.
Write to us
Keep the message to scheduling. Your history comes later, at your pace, in the preparation call.