My standard rate is $200/50-55 minute session for individuals, and $225/75 minute session for couples.

Please see the reduced fees question for more information about my sliding scale. When clinically appropriate, biweekly sessions can also be used to offset monthly costs.

Yes! I reserve ~33% of my caseload for clients who can't afford the full fee. I also offer biweekly scheduling, which can help reduce monthly costs.

For my sliding scale, I use a tiered system with three reduced rates. Here’s the profile of an individual client at each of these rates:

• $150/session: Stable income, but limited discretionary spending that makes $200 slightly out of reach.

• $125/session: Full session fees would create an ongoing financial strain. People who have income volatility may fit here. (Freelancers, working part time, etc.)

• $100/session: Reserved for genuine financial hardship— underemployed, fixed income, etc. I typically reserve these slots for clients with significant need who also are in a population I specialize in working with.
  

Because my reduced fee slots are limited, I cannot guarantee one will be available. It’s also worth nothing that if you have a PPO, you can request a superbill to reduce your session costs.

Please note that my reduced fee slots are currently full. I will update this page should they become available. If you are still interested in working together, but can’t afford weekly sessions, biweekly may be a good fit, provided it is clinically appropriate. We can discuss this further in our consult call.

I don't have to tell you how frustrating navigating the healthcare system can be. You already know. As a provider, it gets even worse. Insurance companies require a diagnosable mental health condition within very specific parameters and can dictate session frequency and treatment length. They have the right to engage the therapist in long audit processes in which your records are reviewed in detail, creating a real disruption to care. Clients whose plans change or who have to switch insurances typically end up switching providers, leading to a gap in their care, often when the work is starting to really get good. As a clinician and a person, I'm not a fan of clients being at the mercy of decisions made in the interest of a corporation.

There's also the practical reality. I'm a solo practitioner without the support of a seasoned medical biller or administrative staff. Taking that burden on would mean increasing my workload and overhead in a way that would take the focus away from providing quality care. And, to be honest, I've personally worked at a practice where the insurance panel refused to raise clinician reimbursement rates for over seven years. I want my focus to be on helping people, not navigating a bloated, ineffective bureaucracy.

Offering superbills allows me to provide services that you can get reimbursed for without compromising on your care. Audits can and do happen with superbills, but the treatment length and frequency isn't shaped by insurers in the same way. While I can't serve everyone effectively this way, it's the best I can do in the confines of a deeply broken system.

I'm happy to provide a superbill, which is a detailed receipt with the diagnostic and procedure codes your insurance needs to process an out-of-network reimbursement claim. Each month, I'll send a superbill reflecting your sessions, which you then submit through your insurance's online portal or by mail.

Reimbursement amounts vary widely depending on your specific plan, and HMO plans typically don't offer this kind of reimbursement at all. In some cases, reimbursements can be rescinded by the insurance company. I'd recommend calling your insurance company before starting to ask about your out-of-network mental health benefits, so you know what to expect. My intake forms include a detailed document about this process, but if you want that information up front, just ask. I'd be happy to send it over.

My practice is currently telehealth-only. I find that for a lot of clients, the convenience of meeting from home actually supports the work. California law allows me to see you anywhere in the state as long as you're physically located here during our sessions, so those who have busy lifestyles can fit therapy in more easily.

That said, in-person care is better for some individuals. If that’s you, I recommend searching for someone that can provide in-person care.

How long therapy should last is a hotly debated topic. How long it actually lasts is another matter. I think the most true answer is that it depends on your history and goals. While there are shorter forms of therapy, typically clients who come to see me are looking for deep transformation and ongoing personal development work. We're recognizing patterns, slowly changing behaviors, and integrating a new identity not rooted in old wounds. And that takes time.

Most clients who come in with deep complex trauma typically stay with me for 1.5-3 years. Not all of that is weekly sessions— as you learn better coping we transition to biweekly or, in some cases, monthly work. For clients who are more personal development oriented, the time frame varies more widely. With all my clients, I do regular check-ins to make sure we're utilizing our time together in a way that suits you. In fact, you'll often hear me start session with the question: how can we best use our time together today? That's the goal: meeting your goals, however long that takes.

All that said, couples are an exception. In general, couples work will last 6 months to a year. With couples, we’re more focused on enhancing understanding and building communication skills. That’s typically shorter-term work.

We can't know until we know, but I try my best to bring my authentic self into all aspects of my work. If the way I write and talk on this site resonates with you, that's usually a good sign. A consult call (free of charge) is a good next step.

I'm also not the right fit for everyone, and that's okay. If you're looking for a highly structured, skills-based approach without much room for the relational or exploratory side of things, you might be better served elsewhere. Sometimes we even have a few sessions and determine we're not a good fit for one reason or another. That's okay too, and we'll explore it from a clinical lens before moving on.

Note that when I use the word crisis, I'm referring to circumstances that affect your physical safety. Could be active suicidal ideation or severe self-harming behaviors, active addiction/withdrawals, or conditions severe enough to be impacting your sense of reality or ability to perform basic tasks such as leaving your house or holding a job.

If you fall into this category, you likely need more than a single individual can provide. Community mental health agencies are typically set up with crisis support and a team of providers that can serve you should someone become available. As a solo practitioner, I'm not able to provide that— or even to guarantee I have an extra slot available during the week.

If you're working through something difficult but aren't in immediate danger, we can absolutely talk about it in our consult call. Your difficult experiences are more than welcome. I just want to be upfront about the limits of outpatient telehealth care so you can find the right level of support.

If you are in crisis right now, please call or text 988 (Suicide & Crisis Lifeline) or go to your nearest emergency room.