Frequently Asked Questions

+ How much do sessions cost?

My full fee is $195 for a 50-minute therapy session. You can pay with cash, debit/credit cards (Visa, Mastercard, Discover, American Express), and FSA cards. I offer a convenient, secure auto-pay option for credit and debit cards.

+ Do you offer a sliding scale or reduced rates?

Because it's important to me to make long-term therapy more accessible to marginalized communities, I reserve a certain number of reduced-fee spots in my practice for clients unable to afford my full fee who identify as trans, gender-nonconforming, and/or QTPOC (queer and trans people of color).

At this time, my reduced-fee spots are filled. Because I work long-term with my clients, I don't keep a waiting list for reduced-fee openings. If you need lower-fee therapy, please visit my list of recommended low-fee psychotherapy clinics.

+ Do you take insurance?

I'm considered an out-of-network provider by insurance companies, so I don't bill any insurance companies directly on your behalf. I can provide a statement (also called a superbill) at the end of each month that you can submit to your insurance company for possible reimbursement. You'll still need to pay in full at the time of our sessions. If you'd like a superbill for sessions, please let me know at the beginning of our work together.

You can also use an FSA (flexible spending account) to pay for, or be reimbursed for, therapy sessions, regardless of whether you seek reimbursement from your insurance provider. Check to see whether your employer offers an FSA option. This allows you to pay for therapy with pretax dollars, which can amount to a significant discount.

+ What will our sessions be like?

We'll meet once or twice a week in my office for 50-minute sessions.

In the first few sessions, I'll ask you about what's bringing you into therapy, and we'll talk about the major areas of your life, both past and present: work, romantic relationships, friendships, family, and significant events.

Once we've gotten a rough sketch of the landscape of your life, I'll invite you to let yourself share whatever comes up for you in the moment as we talk: thoughts, feelings, memories, physical sensations. We all do a lot of self-editing in our day-to-day lives, and the things we edit out usually contain important information about our deep selves. Therapy is a place to practice being radically honest about what's happening inside so that you can start living a more authentic life.

Sometimes I incorporate mindfulness exercises and guided meditations in session. I may also suggest homework assignments or what I like to call "experiments" for you to try between sessions. All of these activities are meant to be explored with curiosity, to see what happens when you try something new. The only way to fail here is to not take small risks, both inside and outside of our time together.

+ How long will it take before I start feeling better?

Many people experience a new sense of hope and relief within a few sessions, as they get a glimpse of what could be different. Often, the experience of knowing you have a skilled, compassionate ally by your side, helping you hold your struggles, can begin to subtly shift what feels most difficult in your internal and external worlds.

At the same time, therapy will open up difficult feelings as we start to grapple with what's been holding you back. There's really no getting around this hard part of the work, but it's absolutely worth it.

Within the first six months, you'll likely experience some important shifts in the ways you're showing up at work, in your significant relationships, and with yourself.

If you want to accelerate the process and see results more quickly, it's worth considering coming to therapy twice a week.

Ultimately, how quickly you'll see changes has a lot to do with how much work you're putting in between sessions. Think of it like learning a new language: it's really hard to make much progress putting in just one hour a week. Practicing skills and doing your homework between our meetings is an essential part of getting the most out of therapy. Therapy is an investment in your own healing and growth, and, as with so many things, what you'll accomplish is in direct proportion to how much you put in.

That being said, I also invite you to take your time with this process and not push yourself beyond your limits. Sometimes going slow is the only way to get where we want to be.

+ Can I see you every other week, or once a month?

In my experience, people don't get the full benefit of therapy—deep insight and the ability to make lasting transformations in their lives—when they come to therapy less often than once a week. If we agree to work together, I will commit to doing my best work with you, and that requires that we both commit to weekly therapy sessions that will allow us to build the trust, familiarity, and continuity that create space for real change.

+ Are my sessions confidential?

Yes, the law protects your participation in therapy and all the content of your sessions as confidential. BUT there are three important exceptions where I'm legally and ethically required to break confidentiality: if I reasonably suspect that 1) a child or elderly person is being abused; 2) there's an imminent risk of your physically endangering the life of another person; or 3) you may be at imminent risk of endangering your own life.

If you're worried that any of these situations might arise in the course of our work together, please mention your concern to me so we can figure out how to proceed.

+ Do you offer couples/relationship counseling?

No. While much of the work I do with clients centers around themes and issues that arise in intimate relationships, at this time I work only with individuals.

If you're looking for a therapist to work with you and your partner(s) together, please take check out my list of recommended therapists.

+ How soon can we start?

If you're eager to start ASAP, the quickest way is to schedule a free 20-minute phone consultation. If we're a good match and our schedules line up, I'll usually be able to schedule your first session within the week. I look forward to getting to know you!

Ready to get started?

More questions? Feel free to email me or call (510) 842-0746