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Welcome to my practice!

By now I hope you have gotten an idea of who I am and how I practice. Perhaps you have decided I am a good fit for what you are looking for. My clients are highly motivated people who want to move toward change and create personal and relational success in their lives. I look forward to meeting with you and supporting you toward your goals!

My practice is located in a restored, historic building in the picturesque Bankers Hill neighborhood near Balboa Park. Clients often stroll through the park after sessions or visit the numerous restaurants and coffee shops in the area.

How long is each session?
I provide both 50 minute and 80 minute sessions depending on the intensity of treatment desired. For couples and families, I recommend 80 minute sessions when possible to most effectively address the needs of each participant. For those seeking EMDR therapy, extended sessions of 80 minutes can allow for deeper processing.
How many sessions do I need?
We decide together. It depends on the intensity of symptoms or issues you are seeking to resolve. I can provide brief, solution-focused treatment to address moderate issues in 6-10 sessions. These sessions are usually focused on skill building and problem solving of present issues. We can also delve into deeper emotional or relational issues that may need longer term therapy to adequately address. We will decide together when you have reached your goals and when it is a good time to end treatment.
How often do we meet?
We decide together. Initially, it is beneficial to meet on a weekly basis in order to facilitate movement toward your goals. As progress is made, biweekly sessions or meeting every 3 weeks may be a better fit for you. If finances are a barrier, we can determine together how often you are able to come in.
What days of the week do you work?
I have office hours on Sunday, Monday, Tuesday, Wednesday and Thursday for both day and evening appointments.
How do I know if you are the right therapist for me?
Finding the right therapist is an important step in reaching your goals. I provide a free 15-minute phone consultation prior to setting up a first visit, so you can ask me questions and hear my feedback in how we may work together to address your needs. If I believe I am not the right therapist for what you are looking for, I will give you referrals to one that may be a better fit. I also understand that sometimes it may take a few sessions to determine if I can meet your needs. I will check in with you periodically to ask what is working or not working in our sessions together in order to tailor each session to best meet your goals. I welcome all feedback!
What is your fee for psychotherapy?
Initial phone consultation: FREE
Individual, Couple or Family Therapy (50 minute sessions): $150
Individual, Couple or Family Therapy (80 minute sessions): $225

Paying out of pocket for therapy rather than using insurance benefits can be advantageous for several reasons:
1. In order to bill insurance, I must give you a mental health diagnosis after the first session. If your symptoms do not fit the severity of a mental health diagnosis, I must give you one anyway. For youth seeking military service in adulthood, this could pose a barrier to enlisting.
2. Insurance determines the length of each session (45-50 minutes) and how many sessions we can meet. Each person is unique and requires a tailored treatment plan and insurance makes that more challenging.
3. Many insurance plans only allow face to face sessions usually one time per week. I often provide teletherapy via the phone or videoconferencing when clients are unable to come into my office for any reason. Stressors or crisis’ do not always happen on a preset time table and having the flexibility to schedule sessions when, how often and from where you want is important.

What is your fee for consultation and trainings?
Initial phone consultation: FREE
Individual and group consultation- 1 hour $150
Individual consultation- 30 minutes $75
Reduced rates for additional hours and packages to meet your specific needs are available upon request.

Trainings and workshops: Fees vary according to length, travel and materials. Packages are available for those interested in ongoing, comprehensive trainings.

Scheduling: Consultations, trainings and workshops are available by request for day, evening and weekend appointments. I also provide individual or small group consultation via phone or video conferencing for people anywhere in the United States and other countries.

What is your fee for clinical supervision?
Initial phone consultation: FREE
Clinical supervision: 1 hour $150
Reduced fee for groups depending on number of participants
What forms of payment do you accept?
Cash, check, Visa, MasterCard, American Express, FSA, HSA, and NFC mobile payments.
Do you take insurance?
I am an in-network provider for: Tricare West.

If you have a PPO insurance plan not listed above, you may receive reimbursement for my services depending on your out-of-network provider benefits. Upon payment after each session, I can provide you with a bill which you can submit to your insurance for reimbursement. Because coverage will vary based on your plan, I recommend you call your insurance provider and ask the following questions prior to your first appointment:
• Do I have mental/behavioral health insurance benefits?
• What are my out-of-network provider benefits for mental/behavioral health services?
• What is my deductible and has it been met?
• How many sessions per year does my health insurance cover?
• What is the coverage amount per therapy session?
• Is approval or pre-authorization required?

What are your cancellation and missed session policies?
Cancellations and missed sessions will be charged at my full rate of $150 per 50 minute session and $225 per 80 minute session if NOT RECEIVED AT LEAST 24 HOURS IN ADVANCE. This is necessary because a time commitment is made to you and is held exclusively for you. This is not a fee that is covered by insurance. For those using your insurance, the missed session and late cancellation fee is billed at the rate your insurance reimburses me for my sessions with you. We will discuss this rate at our first session together.
Do you provide teletherapy?
Yes. I provide teletherapy through an online, secure video conferencing platform in which I can bring my office to you. Teletherapy can be beneficial for those who cannot find a therapist in their area with my specialties or for current clients who prefer the convenience of meeting with me in the comfort of their own home or whose scheduling or childcare needs change last minute. Additionally, clients who are homebound for a period of time due to health issues, may choose to have sessions online. I do not hold sessions online for clients seeking insurance reimbursement. Only fee for service sessions apply. For those seeking to explore EMDR online, a tablet or computer is needed to most effectively use bilateral stimulation.

Please note that I can only provide teletherapy to California residents who are residing in California at the time of therapy.

I also provide individual or small group consultation via phone or video conferencing for people anywhere in the United States and other countries.

How do I make an appointment?
If, after your free 15-minute phone consultation, you decide that I may be a good fit for you, we will set up our first appointment. I will send you an email with a link to my online client portal in which you can access and sign my practice forms and consents electronically prior to our first visit.
What is the secure client portal?
All forms and records are kept online in a secure EHR (Electronic Health Record) system which gives you immediate access to any billing and payments records. For those using their insurance for which I am an in-network provider, I file all insurance claims electronically through this EHR for you. Clients who have insurance in which I am not a provider and wish to use your out-of-network benefits, you can access any claim forms through your client portal for submission yourself for reimbursement.

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