What does therapy cost?

Therapy is an investment in the most important thing in the world- yourself. It takes courage and strength to decide that you are ready to change your life. The cost of therapy is also much, much less than the average cost of a divorce in California (even an amicable one!) and I highly recommend seeking couples therapy or marriage counseling as a first choice option.

My rate is $175 for individual and $200 for couples per session. Sessions are usually held for 50 minutes one time per week. Some couples wish for longer sessions, and we can schedule those 90 minute sessions at a rate of $250 per session. I also offer in-home therapy services for those who are unable to make it into the office (such as mothers with young babies) for an additional travel fee.

Payment is due at the time of each session. I am able to offer a limited number of sliding scale fee appointments during my daytime hours for those who are dedicated to growing their future, but may not be able to afford therapy.

Your commitment to therapy will reserve your time slot each week, and I set aside your appointment time as a special time just for you. If you have a scheduled appointment and do not cancel within 24 hours, you will be charged the full cost of the session.

Is therapy confidential?

Yes! Absolutely. Therapy is confidential and I will not share information outside of the room. However, there are legal and ethical mandates that sometimes require me to share information outside of the room. These are as follows

1. If I believe that you are going to seriously harm yourself or if you have threatened to harm someone else.

2. If any current or past abuse or neglect of a child, elder, or dependent adult is disclosed. I am a mandated reporter and I have to report this information to the appropriate authorities to investigate.

3. If I am required by a Judge or a court to provide my notes or documentation.

There are also times when you may wish for me to communicate with other people about your treatment. I cannot do this without your written consent. In the instance that you would want me to speak with your doctor or past therapist, I would discuss this in detail with you before allowing you to decide whether you would like to provide written consent for me to do so.

Do you accept insurance?

I am not paneled directly with any insurance companies due to the restrictions in mental health coverage. I want to provide the best possible services to you, and being out-of-network is how I have managed to do that.

I can provide superbills for out-of -network coverage for PPO plans. Each individual plan varies greatly, but I am willing to work with you to see if we can get you some coverage for mental health plan benefits. Lets explore your options!

Why don’t you take insurance?

Most insurance companies don’t cover true couples therapy. The content of what I work on most (communication, changing relational patterns, etc) isn’t covered.

1. Insurance companies only cover mental illness. They define very tightly what they see as “illness” and they will cover only that (depression, anxiety, adjustment, for example). They do not cover “wellness” promoting services such as couples therapy. Insurance only pays to cure a sickness. In some cases, the therapy that we do might be focused around one partners diagnosable mental health condition and we can submit that to insurance for reimbursement. I’d be happy to chat in detail about this with you over the phone before you begin.

2. Time for therapy. When you use insurance, they will dictate most of your treatment. They decide how long session last, how long you can receive treatment, and when they will stop paying. I think that sucks, and I don’t agree with it on a fundamental level. I find it more beneficial for my clients and I to work together to decide what therapy should look like for them. I offer 45, 50, or 80 minute sessions. I will provide services for as long or as little as the presenting problems need. Sometimes this is a few weeks, other times it is much longer and more intensive. I want you to be able to make that decision and NOT your insurance company.

3. I protect your privacy. When you use insurance, you are agreeing to give the insurance company access to your confidential therapy records. Therapists are highly trained (and legally and ethically bound) to keep your information private. I take this very seriously and I don’t feel comfortable submitting my private notes from our sessions to your insurance. Once your insurance has these notes, they are no longer in my control and I have no way of knowing what they do with them. I want you to have the freedom to discuss with my anything that you want, and I will make clear to you when information I can protect and what I would have to share by law (safety concerns).