What to Expect

In-Person & Telehealth Services

I offer both in-person therapy and telehealth psychotherapy to clients physically located in the state of California at the time of the session.

Telehealth services are provided via a HIPAA-compliant platform and follow all applicable California laws and professional standards. Telehealth may not be appropriate for all clinical situations, and this can be discussed as part of informed consent.

Appointment Scheduling & Cancellation Policy

Therapy appointments are reserved specifically for you. If you need to cancel or reschedule a session, 48 hours’ advance notice is required.

Appointments cancelled with less than 48 hours’ notice, as well as missed appointments (“no-shows”), will be charged the full session fee, except in cases of emergency, at my discretion.Insurance & Out-of-Network Services

I am not contracted with insurance companies and am considered an out-of-network provider.

If you have a PPO or other health insurance plan that includes out-of-network mental health benefits, your sessions may be eligible for partial reimbursement. I do not bill insurance directly; however, I can provide documentation to support your reimbursement request.

Coverage and reimbursement rates are determined solely by your insurance provider, not by this practice.

Fees

The fee for psychotherapy services is $185 per 50-minute session.

A sliding scale may be available on a limited basis and can be discussed upon request. Any fee adjustments are determined collaboratively and based on availability.

Payment is due at the time of service unless other arrangements have been made in advance.

Superbills

Upon request, I can provide a monthly Superbill at the end of each month. A Superbill is a detailed statement of services that you may submit to your insurance company for potential reimbursement.

While I am unable to guarantee reimbursement, I am happy to provide general guidance if you are unfamiliar with submitting out-of-network claims.

Questions to Ask Your Insurance Provider

To better understand your benefits, consider asking your insurance company the following:

• Do I have out-of-network mental health benefits?

• What is my annual deductible, and has it been met?

• How many psychotherapy sessions are covered per year?

• What is the reimbursement amount per session?

• Is a referral required from my primary care physician?

Confidentiality & Privacy

Confidentiality is a fundamental part of psychotherapy and is protected under California law and the Health Insurance Portability and Accountability Act (HIPAA). Information disclosed in therapy will not be released without your written authorization, except as required or permitted by law.

We will review the limits of confidentiality as part of the informed consent process.

Legal Limits to Confidentiality

Under California law, I am required to breach confidentiality in the following circumstances:

• Suspected abuse or neglect of a child, dependent adult, or elder must be reported to the appropriate authorities.

• Threat of serious bodily harm to others. If a credible threat is made, I may be required to notify law enforcement and/or the intended victim (duty to protect).

• Danger to self. If you are at risk of harming yourself, I will make reasonable efforts to work collaboratively with you to ensure your safety. If necessary, additional protective steps may be taken as permitted by law.

Outside of these circumstances, all information shared in therapy remains confidential.