Frequently Asked Questions

How much do sessions cost?

Standard 45 minute sessions are currently $190. Intake appointments are $300. Other services are prorated based on the standard session fee. Your credit card will be billed after each session. Rates are subject to change.

Do you take my insurance? 

Like most private practice therapists in San Francisco, I am an out-of-network provider. This means I don’t bill insurance companies directly. However, if you have PPO insurance, you may be able to use it to help with the cost of your therapy. Many of my clients receive insurance reimbursement for their sessions. If you’d like to do so as well, contact your provider to learn about the specifics of your coverage. I suggest you check in and get your coverage information before we meet

Here are some questions to ask to help determine your coverage:

  • Do I have out of network mental health benefits?

  • Do I have a deductible? If so, what is it and have I met it yet?

  • Does my plan limit how many sessions per calendar year I can have? If so, what is the limit?

  • What is the amount I would be reimbursed for an out-of-network psychotherapy session?

  • Do I need written approval from my primary care physician in order for services to be covered?

How does insurance reimbursement work?

Your credit card will be billed following each session. At your request you’ll receive a superbill/insurance-ready receipt monthly by email. You’ll be able to access past superbills at any time through my secure client portal. You’ll send the receipts to your carrier and they’ll process your claims. Contact them directly for details including authorization and coverage.

What is your cancellation policy?

Cancellations must be made at least 24 hours in advance. Late cancellations and no shows are charged the full session fee. You can reschedule or cancel sessions through the client portal, by email or phone. 

How do you work with parents?

I meet regularly with a parent or parents to discuss their child's progress and their concerns. For example, I typically meet monthly with a parent or parents of children who are in elementary school. Speaking with a parent or parents between sessions is common. Sometimes a parent or parents may join in a child's therapy session or part of a session.

For young children, counseling usually involves a lot of collaboration with parents - checking in with one another, comparing notes, sharing ideas and progress updates. The amount and form of the parent consultation piece of counseling changes as children develop. It is individualized for each client.

As children leave elementary school and enter middle school and beyond, issues of privacy change developmentally. The parent consultation part of my work adapts accordingly. If your child is in middle school or older we will speak about how developmental considerations, including children's evolving sense of privacy and autonomy, impact the parent role in counseling.

Therapy with teens usually involves less parental involvement, although parents are still kept informed about their child's progress and are welcome to share feedback and concerns. With adolescents, it often works best if they play an active part in the therapist selection process. Parents may select a handful of options and go over with them with their adolescent, giving them the options to meet with a few to see who they feel most comfortable with. This can help a lot with buy-in and is age appropriate as well. 

It is my goal to establish a safe therapeutic environment for my young clients while also developing collaborative relationships with their parents. As a parent, you can expect that you will be informed of the treatment plan, progress toward goals, and situations regarding risk or harm. I will speak with your child about this (as age and developmentally appropriate) and encourage you to discuss it with him or her as well.

How do you work with schools?

Links between social/emotional or behavioral concerns and learning/school-related issues are common. I’ll want to see you child’s recent and current report card and any relevant test results. As appropriate I may ask to speak with school staff such as your child's teacher(s), school counselor, school psychologist and/or principal/school head. With younger children who are having issues at school I sometime do school observations.