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Therapy FAQ


How much does therapy cost? 
My fee for individuals is $150/per session (sessions are usually 50 minutes). If you're interested in either couples or family counseling, I recommend 1 1/2 hour sessions (90 minutes) every other week. My fee for couples and families is $225 for the 1 1/2 hour session. 

Depending on need and availability, I offer a sliding scale, so please call to discuss. 

Do you take insurance? 
I do not take insurance. Since I am a licensed therapist, I can provide you with a statement that you can take back to your insurance company for reimbursement. 

Wow, Tess, therapy is expensive and you don't take insurance, why should I choose you?

Glad you asked. After you saw my rate maybe your stomach dropped or maybe I'm the 6th therapist in the Bay Area you've researched, so my rate is not terribly shocking.

I want to explain why I charge what I charge and why I made the choice not to take insurance. I took insurance briefly during my career and it created only headaches and anxiety for me (and I'm supposed to be the sane one!).

Ultimately, I was spending so much time on the phone dealing with insurance companies that I didn't have time to focus on my clients and doing the things I need to do to insure you get the best care.

If I recommend a book to you, I've read it. If I recommend a podcast, I've heard it. Most of my free time is spent learning, growing and expanding my knowledge base.

In addition, if you have an emergency and need to talk to me in between sessions, I'm happy to arrange time to talk with you (even on a weekend because that's usually when emergencies occur) and I don't charge you. If we e-mail in between sessions, I don't charge you. If I consult with a former therapist or a psychiatrist, no charge.

At the end of the day, I'm here to help you feel better. I'm not here to "nickel and dime" you every step of the way. If you're my client, I'm here for you. OK - back to the FAQ.

How long are the sessions?
Individual sessions are typically 50 minutes long and couple/family sessions are 90 minutes. I sometimes run over but I never charge for that, unless we agreed to have a longer session.  

Do I have to come in weekly? 
I do not require that people come to therapy weekly. I want to meet you where you are at, not only emotionally, but also in terms of how you want to structure therapy/coaching. I usually recommend couples come in every other week because I want to give you both time to work on your homework. (Did I lose you at homework? Don't worry it's not like school. It's work you'll want to do.)

How long will we work together?
I completely understand that therapy is expensive and that life is busy and complicated. After the first session I am usually able to say how often I think we would need to meet to in order to meet your specific goals. I never recommend more therapy/coaching than what is truly needed.   

Do we have to meet in-person?
If you are struggling with a busy schedule, privacy concerns, or the stress of meeting face to face, online or telephone counseling are the best solution.  Research has shown that online therapy can be just as effective as face-to-face counseling. You may want to consider online therapy if you struggle with:

  • A busy work or family schedule
  • Social anxiety
  • Need an adjunct to individual therapy when you need extra support and guidance

In addition to your in person sessions, I am happy to provide telephone and/or email sessions which can be a convenient way to receive personal and effective treatment in your home or office. Emails are always highly encrypted to protect your confidentiality.

What is required of me?
Great question! This is how I look at it - let’s say you sign up to meet with a personal trainer at your gym once a week for an hour. If that’s all you do, you probably won’t see major results. You might lose a pound or two and you may be a little more toned, but you probably won’t look like Kate Hudson in yoga pants.

Now let’s say you sign up with that personal trainer, go to the gym and workout on your own 3-4 days a week and change your diet. Then, you will see changes. Therapy works the same way. It’s up to you to practice the tools and techniques we discuss to manifest the change you want in your life.

What is the difference between therapy and coaching? 
Therapy is a practice within the field of psychology that often includes diagnostic approaches to treatment according to the Diagnostic and Statistical Manual of Mental Disorders (DSM). Therapy is appropriate to help move you from a state of dysfunction to function, and as a general rule focuses on exploring the past as a way to manage your emotions in the present. Anyone can benefit from therapy to work through issues of grief, trauma, depression, anxiety, to name a few.

Coaching offers a different approach. Coaching can help guide personal development to help you work through present and future goals and life changes. Coaching is a dynamic process, like therapy, but the coach is more directive than therapy. Coaching can help anyone find direction and the strength to take action in their lives. 

Feel free to contact me for a consultation to determine if therapy or coaching is right for you. 

On Social Media and Confidentiality
I post thoughts, notions and news on social channels to help my clients find inspiration and guidance in their daily practice.

Please note that in order to protect your confidentiality and maintain the boundaries of our relationship, I do not accept "friend requests" or invitations to connect on social media from my clients.

You are welcome to like or follow me on social media and share my posts if you want. Just know that in so doing you may be exposing our client-therapist relationship to your own network. Know that this in no way interferes with the confidentiality we share in our sessions together. 

CONTACT ME TODAY to see if we would be a good fit. I provide a FREE 20-minute consultation for all potential clients.