What are your rates?

Our fees range from 165-250 per session depending on what service you are seeking and which clinician you are matched with.  Most appointments are 50 minutes in length.  Longer sessions are available on a pro-rated basis and are recommended for couples therapy.

Do you take insurance?

No. We are not in-network with any insurance carriers. If you have a PPO and would like to submit claims to your plan you may be able to receive partial reimbursement for your therapy. Please check with your insurance to see if they cover out of network providers. We do not take Medi-Cal or Medicare.

What is your cancellation policy?

We have a 48 hour cancellation policy for individual and couples therapy sessions. We hold your time especially for you, and if you do not provide 48 hour advance notice if you need to miss a session, you will be charged the full session fee.

How often will we meet?

Therapy works best with weekly meetings. This kind of continuity helps us move towards your goals most efficiently. For some people, meeting more often is useful. Our offices are located in the Castro district of San Francisco.

While the call for social distancing and mask wearing lasts due to the coronavirus pandemic,  all sessions will be held online through a secure video platform.

How long will therapy take?

It depends on your particular situation and what you are wanting out of therapy. Generally, though, change takes time.

Questions about couples therapy:

Can I come to couples therapy even if my partner won't?

Yes. Even if your partner isn't willing to come to couples therapy, there is still a lot of work you can do to improve your relationship if you come to therapy on your own.

If we come to couples therapy will you tell us to break up?

No. Couples therapy can help you get clearer for yourself about whether you want to stay with your partner or not.

Questions about DBT:

How do I join the San Francisco DBT Skills Group?

To join the DBT skills group, please call to schedule an intake appointment. The intake appointment fee is $200. You must be in weekly individual therapy while participating in skills group. If you are not currently in therapy, we may be able to see you for individual therapy or we can help you find a therapist.

How much does the DBT Skills Group cost?

The fee for each group meeting is $100, payable per module. Payment for the entire module of skills group is due two weeks prior to the start of the module in order to reserve your spot in group. Modules are either 8 or 9 weeks long depending on which skill is being covered. An 8 week module is $800 and a 9 week module is $900. No refunds are given for missed groups and no refunds are given if you drop out of the module once it has begun.

Do I have to be in individual therapy with a DBT therapist in order to join the group?

No. Some people, though, benefit from full DBT treatment which includes skills group, weekly individual therapy with an adherent DBT therapist and phone skills coaching between sessions. If you join the skills group but are not seeing an adherent DBT therapist for individual therapy, you are not in DBT therapy but you are still learning the skills.

What happens in a DBT Skills group?

DBT skills group is not a process group, it's more like a class. If you're wondering what a typical DBT group meeting is like, read this: What Happens in a DBT Group

What is adherent DBT, or full DBT, and why does it matter?

Adherent, or full DBT, is an evidence-based treatment that is supported by rigorous research into its effectiveness in treating a variety of problems that have difficulty in regulating emotions at their core.

Adherent, or full DBT, has 4 components:

Individual DBT:  Weekly therapy with an intensively trained DBT therapist which includes review of a diary card to track your emotions, behaviors and use of skills throughout the week.

DBT Skills Group:  Structured group meetings that are similar to a class. Each skills group begins with a guided meditation followed by homework review and teaching of a new skill.

Phone skills coaching: Between session phone coaching to help you apply the skills in your daily life.

DBT team meetings for the therapist: This vital part of DBT is not so apparent to you as the client but is to help the therapist stay within the DBT model and provide you with the best possible treatment.

If any of the above 4 components are missing, you are not in DBT therapy.


Questions? Please contact us for further information.