Please inquire directly about session fees. Sessions are offered in 45 and 60 minute time incremenets.
No, we are private pay only. If you have a PPO and would like to submit claims to your health insurance plan you may be able to receive full or partial reimbursement for your therapy. Please check with your insurance to see if they cover out of network providers. We do not take MediCal or Medicare.
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.
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.
It depends on your particular situation and what you are wanting out of therapy. Generally, though, change takes time.
Under the law, healthcare providers need to give clients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.
You can ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service, or at any time during treatment.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, or how to dispute a bill, see your Estimate, or visit www.cms.gov/nosurprises.
Questions About Couples Therapy
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.
No. Couples therapy can help you get clearer for yourself about whether you want to stay with your partner or not.
Questions About DBT
To join one of our DBT skills groups, please fill out the contact form to schedule an intake appointment.
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.
The fee for each group meeting is $110, payable in advance per module.
Skills group is comprised of a 26-week curriculum which is divided into two 9 week modules and one 8 week module. We ask that you commit to the full 26-weeks but payment is per module only.
The fee for a 8 week module is $880 and the fee for a 9 week module is $990. No refunds are given for missed groups and no refunds are given if you drop out of the module once it has begun.
We strongly encourage, but do not require, group members to stay and repeat the curriculum a 2nd time for optimal learning.
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.
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
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.