Frequently asked
questions

Your first session is a chance for us to get to know each other. We'll talk about what brought you to therapy, what you're hoping to work on, and I'll share how I work. There's no pressure — it's simply a conversation.

It depends on what you're bringing and what you're hoping for. Most clients meet weekly, especially in the early months when we're building momentum. Some people come for a focused period of support — several months — and find that's enough. Others find the work meaningful and choose to continue over a longer period. I don't work toward a fixed endpoint; I work toward what's actually useful for you. We'll check in regularly and you'll always have a say in the direction.

I don't bill insurance directly, but I provide superbills you can submit for possible out-of-network reimbursement. Details are on the fees page.

Initial sessions — 60 minutes for individuals, 75 minutes for couples — are longer because they're comprehensive: I'm gathering your full history, understanding what's brought you here, and beginning to form a clinical picture that will shape our work together. That takes more time and more preparation than an ongoing session. The initial session fee reflects that scope of work.

Couples sessions involve a different and greater level of complexity. I'm holding two people simultaneously — two histories, two nervous systems, two sets of patterns — and tracking the dynamic between them in real time. The fee reflects what that work actually requires, not a flat rate applied across the board.

All sessions are conducted via a secure, HIPAA-compliant video platform. You'll receive a link before your appointment. All you need is a private space, a stable internet connection, and a device with a camera. I see clients anywhere in California, from the Bay Area and Los Angeles to San Diego and the Central Coast.

Sessions are scheduled Tuesday through Thursday during business hours (10am – 6pm Pacific). I keep a focused, three-day clinical week so I can be fully present with each client. If those hours don't fit your schedule, I'm happy to refer you to colleagues with broader availability.

No. As a Licensed Marriage and Family Therapist, I don't prescribe medication or provide medical treatment, including hormone therapy. My work focuses on the emotional, psychological, and relational side of this transition. Therapy can work well alongside care from your physician, and with your written permission I'm glad to coordinate with them.