Getting started can often be the biggest hurdle.

 
my therapy office

Contact me to set up an initial session.  Here is what you can expect:

Initial sessions are 45 minutes long.  The first few sessions are really a consultation in which we get to know one another and decide how we can best work together.

old Sausalito bayshore

During the initial sessions, we discuss what is on your mind and how you think I may be helpful. In this consultation, you will have a better sense of my approach and style, and I will be able to determine what I think would be helpful to you. Finding the right fit is a highly personal decision, and something we can only determine together.

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At the end of the first session, we will have some sort of plan on how to move forward. Sometimes, the plan is simply to meet again soon and to keep talking with each other. Sometimes the plan is something more definitive like regularly scheduled weekly or more often sessions.

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Sometimes the plan includes medications. I tend to be conservative about my prescribing practices. If I believe that medications are necessary, we will engage in a meaningful dialogue about their use. Both therapy and medications have been shown to be highly effective for many conditions, and if medications are appropriate I will make that recommendation. You may be coming to me because you already have a therapist who thought you might benefit from medications.

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The frequency of visits is something we determine together based on your goals. Depending on your needs, I may recommend meeting more frequently (such as several times a week for intensive talk therapy) or less frequently (such as monthly for medication management).

Notices

Open Payments database

For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.

Fees

My practice is not in-network with any insurance plans due to my commitment to providing flexible and individualized care. If you have out-of-network benefits, I would be happy to provide you with documentation to submit to your insurer for reimbursement.

Please contact me directly to discuss my current rates.

No Surprises Act

You have the right to receive a “good faith estimate” explaining how much your medical care will cost. Under the law, health care providers will need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. For more information, visit http://www.cms.gov/nosurprises.