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Get in touch

Here's how we can connect:

Fill out the 3-minute questionnaire below

Once you hit "submit" you'll be immediately prompted to schedule your free 15-minute phone consultation

To reserve your consultation time, you'll be asked to securely put a credit card on file

On our call, I'll answer all your questions and you'll get a sense if it's a good fit to move forward

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Prospective client questionnaire

Privacy Notice: This form is hosted by Squarespace and responses are sent via Google Workspace (Gmail). Neither platform is HIPAA-compliant. Please do not include detailed sensitive health information on this form. We’ll discuss specifics securely during our consultation call. Your information will not be shared or sold.

NAME

First name

EMAIL

Last name

PHONE NUMBER

Who is seeking therapy?

Are you (or the person seeking therapy) age 18 or older?

Please note: I only accept adults (18+). For child, adolescent or family therapy, please refer to my resources page.

Will you be located in California during therapy?

Due to licensure restrictions, I can only work with clients residing in California. If you will be outside of California, please see my resources page.

How did you find my practice?

Are you open to virtual therapy sessions?

Note: I currently offer virtual sessions only.

Preferred session frequency:

General reason for seeking therapy: (optional)

If you’d like, briefly share the general focus of what you’re hoping to work on. Please avoid including personal or sensitive health details—these can be discussed privately during our call.

Important practice limitations:

Please note: I do not provide treatment for eating disorders, substance abuse, OCD, personality disorders, psychotic disorders, active suicidality or self-harm, severe or unmanaged bipolar disorder, severe dissociative disorders, acute psychiatric crises, active domestic violence, court-ordered or forensic cases, mandated anger management or sexual offender treatment. If you need support for these issues, please see my resources page.

Crisis Support: If you are experiencing a mental health crisis, do NOT use this form. Please immediately visit my resources page for support.

Fees & payment:

  • Session rate: $275 per 50-minute session

  • I do not accept insurance, but I can provide a superbill for clients with PPO insurance who wish to seek reimbursement.​​

  • If these fees are not affordable, please see resources page.

Are these fees within your budget for the out-of-pocket cost of psychotherapy?

Scheduling your free 15-minute phone consultation

Once you submit this form, you'll be directed to request a time for your 15-minute phone consultation. To reserve your spot, you'll be asked to securely place a credit card on file. Please note: A $75 no-show fee will be charged if you miss the call without 24 hours’ notice. If you cancel in advance or attend the call, your card will not be charged.

Frequently asked questions

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Psst!

I know that starting therapy can be an intimidating process.

Yes, therapy is a big commitment of time, energy and money. There's no reason to sugar-coat it. But here's what I think...

Betting on yourself, your happiness and your success is the safest bet.

Why? Because you're the one in the driver's seat. You're the one in control of how much you put into and get out of therapy.

In order to make changes, we need to take risks.

What would you do if your happiness and success were inevitable? Would you make decisions based on fear of it not working out? Or faith in the process?

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