Frequently Asked Questions
Getting started
Wondering how to begin? Here’s everything you need to know about taking the first step
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The best way to get started is to shoot me an email or use the contact form! I’ll follow up shortly, and from there we can set up a brief conversation— a “hello and see if we click” phone call to talk about your goals and logistics, and give you a little taste of my approach. If it feels like a fit from there, I’ll get you set up in my patient portal, have you complete the necessary consent forms to get started, and we’ll schedule your first session!
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The first session is about getting to know each other and understanding what brings you to therapy. We’ll talk about your history, any past therapy experiences, what’s helped and what hasn’t, and what you’re hoping for moving forward. It’s completely okay if you don’t have all the answers yet—we’ll figure it out together. My goal is to make sure we’re not just playing catch-up on the last few decades, but really creating a space where we can explore what’s most meaningful and useful for you right now.
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This might be a good fit if you’re looking for a therapist who is relational, culturally aware, and comfortable with complexity—someone who sees how personal struggles often intersect with larger systems and lived experiences.
If you’re not sure yet, that’s completely okay. We can start with an introductory call to explore whether working together feels right. My goal is to create a space that’s thoughtful, affirming, and grounded in respect for your experience.
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Good news! You don’t need to have it figured out before you start.
Some people arrive with something very specific they want to work on, and others just have a sense that something feels off, stuck, or out of alignment. Both are completely welcome here.
We will take things at a pace that feels manageable for you. There’s no pressure to share everything right away—therapy is often about building trust and making sense of things over time. And if you do feel ready to go deep early on, that’s okay too. We’ll follow your lead!
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A lot of people wonder this before starting therapy—often feeling unsure if what they’ve experienced is “enough” to bring in. Especially for people who are used to over-functioning, caregiving, or putting others first, it can feel hard to take up space for their own experience.
Trauma isn’t defined only by a single type of event. It can include “capital-T Trauma”—acute, overwhelming, or clearly life-altering experiences—but it can also include “lowercase-t trauma,” which is often more chronic, relational, or cumulative over time. I’m trained in working with both, and I see both as valid and worthy of care.
Sometimes people don’t even have the language yet for what they’re feeling. They may not know how to label their emotions or experiences—they just know something doesn’t feel quite aligned or like themselves. That alone is more than enough to begin with!
Therapy Approach
Learn more about my approach to therapy and what makes it different. The short version: it’s relational, thoughtful, and effective. The longer version is below if you'd like a sense of what it's actually like to work together.
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Clients often tell me that coming into session feels like a weight being lifted from their nervous system, in part because of my genuine care, and in part because humor and playfulness naturally find their way into our work. I’m a curious, big-hearted explorer at heart, and that shows up in how I help people understand not just what coping skills to use, but why they work. I take some of the cliché therapy tools and make them meaningful, grounded, and human.
I’ll be very real with you about the approaches we use. I’ll share my side-eye when CBT feels a little gaslighty, and my begrudging sigh when the experts (yes, me too) insist that exercise, sunlight, and other small habits actually do help—no matter how much I want to roll my eyes. I also get delightfully nerdy about identifying the values that drive you, exploring the underlying beliefs and patterns woven through your life story, and explaining what’s happening in your body and nervous system when trauma, stress, or triggers show up. I want the work we do to make sense in the context of your actual life—not just as something you're told to do because a therapist said so.
Therapy with me is collaborative, reflective, and rooted in a genuine human relationship. We slow down, get curious, and explore not only what’s happening, but what it means for you. While I draw from evidence-based approaches like Acceptance and Commitment Therapy, DBT, Schema Therapy, EMDR, and brain-spotting, our work isn't just about techniques or symptom management. It's about helping you understand yourself more deeply, relate to your experiences differently, and create meaningful change in the ways you think, connect, and move through the world.
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Many therapeutic approaches emphasize trust and safety, and I see those as foundational to all good therapy—not something unique to just relational work.
When I describe my approach as relational, I mean that much of the healing happens through the relationship we build together. Our connection isn’t just a container for insight or skills; it becomes an active part of the work itself.
As trust develops, we have opportunities to create new experiences, particularly for the nervous system. You may find yourself experiencing authority, closeness, care, disagreement, or feedback in ways that feel safer, more collaborative, or more authentic than they have in the past. Together, we pay attention to what unfolds between us and what it might reveal about the ways you relate to yourself and others.
Many people leave therapy wondering what their therapist really thinks of them. In my work, you won’t have to guess. When it feels therapeutically useful, I’ll share my experience of you in a warm, respectful, and non-shaming way. Sometimes that means reflecting strengths you struggle to see in yourself. Other times, it means offering honest observations about how your words or actions may land with other people. Understanding our impact—both the parts we celebrate and the parts we wrestle with—can be deeply clarifying and healing.
Relational therapy also makes room for accountability and repair. If I miss something, misunderstand you, or say something that doesn’t land, we slow down and work with it together. These moments often become some of the most meaningful parts of therapy, helping loosen old assumptions about yourself, relationships, and the world, while creating new possibilities for connection both inside and outside the therapy room.
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understand therapy as taking place within a broader social, cultural, and political context. Our emotional lives are shaped not only by our personal histories, but also by the systems we live within, the policies that affect our bodies and relationships, and the messages we receive about safety, autonomy, and belonging.
In this space, you're welcome to bring experiences or topics that may feel politically charged, taboo, or difficult to discuss elsewhere—including issues related to identity, reproductive decisions, bodily autonomy, family systems, or the broader social climate. Therapy here isn’t about debate, persuasion, or advancing an agenda. It’s about making room for the emotional impact of what you're living through and helping you navigate it in a way that aligns with your own values.
This perspective is part of why I've pursued licensure in multiple states. I believe people deserve access to supportive, affirming mental health care regardless of the political climate where they live.
I do not provide legal, medical, or procedural guidance. My role is to support your emotional and psychological process as you make sense of your experiences, clarify your values, and navigate the decisions that are right for you.
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You might notice new ways of coping, feeling more in line with your values, or spotting patterns you hadn’t realized were running the show. EMDR work can show up in your body too—like setting boundaries without the usual guilt, or giving yourself more compassion around the limits your energy or health bring.
Clients often come back saying they hear my voice in their head—reminding them to “slow down” or “use your wise mind.” That’s a victory!
Sessions & Logistics
Practical details about scheduling, fees, and where sessions happen.
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Telehealth lets us meet from wherever works best for you! I just ask that you find a time and space that’s private, intentional, and safe, so that you can be fully present and supported for our session.
I use the SimplePractice video platform, which is secure, HIPAA-compliant, and easy—no extra apps to worry about. I’m licensed in California, Oregon, Michigan, Texas, and New Jersey, and I’m happy to explore adding more states if needed.
If you’re in San Francisco, I also offer walk-and-talk sessions, blending therapy with fresh air, movement, and a little nervous system support along the way!
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We’ll start with whatever rhythm works best for you. Many people find weekly sessions helpful at first to build trust and safety, while others prefer every-other-week sessions. Over time, we can adjust to fit your life and needs.
For clients who have made good progress and just want a little check-in, I also offer maintenance sessions—a chance to stay connected and supported without feeling like therapy is a full-time commitment.
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Standard sessions are $265, paid on the day of the appointment. I’m flexible with session length—30, 60, or even longer intensives if you’re feeling ambitious.
Therapy should never add stress. If cost is a barrier, we’ll find a solution. On occasion, I have reduced-fee slots available, and I’m always happy to make a referral to in-network or sliding scale providers to ensure that you have accessible support. -
I don’t bill insurance directly. This lets me work with more flexibility and care, and helps keep our therapy space focused on you rather than insurance rules.
I care about accessibility, so if working together isn’t the right fit, I’m always happy to help with referrals. I can also provide superbills for out-of-network reimbursement. I document and code carefully, but coverage depends on your plan, so I can’t guarantee reimbursement.
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I usually ask for at least 72 hours’ notice if you need to cancel. I know life—and especially chronic illness or unpredictable health—can make scheduling tricky, and I truly appreciate your understanding. This policy helps me keep our sessions consistent and focused so they’re as meaningful as possible. If I can fill your spot, I’ll usually waive the fee. For cancellations with less than 24 hours’ notice, the session fee still applies. Of course, exceptions apply!
If you’re running late, there’s a 15-minute grace period before we reschedule, giving you a little buffer while still keeping our time together productive and focused.
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Email and text are best for scheduling, logistics, or quick check-ins—they’re not the right space for digging into deeper clinical issues.
I’m piloting a concierge package for clients who want more guidance between sessions, and I’m always happy to add shorter check-in sessions if that would help you feel supported. If this sounds useful, let me know or reach out to learn more—I’m happy to talk through what might work best for you.
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If you’re in immediate danger or having a crisis, please contact local emergency services (911 in the U.S.) or go to the nearest emergency room—your safety is the most important thing.
Even if you’re not in acute danger, it’s completely okay to reach out for support. I began my career at the San Francisco Suicide Prevention line, and I can tell you that the people answering calls and texts are compassionate, skilled, and genuinely helpful. They’re a great resource for after-hours support, or just for a check-in when things feel hard:
988 – Suicide & Crisis Lifeline
988 Lifeline Chat – chat via 988lifeline.org
Text “HELLO” to 741741 – Crisis Text Line
As we start working together, we’ll also build a wellness plan tailored to you and your needs. This plan is meant to support you between sessions and give you concrete tools and resources to feel grounded and cared for—so you always have something to lean on when life feels overwhelming.