1) My clients are 18+ years old and physically located in California, Massachusetts, New York, or Florida

Why? Because I am licensed to practice in those very states! From a legal perspective, virtual healthcare takes place wherever your feet are at the time of service. Not where you are a legal resident, where you were an hour ago, or where my feet are. Therapy with minors requires a whole extra set of paperwork and policies, so I see adults.

3) We meet at least weekly while working toward your main goals

That’s the model supported by research on ERP, which I like to follow. Once you reach your treatment goals, you decide what happens next! We can wrap up, set new goals, or space out sessions. Cancellations here and there with advance notice are totally fine.

4) We meet between 9am-3pm on weekdays

Therapy works best when we are both refreshed and ready to give it our full attention.

5) I don’t take insurance (I do provide superbills!)

If you work in healthcare, and often even if you don’t, you may be aware that dealing with insurance companies is a special form of torture. For those interested, here’s an article that describes the main issues that cause therapists in particular to give up on taking insurance. For those interested in getting money back from their insurance company if possible, here’s a second article on superbills, also known as out-of-network reimbursement.

6) Sessions are $290 / “therapy hour” (45-50 minutes); no sliding scale available

Thanks to 10 years of higher education, life in San Francisco, and costs associated with self-employment (i.e., no benefits or paid leave), this is where the math takes us. For what it’s worth, I wish I could charge less.