Clients – The Inward Turn

Services and Fees

I provide individual psychotherapy for adults via secure video conferencing or telephone. I do not currently offer in-person sessions or couples therapy. Please note: I am not currently accepting new psychotherapy clients. I am currently accepting new clients for in-person Ketamine-Assisted Psychotherapy (KAP) sessions at my Palo Alto office.

More information about Ketamine-Assisted Psychotherapy is available here..

I do not participate in insurance plans or bill insurance companies directly. However, I can provide you with a monthly statement to submit to your insurer for possible out-of-network reimbursement. It is your responsibility to verify whether your policy covers psychotherapy and to determine what level of reimbursement you might expect. Insurance companies will only reimburse for psychotherapy if it is deemed “medically necessary,” which requires a mental health diagnosis. This diagnosis must appear on any billing statement submitted to insurance. Additionally, any record of having received a diagnosis becomes part of your permanent medical record. While this is often not a concern, it may be relevant when applying for certain jobs, health or life insurance, disability coverage, or security clearances. We can discuss whether you meet criteria for a mental health diagnosis. If so, I’m happy to provide a statement you can use for potential reimbursement.

I have opted out of Medicare. If you are a Medicare recipient and choose to work with me, we will sign a private pay agreement confirming that you will pay my standard fee and that no claims will be submitted to Medicare. If you prefer to use Medicare benefits, you can seek services from another Medicare-enrolled provider.

Under the law, health care providers are required to provide clients who don’t have insurance or who are not using insurance with a Good Faith Estimate of the expected charges for services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy. You can request a Good Faith Estimate before scheduling services or at any point during treatment. If you receive a bill that is at least $400 more than your Good Faith Estimate, you may dispute the bill. Be sure to save a copy or photo of your Good Faith Estimate.

To learn more about your rights or how to dispute a bill, visit www.cms.gov/nosurprises..

Are We A Match?

Are you looking for someone to tell you what to do, or for assistance accessing your own insight and inner wisdom?

While I’m glad to offer perspective when asked, the core of my work is supporting clients in deepening their awareness and cultivating a more coherent relationship with their inner life.

Are you curious about what makes you tick? Do you want to spend less time on autopilot and more time living with intention?

If so, we may work well together.

Are you able and willing to set aside even 10 minutes a day for introspection or a practice that supports your therapeutic process? If not, are you open to exploring why?

While meaningful change can unfold in our weekly sessions, the process often deepens when supported by attention and practice between sessions. I work best with clients who see therapy as part of a broader path of self-development.

Would a planned month-long break in our work—usually during the summer—align with your needs and expectations for therapy?

I may take up to four weeks off to spend time in wilderness settings. The clients I work with tend to be emotionally stable and comfortable with these planned pauses.

Next Steps

Beginning therapy takes courage—especially when the process is unfamiliar. Here is an overview of what to expect in your early steps, from initial contact through the first few sessions. If you’d like to explore the possibility of working together, feel free to send me an email or leave a voicemail. If you email, feel free to include a few words about what’s bringing you to therapy—just keep in mind that email isn’t fully secure, so consider limiting sensitive details.

If I have space in my practice, I’ll offer a few scheduling options for a brief consultation. This can take place by phone or secure video—whichever you prefer. I’ll be glad to answer your questions and learn more about what’s bringing you to therapy. If your primary concern lies outside my areas of experience—such as an active eating disorder—I may recommend connecting with a specialist. These initial consultations typically last about 20 minutes and are free of charge. If we both feel it’s a good match, we can schedule a first session. Whenever possible, I like to schedule 75 minutes for our first meeting.

If we decide to move forward, I’ll invite you to join my secure online portal. The portal serves as a central space for our work. It hosts our video sessions, allows for secure messaging, provides access to intake forms, handles billing and payments, and generates monthly superbills if you’re seeking insurance reimbursement. If anything is unclear while you’re getting started, just let me know.

You can also request a Good Faith Estimate at any point..

The first session is a chance for us to continue getting to know each other and begin shaping a direction for our work. You’re welcome to bring any questions that arise, and I’ll want to understand more about your goals, challenges, and hopes for the work ahead. Together, we’ll begin shaping a shared understanding of what you’d like to explore and how we might approach the work. This meeting is also a chance for you to get a feel for what it’s like to work together—and to see whether it feels like a good fit. It’s completely okay to treat the first few sessions as a trial period to see if it feels right.

Throughout our work together, I’ll check in regularly about how therapy feels and how the process is unfolding. These conversations often deepen the work and help ensure we stay aligned.