Frequently asked questions

Got questions? I’ve got answers.

  • I am a Board-Certified Telemental Health Provider, offering online therapy to all residents of California. My practice is 100% virtual. If you or your partner/s reside outside California, I recommend seeking a therapist licensed in your state.

    While my practice operates entirely online, the physical office of Mycelia Psychotherapy is situated in San Francisco, CA.

    LAND ACKNOWLEDGEMENT

    Mycelia Psychotherapy acknowledges its location on the unceded ancestral homeland of the Ramaytush Ohlone peoples, the original inhabitants of the San Francisco Peninsula. Just as the Ramaytush Ohlone deeply understood the profound interconnectedness of all things and maintained harmony with nature for millennia, Mycelia Psychotherapy aims to honor and embrace these timeless teachings.

    We pay homage to the Indigenous elders—past, present, and future—who have carefully stewarded this land across generations, preserving the wisdom that emphasizes our interconnectedness with one another and the natural world. Our commitment to promoting mental and emotional well-being aligns with the enduring dedication of the Ramaytush Ohlone to Mother Earth, reflecting the interconnectedness that lies at the heart of Mycelia Psychotherapy's healing philosophy.

    To learn more about land acknowledgement, please visit:

    ​​https://www.ramaytush.org/

    https://sogoreate-landtrust.org/

  • The process of online therapy includes:

    • Free 15-minute phone call to determine if we're the right match.

    • First Session: 1-hour guided intake session. Together, we will establish therapy goals, answer questions, and set the stage for our work.

    • Weekly 50-minute virtual sessions. The weekly cadence is not just a routine; it's a deliberate strategy to ensure the integration of new breakthroughs, tools, and habits into your life. This consistent rhythm allows for lasting change to settle, fostering a transformation that goes beyond the confines of our sessions. Your therapy concludes when you feel equipped with the tools and insights for lasting change.

    To ensure privacy, I use a secure, HIPAA-compliant video platform (a specific version of Zoom) that requires no downloading and can be accessed from any device.

    At the scheduled time, you will be able to enter our virtual therapy room by simply clicking on the link you received. Please ensure you have a good internet connection and enough privacy.

    Benefits of Online Counseling

    Online counseling has been proven to be just as effective as face-to-face counseling in treating various needs. In my experience, clients prefer to meet virtually rather than in person due to several notable benefits:

    • Convenience: Sessions can be scheduled to fit seamlessly into your busy lives, eliminating the need for travel or commuting.

    • Setting: the physical, social, and interpersonal environment in which the therapy session takes place plays a crucial role in shaping the overall therapeutic experience. Engaging in therapy from an environment where you feel most at ease further promotes openness and safety during sessions

    • Accessibility: No matter where you and your partner/s are located, you can access our services from the comfort of your own space, both separately or together.

    • Privacy: Online sessions provide a level of privacy that might be harder to achieve in a traditional in-person setting, encouraging couples to share their thoughts and feelings more openly.

    If you’re still not sure if online therapy is right for you, schedule a free consultation with me and we can discuss if this format can help meet your needs.

  • INDIVIDUAL SESSIONS

    • One 60-minute Comprehensive Intake Assessment
      $265

    • Weekly 50-minute Session
      $225

    COUPLE SESSIONS

    • One 60-minute Comprehensive Intake Assessment (one for both partners and one for each partner)
      $300

    • Weekly 50-minute Session
      $275

    POLYCULE SESSIONS

    • One 60-minute Comprehensive Intake Assessment (3+ partners)
      $380

    • One 60-minute Comprehensive Intake Assessment (each partner)
      $300

    • Weekly 50-minute Session (3+ partners)
      $320

    All sessions are 45 to 50 minutes. Intakes are 60 minutes. Please click here if you are interested in longer sessions (intensives).

    KETAMINE-ASSISTED PSYCHOTHERAPY

    • One 60-minute Comprehensive Intake Assessment
      $265

    • 75-minute Prep Session (one or two suggested)
      $330

    • Ketamine-Assisted Psychotherapy (KAP) Session:

      • 2 hours (low dosage): $600

      • 3 hours(medium dosage): $900

      • 4 hours (high dosage): $1,200

    • One 60-minute Integration Session
      $265

    Please inquire about fees for couples and small groups.

    INTENSIVES

    • 1 DAY
      8 hour program
      3 face-to-face hours (assessments)
      4 face-to-face hours (intensive)
      2 hours of self-care activities, pre-intensive prep, and personalized treatment workbook

      • On weekdays: Starting at $2,100

      • On weekends & evenings: Starting at $2,500

    • 2 DAYS
      11 hour program
      3 face-to-face hours (assessments)
      6 face-to-face hours (intensive)
      2 hours of self-care activities, pre-intensive prep, and personalized treatment workbook

      • On weekdays: $3,200

      • On weekends & evenings: $3,900

    • 3-DAYS
      14 hour program
      3 face-to-face hours (assessments)
      9 face-to-face hours (intensive)
      2 hours of self-care activities, pre-intensive prep and personalized treatment workbook

      • On weekdays: Starting at $4,500

      • On weekends & evenings: Starting at $5,300

    PAYMENTS

    I currently accept payments through Venmo and Paypal

    SLIDING SCALE

    I offer limited sliding scale slots reserved for folx who are in need and unable to afford my services.

    Fee reductions are based on your level of financial access and need as well as the needs of my practice.

    Reduced fees are subject to reassessment as often as every 3 to 6 months or when your financial circumstances change.

    At this time, I have limited availability for reduced fee slots starting at $170. Please inquire for more information.

  • When you schedule an appointment, that time is reserved specifically for you and you alone.

    If you need to reschedule your session, please give me 48 hours’ notice to avoid being charged the full session fee.

    If an unavoidable conflict or emergency arises and we are both able to reschedule within the same week (Monday to Thursday), the cancellation fee will be waived. Please be aware, however, that the cancellation policy is strictly enforced at all other times.

    Intensives Cancellation Policy:

    A 50% deposit is required at the time of booking. This deposit is non-refundable.

    The remaining balance is due on Day 1 of the Intensive

    By booking the Intensive, you have purchased this time and it is yours unless you cancel at least 2 weeks prior to Day 1.

    If you cancel the Intensive within 2 weeks of Day 1, you will be charged the total amount of the Intensive Package.

    Payment

    I currently accept payments through Venmo and Paypal.

    Payment for services is required in full at the time of your appointment. Should you need to modify this payment arrangement, please discuss and confirm any changes before your session. In the event that payment is not completed at the time of service, a grace period extending until 6:00 pm on the following business day will be provided. Payments made after this grace period but within the same week will incur a late fee of $20. For payments made in the subsequent business week, a late fee of $30 will be applied.

  • I'm not affiliated with any insurance plans. This makes me an out-of-network provider. If your plan covers out-of-network mental health services, I can provide you with a monthly billing statement, often called a "superbill," for you to seek reimbursement from your insurance. Please know that I highly value confidentiality, and I am very meticulous about disclosing only what is strictly necessary for authorization.

    While I fully support your decision to utilize your insurance plan to assist with therapy costs, there are several reasons why I have chosen not to participate in managed care plans. I want to draw your attention to several factors to consider so that you can make a well-informed decision.

    To approve psychotherapy plan most insurance companies require a mental health diagnosis, impacting your medical record and potential future insurance applications. Also, insurance companies have access to your treatment records, and ultimately decide whether treatment is necessary. If so, they may also influence the type and length of therapy provided. I firmly believe that making this determination should be up to the client and clinician, not the insurance company.

    Out-of-network therapists like me can provide innovative solutions and care plans, as well as offer longer or more frequent sessions, or sessions that occur over a longer timeframe than compared with in-network insurance providers.

  • Overall, the first therapy session is an opportunity for us to build rapport, share concerns and goals, and begin working collaboratively toward positive change. It's normal to feel nervous or unsure, but I'm here to support and guide you through the process.

    During your first psychotherapy appointment, you can expect the following:

    • Paperwork: Ahead of the session, you'll be asked to fill out initial paperwork, including forms about your personal information, consent forms, privacy policies, etc. During the session, I will answer any clarifying questions you may have.

    • Introductions: We will introduce ourselves and get to know each other. I will talk about my approach to therapy and I'll also outline expectations for the therapy process, and address any potential challenges.

    • Assessment: During the guided assessment we will discuss your reasons for seeking therapy, the specific concerns or issues you're facing, and gather more information about your symptoms, history and background.

    • Goals and Treatment Plan: We'll work together to clarify your goals for therapy and discuss what you hope to achieve. We'll develop a treatment plan tailored to your specific needs and goals, including the frequency duration of sessions.

    • Questions and Concerns: You'll have the opportunity to ask any questions or raise concerns about the therapy process, my approach, or anything else related to your treatment.

  • An Anti-Oppressive Therapist is a therapist whose approach is deeply rooted in a commitment to social justice and equity. This approach recognizes the profound impact that societal structures such as racism, sexism, homophobia, ableism, and classism can have on a person's mental health and well-being. An Anti-Oppressive Therapist is dedicated to challenging these systems both within and outside the therapy room.

    As an Anti-Oppressive Therapist in my practice, I strive to create a space where clients feel safe, seen, heard, and unequivocally validated. I acknowledge the intersecting identities and experiences that shape each person's journey and explore how forces at the micro, mezzo, and macro levels impact an individual and contribute to marginalization and oppression. This involves delving into understanding how social, cultural, and environmental factors (e.g., policies, laws, religion, school systems, neighborhoods, family, sexuality, gender, race, ethnicity, etc.) shape their lived realities, both overtly and subtly. An Anti-Oppressive Therapist also prioritizes empowerment and advocacy, supporting clients in recognizing their own strengths and resilience, while also working to address the systemic barriers they may face.

    For instance, instead of immediately resorting to Cognitive Behavioral Therapy (CBT) to tackle speaking anxiety in a BIPOC client, as solely rooted in cognitive distortions, an Anti-Oppressive Therapist might emphasize the significance of systemic and structural influences. They would likely recognize how race-related experiences and societal aggressions contribute to the client’s speaking anxiety. Rather than invalidating these anxieties as irrational and challenging related thoughts, they might choose trauma-informed approaches, acknowledging the validity and rationality of the client's feelings.

    One of the core principles of an Anti-Oppressive Approach (AOP) is to recognize and address power imbalances within the therapeutic relationship. I see my clients as experts in their own lives, and I work collaboratively with them to navigate the challenges they face. I reject the idea of hierarchy in therapy. I believe that there is already a deep inner wisdom within each of us. My goal is to provide my clients with attentive loving-kindness, gentle guidance, and a safe container in which their healing can unfold.

    As an Anti-Oppressive Therapist, I strive with openness and curiosity to learn about my clients’ social identities such as their gender, race, ethnicity, sexual orientation, disability/ability, class, age, religion, immigration status, etc., and how these factors shape their experiences in society. In the same way, I also take time to deeply reflect on my own social positioning, its impact on the therapy I provide, my relationships with the clients, my potential biases, and how I interpret my client's experiences. I engage in ongoing education and specialized supervision to better understand how bias and privilege actively impact us and actively challenge oppressive beliefs and behaviors that may arise in the therapeutic relationship.

    Being an Anti-Oppressive Therapist is more than just a profession—it's a calling and a passion. I am commitment to social justice, equity, inclusivity, and working collaboratively with clients to foster healing, empowerment, and meaningful change.

  • Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.

    You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers 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.You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises

  • You can schedule a free 15-minutes consultation with me here to see if we are the right fit and ask any questions you may have.

    I can’t wait to hear from you.

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