Free
Free Consultation Call
An introductory conversation before beginning therapy.
Begin with clarity
New clients
What to know before your first appointment: how sessions work, what they cost, and the practice policies that apply.
Before your first session
A clear starting path.
Choose the visit that fits, review the practical details, and meet securely from anywhere in California.
Choose your appointment
Choose an Initial Therapy Intake for your first therapy appointment, or a Free Consultation Call for an introductory conversation.
Review fees and coverage
Review session fees, insurance information, and the policies that apply before your appointment.
Meet virtually
Sessions are held over a secure video platform. You’ll need a private, quiet space and a stable internet connection.
Book online
Book your first appointment.
Begin with a free consultation call, or go straight to an initial therapy intake.
$150
Initial Therapy Intake
For anyone beginning therapy. Review of your presenting concerns, mental health and psychosocial history, clinical assessment, diagnostic impressions where appropriate, and collaborative treatment planning.
Services & fees
Clear pricing, no surprises.
Services are tailored to your needs and goals. Session length is chosen with you based on what you’re working on.
30-minute session (30 min)$90
A brief, focused session for check-ins, treatment planning, skills practice or follow-up support.
45-minute session (45 min)$110
A standard session addressing current concerns, strengthening coping skills and making progress toward your goals.
60-minute session (60 min)$135
Extended time for deeper exploration, processing and therapeutic intervention.
Initial therapy evaluation (60 min)$150
For anyone beginning therapy. Presenting concerns, history, clinical assessment and collaborative treatment planning.
EMDR evaluation & planning (60 min)$165
Trauma history, readiness assessment, screening and initial planning. Reprocessing does not typically begin at this appointment.
Extended EMDR session (75 min)$180
The additional time allows fuller preparation, reprocessing and integration without pausing mid-process. Self-pay only.
Practice policies
The details that protect your care.
Insurance & self-pay
Insurance may be accepted for eligible standard psychotherapy services. Your benefits, coverage, copays, deductibles and any authorization requirements will be reviewed prior to your first appointment. Coverage cannot be guaranteed, as benefits are determined by your plan.
Extended 75-minute EMDR sessions are offered on a self-pay basis only and are not billed to insurance.
Cancellation policy
If you need to cancel or reschedule, please provide at least 24 hours’ notice. Appointments cancelled with less than 24 hours’ notice, as well as missed appointments, may be charged the full session fee.
This policy preserves appointment availability for all clients and allows time to offer openings to others.
Communication & privacy
For your privacy, sensitive information should be shared through your secure client portal. Email and phone are monitored during business hours but are not fully secure for confidential matters.
Confidentiality
Information shared in session is kept strictly confidential under state and federal law, with the standard exceptions: imminent risk of harm to yourself or someone else, suspected abuse of a child or elder, court orders, and other legal or ethical obligations.
Documentation & administrative services
Letters or forms outside scheduled sessions require professional review and preparation time and are generally not covered by insurance.
- Attendance or appointment verification
- No charge
- Standard clinical letter
- $35
- Treatment summary
- $50
- Medical necessity letter
- $50
- Emotional Support Animal letter
- $75
- Accommodation letter for school, workplace or housing
- $75
- FMLA / leave of absence forms
- $75
- Extensive documentation or multiple forms
- From $75
Requests typically require 5-10 business days. Fees are due prior to release of completed documentation and reflect professional time, clinical complexity and judgment, not page count.
ESA documentation is considered only for established clients under direct clinical care for at least 60 days. Issuance is never guaranteed and depends on clinical appropriateness.
Unsure which service fits?
A free consultation call is a simple first step. Sarai can help you find the right starting point.