Hello, and welcome to me and my practice.

Please note that at this time, all of my psychotherapy services are being offered via HIPAA-compliant video. I can only see people who reside within the state of California, since this is the only state in which I’m licensed to practice. You will also have to physically be in California during the delivery of services (although as of December 2021) some temporary sessions are permitted if you and I are out of state due to COVID waivers. But you must be a CA resident only temporarily in another state. This cannot be a permanent interstate delivery of care. These temporary permissions may soon change in 2022.

If you are interested in working with me, please email me, and we can set up a time for a brief zoom video call for you to ask me any questions you may have and for me to make sure you are a good candidate for teletherapy at this time.

Initial Session

I understand that coming to therapy for the first time can be challenging. I also know that spending a lot of money to see if you’re the right fit with a therapist can create significant barriers to even starting the process. With this in mind, the rate for the first 45 minute intake for all individuals exploring psychotherapy with me is $115. Couples and relationship counseling clients have their initial 75 minute session at a rate of $205.

I am a licensed psychologist with a telehealth practice throughout the state of CA. I have over 26 years of experience providing psychotherapy. I teach, write, consult, and do research on sexual diversity and clinical and ethical issues related to psychotherapy and the Internet.

How I can help:

Here are some of the issues I work on with people in my practice:

  • Anxiety, stress, and panic;
  • Body image, food, and eating issues, from a size acceptance perspective;
  • Career transitions, cultivating creativity, and issues related to being an entrepreneur;
  • Depression;
  • Gender identity issues;
  • Grief and loss;
  • Healing difficult family relationships (mom, dad, and sibling issues);
  • Consultation with parents responding to a teen or young adult who is coming out about sexual or gender identity;
  • Insomnia and sleep issues, including APAP and CPAP compliance, chronic pain, and nightmares;
  • Internet, technology and social media issues, including managing the pressure of online celebrity;
  • Personal growth;
  • Post-Burning Man processing;
  • Procrastination and avoidance;
  • Relationships, dating, and sexual concerns

New Psychotherapy Clients

Please email me so we can schedule a first session together. Or start with the pages under my Psychotherapy menu where you’ll find my services, fees, and policies. I welcome and work with people of all genders and orientations. This includes heterosexual, monogamous, and “vanilla” people, as well as LGBTQQIA people; altsex, polyamorous, BDSM and kink-identified people; as well as welcoming sex workers and their partners.

Important Notice About The No Surprises Act

Congress recently enacted a “No Surprises Act” which goes into effect on January 1, 2022. These are “new federal protections against surprise medical bills that take effect in 2022.” A surprise medical bill typically happens when insured consumers “inadvertently” receive care from out-of-network hospitals, doctors, or other providers they did not “choose” (see https://www.kff.org/health-reform/issue-brief/no-surprises-act-implementation-what-to-expect-in-2022/).

It is unlikely this will affect our work together as there should be no situation in which you would “inadvertently” receive care from me or with no choice. The final rules about how to implement this in a setting such as my private practice have not yet been created by the federal government. But I am “out of network” for all insurance companies.

If we currently work together, you should already be well aware of my fees and your costs which include annual fee increases disclosed each October (which get implemented in January of each year). If you are considering working with me, I might need to provide you with a diagnosis before we even meet, which is both unethical and impossible without a meaningful evaluation and assessment. Professional organizations are currently working to understand the details of this law, to whom it applies, and how to apply it. Guidance so far has been unclear and sometimes conflicting.

I assure you that I will be as transparent as possible with you about the costs of the services we agree on together. You will have “no surprises” from me. This transparency has always been required by the ethical standards of my profession. I believe that billing transparency is the only way for me to bring trust and integrity into our working relationship. The only time you might incur additional fees are when we do a longer session than planned (in which case, I stop and contract with you about the costs associated with extending a session). Or if you need to be hospitalized and this requires extensive coordination of care with the hospital, more phone contact with you, and/or with other providers. I will talk to you about prorating my usual fee for these contacts and they will not be a surprise to you.

In the meantime, you can always ask me about any costs about which you may be unsure, and you will be provided clear information. And you may soon receive new forms so that I may comply with this new legal requirement.


Take a look at my Speaking and Consulting menus or check out my shop.


If you are experiencing a life threatening emergency, you should call 911 or go to your nearest Emergency Room. For other crisis info, see my crisis resources.