Contact Us and FAQs

Therapy is simply a conversation and a connection between two human beings. You can talk about anything on your mind--and I mean anything! I may check in about things from a previous session, but I do not come into session with an agenda. I consider our sessions your time and space, and you can use it however you'd like! Sometimes it is helpful to think about what you might want to talk about between our sessions, some people make a list, others may come in and decide what feels most important to talk about and see where that leads our talk. I also encourage you to think about what you might be avoiding. If there's something specifically difficult to bring up, I sometimes suggest we start there if you are having a hard time deciding what to discuss. If we are working on EMDR, we will probably check in at the beginning of each appointment to see if you're feeling like it would be a good fit for our time that day or if you would like to use the time to talk.

As a therapist, my goal is to provide a safe space for self-exploration, whether that is gender-related or not. I have training in supporting people in many areas and aspects of life beyond gender. Sometimes people believe my focus on the trans and nonbinary communities indicates that I am only able to help with topics relevant to gender. I have worked with several diverse populations with a wide variety of concerns and goals for therapy. Gender is very rarely the only concern in someone's life, and sometimes gender is not a topic they wish to address in therapy. It is completely okay to work with me on anything you'd like.

Therapy, to me, is a process of collaboration and co-creation led by you, the client. You are the expert on your own life and experiences and I will readily and eagerly consult you on your expertise in our sessions. I believe that in therapy it’s important to acknowledge that who we are and what mental health looks like comes from the history of our experiences and the cultures we live in. These experiences can give rise to beliefs we didn’t realize we carried with us and therapy can be a space to decide if holding those beliefs serves you well or goes against your own values. As we move between sessions and through our work I will always turn to you and your values as signposts for figuring out where our conversations might go. 

It is my aim to provide a space of safety, connection, authenticity, and autonomy with my clients. I want the therapeutic space to be one where you can speak to what you’re experiencing, what you want to explore, and where you want to move in your life confidently and collaboratively.

Georgie's standard fee is $200 per 45-50 minute session. The associates' standard fee is $150 for Individuals and $175 for Couples per 45-50 minute session. We take debit and credit cards, as well as HSA/FSA cards. You are also welcome to pay in cash or by check if necessary, however card payments are most preferred.

We all offer reduced fees via a sliding scale for those who have financial need. Please let us know if this is something that could be helpful for you.

Our practice does not take insurance and we are not pursuing becoming an "in-network provider" for any insurance panels. We can provide a "superbill" as documentation of payment via HSA/FSA card, and it can also serve to be to be reimbursed as an "out of network," or OON provider if you have a PPO (not an HMO or MediCal). More information on how this works can be provided, however the best course of action is to contact your insurance company and ask the following questions:

• How much does my plan reimburse for an out-of-network provider?/ What percentage of the fee will I be reimbursed?

• How will I be reimbursed?

• Is approval required from my primary care physician?

• What is my deductible and has it been met?

• What is the coverage amount per therapy session?

• Are there any restrictions regarding the type of therapy or the practitioner’s credentials?

• Are there any other restrictions I should know about, or any other questions I should be asking?

I write letters in session with my clients. I can write a letter during our first session if you are only seeking a letter and not ongoing therapy. I write letters for ongoing clients as well, whenever the need arises. My letter writing process is simple and straightforward. I have a template that is about a page long, and it essentially allows me to "fill in the blanks," which I will ask your input on as we read through the letter together. The writing process usually takes about 20-25 minutes. When we are done, I will send you a PDF of the completed letter so you can submit it to any doctor or insurance company. I have rarely had a letter rejected by an insurance company. I am aware some doctors have specific requirements as well. Typically, my letters already cover all the necessary types of information, but if you do need an edited letter for any reason, please contact me and I will edit the file and resend it to you. If it has been over a year since we wrote our letter together, or you need a letter for a different medical transitioning step, I will require an "update" session to clarify and re-date the letter. 

I require anyone who sees me to fill out my forms and paperwork, which must be completed before our first session. My standard fee is $200 per 45-50 minute session, and I offer a reduced fee based on financial need.

All of my associates are trained on and comfortable with writing letters, in the first session or otherwise. Their standard fee is $150 per individual 45-50 minute session (sliding scale available), and paperwork is also required for working with any of them. 

Georgie is registered as a Licensed Professional Clinical Counselor (LPCC #9136) in the State of California. This is different from a Licensed Marriage/Couple and Family Therapist (LMFT) and a Licensed Clinical Social Worker (LCSW). All three of these licenses are Master's-level therapists, and they all may use many of the same techniques and tools within the therapeutic relationship. However, each of them vary slightly in regards to their training and "lens" of therapy. LMFTs look at an individual in relation to the family, working on interpersonal dynamics, and view people within the context of their relationships in their life. Their training requires specific "relational" hours to hone their skills in working with more than one individual in the therapeutic setting. LCSWs approach clients with the view that individuals are within the context of a society that creates need for support in gaining access to resources within the community.  LPCCs are newer to California and are therefore much less prevalent and less understood than LMFTs and LCSWs. LPCCs look at clients through a more holistic, wellness lens, and focus on the individual with a strengths-based view. Although LPCCs are qualified to diagnose their clients, they may stay away from doing this as this is a "medical" model that looks at what is going "wrong," rather than a wellness lens which asks "What is going right?"

Before becoming licensed with the above credentials, one must accrue a minimum of 3000 hours of "supervised" experience over at least 2 years. Supervised experience means working closely with an experienced therapist essentially as an "apprentice." Along the way an exam on law and ethics must be passed, and a clinical exam is taken after the 3000 hours have been collected.

You may find this information helpful as well: California Association for LPCCs.

If you have further questions about my training or experience, please let me know.

An Associate Marriage and Family Therapist (AMFT) is someone who has finished graduate school training to learn how to show up in therapy working with individuals and relationships, and who has put forward work as a trainee therapist as a part of that graduate training. AMFTs are registered with the California Board of Behavioral Sciences and work under a clinical supervisor as they accrue practice hours after graduation and before their full licensure. After accruing enough hours and taking a licensure examination, an AMFT can then become a Licensed Marriage and Family Therapist.

Eye Movement Desensitization and Reprocessing (EMDR) therapy has been proven effective, not only for trauma treatment, but can also treat other symptoms and distressing elements of your life. The following text is from the EMDR Institute: 

"When a disturbing event occurs, it can get locked in the brain with the original picture, sounds, thoughts, feelings, and body sensations. EMDR procedures seem to stimulate the information and allow the brain to reprocess the experience. That may be what is happening in REM or dream sleep. The eye movements help reprocess the memory and other associated experiences. It is your own brain that will be doing the healing, and you are the one in control."

If you are interested in or curious about EMDR, please ask! I am more than happy to answer any questions about it or have us try it out if you are a client, new or continuing. I truly believe in the power of EMDR and I hope to share that healing experience with you. Currently, Georgie, Herb, and Skye offer EMDR.

Beginning in 2022, medical providers are to give their clients “Good Faith Estimates” that estimate the expected cost of their clients’ health care expenses. This law includes mental health services. Clients can request this estimate when inquiring about services. They automatically will receive an estimate when scheduling their first appointment and annually (in January) thereafter. Please view the following link for more information about this law: No Surprises Act