Frequently Asked Questions
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I work with couples, individuals, and groups. As a Certified Gottman Therapist, I also integrate Emotion Focused Therapy and Narrative Therapy into my work. I help couples reconnect, rebuild trust, move through the same recurring fights, heal after betrayal, and find their way back to each other, including sexually. In addition to couples, I specialize in working with the LGBTQIA+ community, and with women-specific issues.
With individuals, I move outside onto the trail for walk and talk therapy, bringing movement, nature, and a different kind of openness into the session.
For couples, there are other services worth knowing about: weekend intensives for couples who want to go deeper, faster, and discernment counseling for partners who aren't sure whether to stay together. You'll find fuller descriptions on the couples, individuals, and weekend intensives pages.
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I offer sessions in two offices, online, and on the trail. My offices are in San Francisco's Union Street neighborhood and in downtown Placerville, and I see clients online by secure video anywhere in California. On the trail, I offer walk and talk therapy for individuals; I don't take couples onto the trail yet. My regular routes are the Presidio, Golden Gate Park, and Ocean Beach in San Francisco, and the El Dorado Trail near Placerville. You'll find the full office addresses below.
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I see clients on weekdays, with some evening availability. Weekend sessions are rarely available, though couples intensives, groups, and workshops sometimes take place then. When ready to schedule, Jaclyn will offer you a way to give input so we can take into account your preferences, when possible.
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Getting started is simple. When you reach out or make a scheduling request through our website links, you'll first hear from Jaclyn, our Manager of Client Services. She'll answer your questions, get a sense of what you're looking for, ask you to fill out a questionnaire, and help you find a time. From there, you might have a brief complimentary call with me so we can begin to understand what's bringing you in and make sure we're a good fit before your first session.
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Your first couples session is a chance for us to get to know each other. We begin with an in-depth assessment, and I offer it as a single, full day rather than spreading it across several weeks.
Before we meet, you'll each complete the Gottman Relationship Checkup, a research-based online questionnaire that looks at every layer of your relationship, from friendship and intimacy to how you handle conflict and the dreams you're building toward. Completing it ahead of time means our day together is spent on the two of you, not on paperwork.
On the day itself, we move through the heart of the assessment: time together to hear the story of your relationship, what brought you here and what you'd each like to be different; time one-on-one with each of you, so I understand your individual histories and perspectives; and a closing conversation where I share back a clear, research-based picture of your strengths and the areas that most need attention, and we set goals together for the work ahead. From there, we don't just stop at the plan, we begin. We'll do an exercise or two together, and I'll send you home with something to practice, so you actually start the work and make real progress on day one.
Why one full day instead of four sessions spread out? Because when couples start therapy, they often can't tolerate where they are right now. Waiting a month or more just to arrive at a plan can feel unbearable, and it's easy to lose the thread between separate weekly appointments. Doing the full assessment in one day gives you both things at once: the longer-term benefit of my deeper understanding of your relationship and its struggles, so the work ahead is grounded and focused, and the short-term relief of building momentum and making progress right away, rather than waiting weeks to begin. It's also a good fit if your schedule is full or you're traveling to see me.
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Your first individual session is a chance for us to get to know each other, talk about what's bringing you in now, and clarify what you're hoping for. It runs a little longer than a regular session, 75 minutes, and takes place in the office or online. From the second session on, in-person clients will join me out on the trail.
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Individual sessions run 50 to 75 minutes, and most individuals meet weekly to start, which helps build momentum.
Couples sessions are longer than the standard therapy hour. Early on, they typically run 2-3 hours, which gives us the room to get to the heart of things without stopping just as the real work begins. The rhythm shifts as you progress: we meet more often at the start to build momentum and ease what's most urgent, then space sessions farther apart as things steady, so you have time to practice what you're learning in real life.
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Fees vary by service, day, and location, and generally range between $175 and $260 for 50 minutes. Because sessions can differ in length, especially for couples, the total for a given session depends on the time reserved. Jaclyn is glad to walk you through the specifics for the service you're interested in when you reach out.
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I'm an out-of-network provider, which means I don't bill insurance directly. Many clients do have out-of-network benefits, though, and I'm glad to provide the supportive documentation (often called a superbill) that you'd submit to your insurance company for possible reimbursement. If you're not sure what your plan covers, it's worth calling the number on your card and asking about out-of-network coverage for outpatient mental health, sometimes listed as “behavioral health,” services. Some insurance companies also provide some coverage for couples therapy, as well.
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Trail Talk is my walk and talk therapy: instead of sitting in an office, we walk side by side and let the conversation move with us. Many people find it easier to open up in motion, with nature around them and the pressure of eye contact eased. I offer it for individuals, in the Presidio, Golden Gate Park, and Ocean Beach in San Francisco, and the El Dorado Trail near Placerville. A couple of practical notes: although maintaining confidentiality is a priority on the trail, because we're in a public space, complete privacy can't be guaranteed the way it can in the office. In addition, though the pace is more leisurely than athletic, it's worth checking with your doctor if any condition makes walking a concern. The pace is set by you, so any level of fitness is welcome. You can read more on the Individuals page about Trail Talk.
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That uncertainty is more common than you might think, and there's a specific kind of work for it, called Discernment Counseling. It's for couples where one or both partners are on the fence, wondering whether to recommit or move toward parting. Rather than diving straight into couples therapy, we take a short, structured path, usually one to five sessions, with time together and time with each of you individually, to help you get clear on which direction is right for your relationship before making a big decision. You'll find a fuller description of Discernment Counseling on my blog.
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Yes. A weekend intensive is focused couples work done over two or three days, giving you the time and space to get to the heart of things without the clock running out at ninety minutes. It can be a good fit if life is too full for weekly sessions, if you're in a difficult season and don't want to wait months to feel better, or if you simply want to go deeper, faster. You'll find full details, including what happens before and after and how to know if it's right for you, on the weekend intensives page.
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Yes. What you share in session is confidential, and I take your privacy seriously. There are a few limits the law requires of every therapist: if someone is at serious risk of harming themselves or another person, if there's suspected abuse or neglect of a child, elder, or dependent adult, or if a court orders records through a valid subpoena. Outside of those situations, what happens in our work stays between us. If you ever have questions about how this works, please ask. (One note for Trail Talk clients: because those sessions happen in public spaces, though we prioritize confidentiality, complete confidentiality can't be guaranteed on the trail.)
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I ask for at least 48 hours' notice to cancel or reschedule, since your time is held exclusively for you, and that notice lets me offer the slot to someone else who needs it. Cancellations with less than 48 hours' notice, and sessions missed without notice, are charged $155 per hour scheduled. Life happens, and I understand that; the policy simply keeps things fair and predictable for everyone. Cancellation for longer sessions, including Accelerated Assessments and Weekend Intensives, is a bit different. Contact us for more information about those specific policies.
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The easiest way to begin is through the scheduling links on this site, or by reaching out directly here. Jaclyn, our Manager of Client Services, will get back to you by the end of the next business day, answer your questions, get a sense of what you're looking for, ask you to fill out a questionnaire, and help you find a time. From there, you might have a brief complimentary call with me before your first session. A quick note: email and text are best kept to scheduling and logistics, since privacy can't be guaranteed over those channels, so anything about the work itself is best saved for session. We would love to hear from you. Contact us anytime.