Our standard rates are $250 for a relational therapy session and $225 for an individual therapy session. Our interns use a self-appointed sliding scale between $40-60 per session based on the green bottle method.(https://www.radicalhistoryclub.com/sliding-scale) A limited number of sliding-scale spots are available for BIPOC clients and others with financial need—please reach out to inquire about current availability.

Yes. I reserve a small number of reduced-rate spots for BIPOC clients and others with financial need. If this would support your access to care, please ask about availability when reaching out.

Yes. I currently accept Lyra Health. If you’re not using insurance, I can also provide a superbill for potential reimbursement if your plan covers out-of-network providers.

I’m based in Midtown Sacramento and work in-person as well as over tele-health. Sessions are offered virtually to clients across California, Washington State, and the United Kingdom, where I am licensed.

Yes. All virtual sessions are conducted through a secure, HIPAA-compliant video platform. This allows for greater flexibility, comfort, and continuity of care across both California, Washington State, and the United Kingdom, where I am licensed.

You may cancel or reschedule up to 24 hours in advance at no charge. Cancellations made within 24 hours of your scheduled session will be billed the full session fee.

Fill out the contact form (https://www.esacounseling.com/contact)and you’ll receive a reply within 48 hours. From there, we’ll schedule a free consultation to see if we’re a good fit and explore next steps.

The first session is about getting to know you—what’s bringing you in, what you hope to change, and how I can support you. I’ll ask a few grounding questions, but we’ll move at your pace and focus on creating a space that feels safe, open, and real.

Therapy is most effective when the fit feels right. Our free consultation gives us a chance to connect, talk about what you’re looking for, and make sure my approach aligns with your needs. If not, I’m happy to provide referrals.

I support individuals and partners working through: • Anxiety, burnout, and life transitions • Relational conflict and disconnection • Sexual identity, body image, and intimacy • Trauma, grief, and emotional overwhelm • Exploring non-monogamy or redefining relationship structures I work with LGBTQIA+ clients, poly/kink communities, and those seeking deeper self-trust and connection. For more information start on my about page or explore my services pages.

Sessions are 50 minutes long. Most clients begin with weekly sessions, though we’ll tailor the frequency based on your needs, goals, and what works for your life.