Frequently asked questions.
Everything you might want to know before reaching out, from how appointments work to fees, insurance, and what happens in your first session.
Getting started
How do I set up an initial appointment?
The first step is to schedule a consultation with our Care Coordinator. They’ll discuss your situation, answer your questions, and help you determine if our practice is a good fit for your needs.
Are you accepting new patients?
Yes! We’ll do our best to get you in for the next opening.
Where is your office located?
We’re fully virtual and see patients online across California.
Where is each service available?
Psychiatry, therapy, and medical care: adults across California via telehealth. Effortless Sleep™ and sleep coaching: available online, nationwide (the Comprehensive tier, which includes medical consultation, is California only).
What are your hours?
Our administrative team is available Monday through Friday from 9 AM to 5 PM (Pacific Time).
Our clinicians’ schedules are typically within this time frame but may vary depending on the clinician.
With what age range do you work?
We work with adults.
Is there anyone you don’t work with?
We’re not the right practice for people who only want medications and aren’t interested in trying something different.
While we aim to support as many people as possible, certain issues are better suited for specialists. Conditions we don’t work with include psychosis and schizophrenia, and Bipolar I disorder. We also do not provide disability evaluations or work with forensic cases.
Fees & insurance
How much do you charge?
Psychiatry visits are $425–$550 for a comprehensive 60-minute intake, depending on the clinician you're matched with; ongoing care is usually a 30-minute follow-up at $300–$350. Therapy and sleep coaching sessions are $200. Effortless Sleep™ is $497, with one-on-one coaching added at $200 per session — start with one; we recommend six. Specialty tracks, like addiction psychiatry, run higher.
Your exact fee is confirmed before you book. After psychiatry and therapy visits you receive a superbill — many PPO plans reimburse a significant portion of out-of-network care. The program and coaching are typically not reimbursable.
Do you take insurance?
The short answer is no; we don’t take insurance. Because we don’t bill insurance directly, we’re considered “out-of-network” providers. But we send every patient a “Superbill” receipt after each visit, which you can submit to your insurance to use any out-of-network benefits or an HSA. We’ve partnered with Reimbursify to make submitting Superbills easy.
Many of our patients get reimbursed 60% to 80% of the allowed amount, though this varies by plan and is never guaranteed. You can check your out-of-network benefits in about a minute before you begin.
Why don’t you take insurance?
The quality of the care and attention we provide outweighs the cost. Insurance dictates how long appointments can be and how frequently patients can be seen, which impacts the quality of care.
By taking insurance companies out of the equation, we can focus on personalized care tailored to your unique needs and build the strong doctor-patient relationship that leads to lasting results.
The good news is that most patients with commercial PPO plans are reimbursed for a meaningful portion of their care. You can see what your plan reimburses in about a minute.
How much will my insurance reimburse?
If you have a commercial PPO plan, you may be reimbursed for a significant portion of our fees. Out-of-network care is typically reimbursed at 60% to 80% of your plan’s allowed amount once your annual deductible is met.
A couple of details shape the actual number: your plan calculates reimbursement from its own benchmark rate (the “allowed amount”), not from our fee, and you pay in full until you meet your annual out-of-network deductible. Because no estimate is guaranteed, we recommend checking your exact benefits.
See what your plan reimburses in about a minute.
File your claim once you have a superbill from us.
Is lab testing covered by insurance?
It depends on the type of testing. Many of the blood tests we recommend are covered by insurance. Some specialty functional nutrition tests may not be, in which case you pay the lab directly.
We use Rupa Health to order specialty labs, with transparent pricing and Superbills for out-of-network reimbursement. We’ll always make you aware of any additional lab fees and give you the chance to choose, you’re never obligated to purchase specialty testing.
What is your cancellation policy?
Your appointment time is reserved just for you. If you can’t attend, we request two business days’ (48 hours’) notice before your appointment. We do charge a fee for missed appointments and late cancellations.
Appointments & sessions
How long are appointments?
Appointment durations vary according to the clinician. Intakes are generally 60 to 90 minutes long. Follow-up appointments are between 30 to 60 minutes, depending on your needs.
What happens during the first session?
Before the first session we’ll send intake forms to complete at least two days ahead, so your clinician can review them.
Psychiatry: the intake generally spans two sessions about two weeks apart, a comprehensive evaluation and initial recommendations, then a follow-up to review labs and fine-tune the plan. Therapy: the first one to two appointments are a comprehensive evaluation of your symptoms, history, and goals. Nutrition: a comprehensive evaluation of your nutrition and gut health with initial recommendations.
What happens during follow-up sessions?
Psychiatry: we assess and adjust your plan, adjust medications if needed, work through roadblocks, and practice skills. Therapy: we explore your emotional experiences, reframe core thoughts and beliefs, and build an emotional-fitness toolbox. Nutrition: we check symptoms, adjust your plan, work on meal planning and grocery lists, and review lab testing.
How often should we meet?
It depends on your needs. Psychiatry: some patients come weekly, others every other week up to every three months; if you take prescription medications, we require a follow-up every three months to continue prescriptions. Therapy: typically weekly or every other week. Nutrition: typically monthly, sometimes more frequent at the start.
Do your patients receive assignments between sessions?
Yes. The magic truly happens between sessions by implementing what you’ve learned. We send visit summaries after each appointment with reminders and action items, making it easier to stay on track and monitor progress.
How do I get a hold of you between sessions?
You can call, text, email, or message the admin team and clinicians via our secure patient portal. We typically respond within 1-2 business days.
Treatment & our approach
Do you prescribe medications?
Yes. As an integrative psychiatry practice, we offer the best of both worlds, medication management alongside integrative and holistic treatments like supplements, nutrition, and mind-body practices. Medication can be a helpful tool when appropriate; we can support you if you’re already taking medications, and help you get off them if that’s your goal.
Do you offer therapy?
Yes! We have licensed therapists in our practice.
Can I work with more than one clinician?
Yes, in fact we encourage working with the psychiatrist and therapist when appropriate, so you can fully benefit from our integrative method. Our clinicians collaborate, so you get a true team approach, which is what makes our practice unique and gets faster results.
What types of treatment do you use?
We offer medication management, talk therapy (including CBT, DBT, mindfulness, trauma-informed, and self-compassion), clinical nutrition, precision lab testing, supplements, and mind-body practices like breathing and relaxation techniques.
What is your professional training and experience?
Our psychiatrists are board-certified with additional training and certifications in integrative psychiatry. Our therapists are fully licensed with additional training in modalities like mindfulness and trauma-informed approaches.
Can I attend your no-cost workshops even if I’m not a patient?
Yes, come join us! We offer no-cost nutrition and mental health workshops about once a month. They are open to the public, even if you are not a patient or not in California. Sign up for our newsletter to hear about the next one.
Urgent help
What if I’m in crisis and need immediate help?
We are an outpatient private practice and do not provide urgent care or emergency services. If you’re in immediate crisis, contact emergency services (911), the Suicide and Crisis Lifeline (988), a hospital emergency room, or a crisis intervention service.
Still have a question?
The best way to get answers is a consultation with our Care Coordinator, with no pressure and no commitment.
Or call (415) 231-6100