How do I schedule an appointment? 

You may request an appointment through the appointment request page, or the ‘schedule an appointment’ button on the side of this page. For other questions regarding services, you may reach me by email at elizabethkarshmft@gmail.com or call (805) 316-4567. 

What is the fee for sessions? 

My rate is:

$235 for a 90-minute session.

Why are sessions 90 minutes?

I have found hour and a half sessions to be the optimal time for sustained focus. Ninety minute sessions allow you the time and space to work deeply on the issues you are wanting to address in sessions. Clients may choose to schedule sessions weekly or every other week. 

Do you take insurance? 

No, I am not on any health insurance panels. By not accepting insurance, we are able to set the terms of your treatment ourselves, rather than treatment being dictated by the insurance company.  As of January 2023, most insurance companies are no longer reimbursing for longer (90 minute) sessions. Therefore, it is unlikely for you to receive reimbursement from your insurance company if you have out-of-network benefits. 

If you have out-of-network insurance benefits, you may contact your insurance company directly to see if they provide reimbursement for 90 minute sessions. If they do, after your payment to me, I can provide you with a “super bill”, an invoice of services, which may be submitted to your insurance company for potential partial reimbursement.

What forms of payment do you accept? 

I accept cash, checks, and all major credit cards as forms of payment.

What is your cancellation policy? 

If you are unable to attend a session, please make sure you cancel at least 24 hours beforehand. Otherwise, you may be charged the full rate of the session.

How often do we meet for therapy and for what duration? 

Everyone’s circumstances are unique, and deciding whether we meet weekly or biweekly and for how many sessions is a collaborative effort. A lot depends on your desires in terms of personal development, life commitments, finances, and other contributing factors. With longer 90-minute sessions, many clients prefer to meet every other week.

Is telehealth really productive?

Yes, clients have told me they find telehealth just as productive as meeting in person. I want you to get the most out of your telehealth sessions, and the following will help make your experience more successful:

For legal reasons, you must be located in the state of California for telehealth sessions.

Please log in a few minutes early and ensure you have strong internet connection.

Please arrange to place your device on a surface that allows you to have your hands free.

Please arrange to log in from a space where you have privacy and are free from distractions. 

I encourage clients to take a few minutes after session to transition back into their daily life by creating a break between the end of session and the rest of their day. This can be accomplished by temporarily going into a different room, getting a drink of water, stretching, listening to music, etc.

Is therapy confidential? 

With few exceptions, what comes up in therapy remains confidential between the two of us. Confidentiality may be broken if:

You disclose that a child or vulnerable adult has been abused or neglected.

You disclose that you are in imminent danger of ending your life or the life of someone else.

The court subpoenas your file for a legal matter.

Do you work with families, children, or couples? 

My practice is focused exclusively on working with individuals 18 and over. 

Do you provide group therapy? 

I periodically offer LifeForce Yoga for Resilience in a group setting. Please let me know if this is something you are interested in, and I will let you know when this group is next offered.