Blue Shield Of California (Medi-Cal) Therapists in San Diego, CA

Hello I am a Licensed Clinical Social Worker and have been practicing in the field of Social Work for over 30 years. I have worked with many different people from a variety of cultures. I have helped both children, adolescents and adults with various concerns from criminal behaviors, addiction, and serious mental illness. I have helped people change their behavior and thinking so they can reach their potential, achieve their goals and heal emotionally, spiritually, and physically.

I’m a Licensed Marriage and Family Therapist dedicated to helping in navigate life’s transitions with strength and resilience. My approach is compassionate, collaborative, and practical I use evidence-based methods like Cognitive Behavioral Therapy (CBT) and Emotional Focus Therapy (EFT) while honoring the unique story and needs of each client. I believe healing happens when we create a safe space for growth, and my goal is to empower you to build healthier relationships with yourself and others.

Life's pressures can leave you feeling like you're constantly running on a treadmill—anxious, overwhelmed, and disconnected from the person you want to be. If you're a young adult trying to navigate career, relationships, and your own sense of self, it’s easy to feel like you're falling short, even when you're doing your best. My name is Devin, and I'm a Licensed Clinical Social Worker. My own story as a mixed-race, genderqueer femme of Mexican and Laos ancestry isn't just a biography line—it's the lens through which I understand the world. It’s taught me how our identities, families, and communities shape our lives, often in complicated ways. I offer virtual therapy to young adults in California who are ready to explore these layers and find a more grounded, resilient path forward.

I am a Licensed Marriage and Family Therapist who works with individuals, couples, and families. Many of my clients have commented they like my insight and non-judgmental approach when discussing their issues. In my experience, I have observed many are struggling to make changes in their lives because they received the message they are not good enough. However, I am determined to provide a safe environment for all therapeutic participants by ensuring they can embrace themselves and recognize they are good enough. I am a U.S. Navy Veteran who has personal experience with some of the hardships faced when families are separated due to long deployments. In addition, I have worked with men and women who have recently been released from incarceration. I have experience and training with domestic violence and other traumas as well. Clients tell me that I have a calm demeanor and approachable character which help them connect with me.

Hi my name is Sara Tynes! I am a Licensed Professional Clinical Counselor. I was born and raised in Colorado and I have been living in California for the past eight years. I have been practicing counseling for 10 years and have experience working with children, teens, adults, couples and veterans. I enjoy getting to know my clients, not just their challenges but also their interests and goals. My approach focuses on building meaningful relationships that helps support their journey toward well-being. Please visit my website for additional resources and support https://www.therapywithsarat.com/

My name is Isai (E-sai-EE), and I’m a Therapist based out of Southern California. I have experience working with all ages and backgrounds. My training as a social worker focuses on individual therapy, couples therapy, and family therapy. My professional interests and specialities include working with teens, young adults, older adults, family therapy, and those who struggle with anxiety, depression, marital/relationship issues, men’s issues, autism, anger management, and those with difficulty understanding/controlling big emotions. As a male therapist, I try to make my sessions feel like a conversation with a friend and offer a calm space to talk about difficult issues, a new perspective to help better understand situations, and can help you identify and understand how you might be feeling.

Hello! I am a first generation Mexican-American Licensed Marriage and Family Therapist based in California. I received my Masters in Counseling from California State University Fullerton in 2020 and have been practicing for 6 years. I work with children, teens, and adults who are struggling with anxiety, depression, and trauma by creating a space where they can heal and grow. I practice both in English and Spanish.

Hello! My name is Pai and I am a Licensed Clinical Social Worker (LCSW) in the State of California and have been practicing for 7 years. As a first-generation Thai-American with working class background, I bring a deep understanding of overcoming hardships and trauma. I have worked in community mental health providing culturally responsive therapeutic services including harm reduction and crisis counseling. Rooted in social justice, my work as a therapist is an extension of my passion in helping others empower themselves and assist in their healing journey.

I’m a trauma-informed therapist who works with adults navigating anxiety, grief, and complex relationship dynamics. My approach is supportive, grounded, and tailored to your unique needs. I help clients better understand their emotional patterns, process difficult experiences, and build practical tools for lasting change. I also have experience supporting individuals impacted by domestic violence and veterans. I aim to create a space where you feel understood, supported, and able to move forward at your own pace.

I am not only a therapist but a real person. Everyone struggles with mood and thoughts and sometimes we all need help navigating the intensity of these experiences. I hope to be a guide for you as you walk through whatever challenges are keeping you from moving forward. This process will be challenging and will take work, however if you take away one thing from reading this, it is that you are not alone and there are people out there waiting to offer help.

Hi there, I’m a licensed clinical social worker #87620 located in Texas. I am licensed in California and Texas. My passion is to work with clients to heal trauma wounds, improve the caregiver and child bond as well as Perinatal Mood Disorders. Thank you for taking the time to get to know me and my services. I’ve had the pleasure of developing my career with various non-profit organizations in Southern California. Through these experiences I was trained in multiple modalities including trauma focused interventions (TF-CBT) and parenting (PCIT). It’s truly a privilege and beautiful experience to see families work together to strengthen their bond. || Español: Hola! Soy una trabajadora social con una licencia clínica #87620 trabajando en California y Texas. Mi pasión es trabajar con personas para ayudarles a mejorar sus vidas y curar heridas mentales causadas por traumá, mejorar relaciones entre padres y niños, y trastornos del estado de ánimo durante el período perinatal. Gracias por tomar el tiempo para conocermé y a mis servicios. Soy orgullosa de ser salvadoreña y la primera de mi familia que se ha graduado de la universidad. .He tenido el placer de crecer mi carrera con varias organizaciones en el sur de California. A través de estas experiencias, fui entrenada en varias terapias, como las intervenciones centradas en el trauma (TF-CBT) y Terapia de Interacción Entre Padre y Hijo (PCIT). Es un privilegio y una hermosa experiencia ver a las familias trabajar juntas para mejorar sus vidas.

As a dedicated licensed mental health therapist, I have had the privilege of working with individuals from diverse backgrounds, across a wide spectrum of socioeconomic statuses, and addressing an array of mental health concerns. My experience spans different populations, including children, adolescents, adults, and families, with an emphasis on creating a safe, inclusive, and empathetic space for healing and growth.

I offer support-based services utilizing both faith-based and secular perspectives to help guide clients to determine their best short and long-term personalized goals and objectives. We will create a client plan to help you achieve your personal goals and objectives in the most advantageous time frame possible. I am non-judgmental and try to meet my clients where they are in their life journey and transition to desired future outcomes and refinements. I work with mild, moderate and severe mental health clients who may be in a current crisis with their marriage, stage of life issues, or self-improvement. I work with adults of all ages, gender and sexual orientations. I have experience in counseling in faith-based, as well as secular perspectives and believe that each person has gifts and passions to offer to themselves, their families and their communities. We often need empathy, support and feedback to fulfill our expectations and goals in life.

I am a licensed professional in California with extensive experience in the mental health industry. With 7 years of dedicated work and an additional 11 years of complementary experience, I have worked in various settings including the criminal justice system, high-acuity psychiatric units, applied behavioral analysis, geriatrics, substance abuse facilities, and PHP/IOP/RTC levels of care. Thank you for considering me as your therapist.

My journey as a counselor began working with the Veterans Hospital in an outpatient clinic working with veterans with Depression, Anxiety, PTSD, survivors of sexual assault and educating the family. I also have experience working with those who have experienced Intimate Partner Violence, Post Partum-Depression and family members who are caregivers. I am a mother, a caregiver and grandmother who plays an active role in grandkid’s life.

I am a licensed mental health provider in California, Missouri and Texas and have helped clients with stress and anxiety, motivation, self-esteem, confidence, depression, and coping with life changes. I believe you are the expert of your story and possess many strengths that can assist you in overcoming challenges. Taking the first step toward a more fulfilling and happier life takes courage, and I am here to support you in that process.

Dr. Mario Rocha is a psychotherapist, CEO of a non-profit organization, author, speaker, and father. He has spent over 10 years in the mental health field. He obtained a doctorate of psychology in marital family therapy and is a licensed marriage and family therapist. He specializes in working with trauma, complex PTSD, family trauma, and couples therapy. He also works with anxiety, depression, and other mental health-related issues. He has done extensive research on sex trafficking victims and complex trauma. He has a passion for the arts, underserved communities, and program development.

I am a Licensed Marriage and Family Therapist offering talk therapy to adults. I am passionate about reducing the stigma around therapy and creating a supportive space for healing, exploration, and growth. As a grounded therapist I seek to help clients navigate life’s challenges with insight, clarity, and accountability. With over 10 years of clinical experience that spans over diverse settings, including community mental health, high-crisis inpatient care, and residential programs for foster youth. I have supported individuals and families facing anxiety, blended family dynamics, neurodivergence, and significant life transitions such as loss, incarceration, or shifting roles within family structure. I provide individual therapy services to adults only.

I am a Licensed Clinician in California, with over three decades of clinical experience. I specialize in culturally competent, Christian-integrated, strength-based therapy. My approach combines Biblical principles, Christian values, wisdom, and clinical expertise to support those seeking healing through a holistic and compassionate framework. I offer culturally competent therapeutic interventions, respecting all cultures and emphasizing the client's strengths as the foundation for overcoming challenges.

Hello! I’m a Licensed Marriage and Family Therapist (LMFT) who offers compassionate, trauma-informed therapy for adults and teens. I specialize in anxiety, trauma, relationship concerns, and emotional regulation, and I use a variety of approaches to help clients better understand themselves and feel more confident in their lives. My goal is to create a safe, supportive, and nonjudgmental space where you can explore what you’re going through, build practical coping skills, and make meaningful changes. Therapy is a collaborative process, and I work alongside you to gain strength, understand patterns, and support lasting growth. Whether you’re feeling stuck, overwhelmed, or simply looking for deeper self-understanding, I’m here to help!

I'm a Licensed Clinical Social Worker from Northern California with over 36 years experience working in the field of Social Work. I have worked extensively with individuals and families from diverse backgrounds . I have an Undergraduate degree in Social Welfare from The University of California, Berkeley. I also have a Master of Social Work degree from San Francisco State University.

Hi! I'm a Licensed Clinical Social Worker (LCSW) based in California. I received my master's from California State University of Long Beach. I have over 5 years working in outpatient and inpatient medical settings. I have worked as medical and mental health social worker. I have experienced working with adults, older adults dealing with depression, anxiety, substance use, life changes and other challenges.

Hello, I’m Ritika Kaur, a California-based Licensed Marriage and Family Therapist (License #101199). In my psychotherapy practice, I provide a compassionate, client-centered environment where healing can begin. My path into the mental health field began with a simple goal to help people navigate hard times and find fulfillment. After earning my Master’s in Counseling Psychology from National University in 2011, I spent several years working in community mental health. This role gave me valuable experience in providing evidence-based care to a wide range of individuals. I became a Licensed Marriage and Family Therapist in California in 2017, and I remain dedicated to helping my clients build resilience and well-being. I support clients facing mild to moderate mental health challenges, including anxiety, stress, relationship issues, grief, family and parenting stress, and major life transitions. During our initial meeting, we will discuss your specific needs. If I determine that your situation requires support outside my area of expertise, I will provide you with referrals and recommendations to ensure you receive the care you need. While I am happy to support you in other ways, I do not provide disability documentation, medical leave paperwork, or ESA letters. If you require these specific forms or legal documentation, I recommend consulting with a provider who specializes in those assessments. For new clients: Please ensure all intake documents are completed prior to our session. Thank you for your cooperation in ensuring a smooth start to our work together.

I am a psychologist and a Licensed Marriage and Family Therapist. I provide teletherapy to adult individuals and couples residing in California. I work with clients who are dealing with anxiety, depression, low self-esteem issues, chronic illness, LGBTQ issues, career concerns, life transitions, relationship issues with partners, family members, and parent/child conflict. My methods of therapy include Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Radical Acceptance, Motivational Interviewing, Person-Directed Therapy, Positive Psychology, and Interpersonal (Talk) Therapy.

Hi! I’m LeAnn Wright, a Licensed Marriage and Family Therapist and Clinical Supervisor with over 12 years of experience. I specialize in treating PTSD and working with teenagers who face a wide range of challenges, including anger, defiance, and oppositional behaviors. For over a decade, I’ve worked with individuals in the moderate to severe population, gaining extensive experience in areas such as trauma/PTSD, anger management, involvement with the legal system, personality disorders, crisis intervention, depression, anxiety, and self-esteem issues. I strive to create a collaborative, welcoming, and nonjudgmental space where clients feel heard, respected, and empowered. My therapeutic style is grounded in client-centered, choice theory, and humanistic approaches, with a strong emphasis on viewing the mind and body as an integrated whole. I take an eclectic approach to therapy, drawing from a variety of theoretical orientations to tailor the therapeutic experience to each individual. No two clients are the same, and I believe in honoring your unique needs, goals, and strengths throughout the healing process. This isn’t just my profession; it’s my passion. I'm here to help you heal, grow, and move forward with confidence.

As your therapist, I bring a caring and warm presence to every session, creating a safe and supportive space where you can feel truly heard and understood. At the same time, I’m goal-oriented and committed to helping you make meaningful progress toward the changes you want to see in your life. Together, we'll work at your pace to achieve growth and healing. Over the years, I've supported individuals from diverse backgrounds, helping them navigate their unique paths toward healing and personal growth. My approach is adaptable, compassionate, and rooted in evidence-based practices tailored to your specific needs.

Hello! I’m Haley Gonzalez, a therapist working with young adults and women navigating anxiety, identity shifts, life transitions, and postpartum adjustment. Many of my clients come in feeling overwhelmed, disconnected, or unsure how to manage everything on their plate. I do have experience working with a variety of ages, issues, and populations. I help support my clients to build emotional regulation skills, reduce anxiety spirals, and reconnect with a sense of stability and self-trust. I like to take a realistic and supportive approach. We focus on tools you can use between sessions and a safe space to process the things that happen in life.

Good day to you, my name is Mario Palacios I am a LMFT. I have been a therapist for over 25 years. I have had my practice since 2011. In that time, I have learned and have continued to learn what it takes to become a more effective therapist. During this time, I have treated many people with various issues/challenges that have resulted in positive outcomes. The most important impact for me is being able to see when my client has been able to make changes in their lives where they have improved themselves, found more clarity and continue to seek more improvement.

Congratulations! You have taken the first steps in the journey to your goal(s). I am extremely grateful you are considering me to partner up with. I consider my relationships as instrumental in learning who I am. The relationships that most speak to who I am include being a spouse, father, brother, son, colleague, and friend. My grandparents are deceased. Through these relationships I have learned a great deal.

Hi, I'm Alisa! I am a Licensed Clinical Social Worker (LCSW) and I specialize in treating interpersonal concerns and have helped people adjust to life changes, decrease anxiety, and alleviate depression. Working with me, you will find our therapy sessions will be a safe place to be authentic and vulnerable. I aim to utilize appropriate interventions to help you achieve your goal from evidence-based treatments like Cognitive Behavioral Therapy (CBT), Strength-Based, and Psychodynamic. I cater my approach to each of my client’s individual needs.

I am a Licensed Clinical Social Worker (LCSW) with extensive experience supporting children, teens, adults, and families who have been impacted by trauma, major life changes, relationship challenges, mental health concerns, and substance use. My approach is warm, compassionate, and collaborative—I believe healing happens when you feel safe, supported, and truly understood. I use a combination of evidence-based approaches tailored to each person’s needs, including cognitive and behavioral tools, motivational work, trauma-informed practices, and mind–body techniques. My goal is always to meet you where you are, help you feel grounded, and empower you with practical skills that create real change in your life. I’m passionate about helping people build resilience, strengthen self-worth, and move toward the version of themselves they want to be. If you’re looking for a safe and supportive space to work through what you’re facing, I’d be honored to walk alongside you.

*PLEASE NOTE THAT I ONLY ACCEPT CLIENTS IN NORTHERN CALIFORNIA AT THIS TIME* I am a licensed clinical social worker located in the greater Los Angeles area. I work with clients 18 years and older. I have a vast array of knowledge with middle aged and elderly populations. Clients that enter into therapy with me will work to become a version of themselves that helps motivate them to live life in a way that they define as rewarding and productive.

I am a client centered therapist, which means I believe that the client is the expert on their experiences. I ask questions, am open to feedback, and trust the client's capacity for growth and self-actualization. Additionally, I provide coping skills and evidenced based practices to help clients in these areas. I also use art therapy in my practice, which is workable in telehealth.

I'm a Licensed Marriage and Family Therapists. I earned my Master's Degree in Psychology Counseling from Mt. ST. Mary's University in Los Angeles and have been practicing for 15 years. I facilitate insight into problematic issues in your life transition towards a life worth living. My approach is empathetic, compassionate, and direct. I help recognize unhealthy patterns of thoughts and behaviors.

I am a licensed psychotherapist providing individual, family, adolescent and child therapy. I will collaborate with you to identify your goals and learn what is getting in the way of your sense of well-­being. We can work together to support your strengths while addressing the issues that are causing you problems. I provide an environment conducive to discussing difficult issues and exploring creative possibilities for change. I have grief therapy experience, including Survivors of Suicide, and Motherless Daughters.

*I am currently NOT accepting couple sessions who have any type of Medi-cal as their insurance* Hello and welcome! I'm so glad you have taken the steps towards self-improvement, and hope this will be a good match. I have worked in various settings over the last 10 years from school-based therapy, juvenile detention, group private practice and now telehealth. I enjoy working with a wide population, including individuals, couples and families. I specialize in anxiety, depression, Borderline Personality Disorder and BiPolar II disorder to name a few. *I am currently NOT accepting couple sessions who have any type of Medi-cal as their insurance*

As a black female school-based therapist, my dream client is one who approaches therapy with openness, honesty, and a willingness to engage in the process of self-discovery and growth. My dream client understands the importance of mental health and values the support that therapy can provide in navigating the challenges of adolescence. Ideally, my dream client is someone who is eager to explore their identity, including aspects of race, culture, and gender, in a safe and affirming space. They are open to discussing sensitive topics and are willing to challenge societal norms and expectations that may be impacting their well-being. My dream client is proactive in their approach to therapy, actively participating in sessions, completing assigned tasks or homework, and practicing coping skills outside of our sessions. They understand that therapy is a collaborative effort and are committed to working together to achieve their goals. Additionally, my dream client is respectful, compassionate, and empathetic towards others, fostering a sense of community and support within the therapeutic environment. They are open to learning from different perspectives and are willing to engage in discussions around social justice, equity, and inclusion. Overall, my dream client is someone who is committed to their personal growth and development, embraces their uniqueness, and values the power of therapy in fostering resilience and well-being.

Hello! My name is Charmaine and I’ve been a licensed clinician for 8 years and a social worker for the past 15! The trust you build with your therapist is the most important factor in developing that relationship and cultivating a space where change can happen. I would love to help you author your own story and gain motivation to make lasting change.

HI, I am Pat Moriarty. I have been in practice from many years and enjoy helping clients grow and make the changes in their lives they desire. I have extensive experience working with people who have depression, anxiety, grief, and health care issues, as well as life transitions. I help people understand what and why they are experiencing certain feelings and help alleviate discomfort.

I’ve studied and practiced many methods. I like to be eclectic and work with you with what’s needed to get you back on track and feeling your best. I was a teacher for many years, then went for my masters in social work. Life has many twists and turns. Sometimes we can feel off balance or are suffering from depression or anxiety. We’ve all had our ups and downs and getting back on track and feeling our best is a goal I enjoy helping people achieve to live the life they want. Are your coping skills no longer working? Do you need new ones? Maybe you have some unprocessed traumas that need to be processed so that you can move forward.

I am a Licensed Clinical Social Worker fluent in English and Spanish. I earned a Bachelor's Degree in Social Welfare from the University of Puerto Rico and a Master's Degree in Social Work from the University of Nebraska in Omaha. I have dedicated my career empowering individuals, families, and communities. I believe in people's inherent ability to lead healthier lives and see it as the driving force behind every relationship.

Welcome! My name is Davis Lo and I am currently a Licensed Therapist. Currently accepting new clients for weekly or biweekly sessions! Do you feel stuck or lost? Almost like no matter what you do you cannot get out of your current situation? Are you having difficulty coping? Sometimes life happens and it can be overwhelming to deal with everything. Do you need someone who will listen, be compassionate, and non judgemental? Well look no further! By working together, your life can be easier. You will be able to identify your stressors, thought patterns, and challenges that gets in your way of moving forward in life. You will be able to live your best life according to your own values and what is important to you. You will learn skills to be able to manage your stressors and find what is important to you. I have worked with various age groups from teens to older adults that struggle with psychosis, anxiety, depression, trauma, bipolar, and social issues. As a therapist, I focus on helping clients understand their own challenges and working together to find a solution that works for them in a safe environment. In addition, I focus on helping clients find their inner strengths while working on helping them develop a meaningful and fulfilling life.

Migdalia Villafane or “Dalia” as she prefers to be called believes that the therapeutic relationship is to assist individuals through therapy, changing the individuals’ lives for the better. Because this relationship is so essential, she believes it is important that she provides a safe, open and non-judgmental atmosphere where an individual can feel at ease. She knows that no single approach is the right one for every individual, so, she utilizes a range of therapeutic approaches such as Cognitive Behavioral Therapy, Solutions Focused, Family Systems, as well as mindfulness training. Her educational background includes an MSW from the University of Southern California and she is licensed in the state of California as an LCSW.

Welcome! I'm a Licensed Marriage and Family Therapist (LMFT) currently living in Pennsylvania, but was born and raised in California (Bay Area). I have been practicing as a Marriage and Family Therapist for 19 years, and am licensed in both states. I find therapy rewarding at all ages, but specifically enjoy working with adults and families. My goal is to help you build up the confidence you need to be successful.

Good day! My name is Daniel and I am a Licensed Clinical Social Worker with over 15 years of experience serving multiple populations including clients struggling through financial hardship, life changes, relationship issues, emotional/ physical abuse/trauma, diagnosis of a serious mental illness in the family, and depression/ anxiety. I graduated from the University of Texas A&M - Commerce and am currently licensed in California, Kentucky, and Texas. I believe the bravest and most fulfilling way to grow is to "do the work" and I look forward to assisting clients in that journey in every way that I can.

Marriage & Family Therapist | Couples Counseling | Postpartum & First-Time Parent Support The transition into parenthood can place unexpected strain on even strong relationships. Many couples experience increased conflict, emotional distance, or difficulty communicating after the birth of a child. First-time parents may also struggle with anxiety, overwhelm, identity shifts, and symptoms of postpartum depression or anxiety that feel isolating or hard to name. I specialize in working with couples and first-time parents navigating relationship stress and postpartum mental health challenges. I support clients through this transition by helping them strengthen communication, rebuild emotional safety, and develop practical tools that support both individual well-being and long-term relationship health. Clients often come to therapy feeling stuck, disconnected, or unsure how to move forward together. In our work, we slow things down, identify unhelpful patterns, and build skills for emotional regulation, clearer communication, and deeper connection — both individually and as a couple.

I believe in the power of choice! I utilize Telehealth offering video and phone sessions tailoring my holistic approach to address clients’ emotional, cognitive, relational, and spiritual challenges by incorporating useful strategies encouraging resolution. I offer useful strategies that encourage problem resolution. It is my pleasure to assist clients on their journey to wellness, encouraging and supporting them becoming more positive, successful, and happy people.

Hello, I'm Gino Memoli, a licensed therapist dedicated to supporting individuals, couples, and families through personalized therapy sessions. I specialize in addressing personality disorders, mood disorders, and trauma using client-centered modality to help clients explore and heal various aspects of themselves. Additionally, I apply the Gottman Method to enhance relationship dynamics for couples and families, focusing on building stronger, more understanding connections. My approach is direct, honest, and compassionate, aimed at fostering deep personal growth and resilience in a supportive environment.

Hello, I have been a therapist for my whole life, or so it would seem. I feel as though I have always been a good listener and have been there for friends, family and people that need somebody to listen. I have learned a lot about what people have gone through, from working with adults in jail and/or teens trying to understand themselves. Life is complicated, maybe you just need somebody to listen.

Hello, I’m Devon Rankin, LMFT (#123947) — a Licensed Marriage and Family Therapist and graduate of Saint Mary’s College of California. I’ve worked in the mental health field for over 11 years and have been licensed since 2021. My experience spans across telehealth, community-based, and private practice settings, providing therapy to individuals, couples, families, teens, and children. My approach is collaborative, culturally responsive, and trauma-informed. I help clients explore the root causes of distress, strengthen emotional awareness, and rebuild healthy patterns in relationships and daily life. I integrate modalities such as Cognitive Behavioral Therapy (CBT), Emotionally Focused Therapy (EFT), Client-Centered Therapy, Play Therapy, and mindfulness-based practices to support holistic healing. Documentation and Administrative Services Policy: The primary purpose of psychotherapy is assessment and treatment. Requests for letters, forms, reports, or other documentation are separate professional services and are not included as part of psychotherapy. Please be aware of the following: Requests for documentation are reviewed individually and are not automatically approved. Documentation will only be completed when it is clinically appropriate, supported by the clinical record, consistent with my professional judgment, and within my scope of practice. I will not provide documentation, certifications, recommendations, or opinions that I cannot objectively or ethically support, or that extend beyond my role as a treating therapist. Completion of documentation is at my professional discretion and may be declined if the request is outside my scope of practice, lacks sufficient clinical support, presents a conflict with ethical or legal standards, or is more appropriately completed by another qualified professional. Letters, forms, reports, record reviews, and other administrative services completed outside of scheduled psychotherapy sessions are not covered by most insurance plans and are billed separately according to the current Practice Fee Schedule. Fees will be reviewed with the client before work begins.