FAQs — Online Trauma Therapy in California & Virginia
Clear answers about ACT-led, trauma-informed online therapy for PTSD, C-PTSD, anxiety, and attachment—private, HIPAA-secure telehealth in CA & VA.
At a Glance — How I Work & Logistics
Approach: ACT core, integrating CBT, CPT, optional PE, and mindfulness
Format: Online only (HIPAA-secure) • Self-pay with superbills • $300 / 50 minutes
Where: California & Virginia (statewide)
Start: Free 15-minute consultation
Quick Navigation
Getting Started
How do I begin?
Start with a free 15‑minute consultation. We’ll clarify goals, logistics, and fit. If we decide to work together, we’ll schedule your intake and map a first‑month plan.
Telehealth is provided with documented informed consent at your first appointment. We review risks, benefits, privacy, and alternatives per California and Virginia law.
What happens in the first 2–3 sessions?
We’ll review current concerns, history, and strengths; establish safety & stabilization skills; set values‑aligned goals; and choose an initial track (integrative therapy or a focused protocol like CPT).
How long does therapy take?
It depends on goals and readiness. Protocol blocks (e.g., CPT) often run 8–16 sessions; integrative therapy can be short‑ or longer‑term. We’ll checkpoint progress every 4–6 sessions.
Do you work with couples or teens?
I focus on individual adults (18+). If couples or family work is needed, I’ll discuss referrals.
Licensure & Availability
Where are you licensed and who can you see?
I’m licensed in California (PSY36022) and Virginia (0810007130). I see adults via telehealth statewide in CA & VA.
Do you serve my area?
Yes—care is statewide. Popular hubs include Sacramento Metro, Northern California, Southern California, and Northern Virginia.
Do you offer in‑person sessions?
No—online only for privacy and access across both states.
Therapy Approach
What is ACT‑led trauma therapy?
ACT builds psychological flexibility—skills to act on your values even when difficult thoughts, memories, or body alarms show up. I integrate CBT, CPT, mindfulness, and PE (when appropriate).
Can we treat PTSD while addressing attachment patterns?
Yes. We pace work so stabilization & regulation come first, then we layer meaning‑making and relationship skills so changes hold in daily life.
Do I have to do exposure (PE)?
No. PE is optional, used only when appropriate and chosen. Many clients make meaningful progress with ACT, CBT, and CPT alone.
What issues do you treat?
PTSD and C‑PTSD, trauma‑related anxiety/depression, attachment‑based challenges, and moral injury. I also support high‑functioning anxiety & burnout, grief, and relational stressors.
Privacy & Security Clearance
How do you protect confidentiality?
Sessions use HIPAA‑secure telehealth. I’m self‑pay, so no automatic insurer data is created. Written communications are kept minimal and practical.
I hold a security clearance—is therapy safe for me?
Many agencies value stability and proactive care. I do not communicate with employers/agencies without your written request or legal requirement. We can discuss low‑paperwork workflows. Learn more on Security‑Clearance‑Safe Therapy.
Fees & Insurance
What are your fees?
$300 per 50‑minute individual session. Group psychoeducation is reduced fee—see Adult Group Psychoeducation.
Do you take insurance?
No. I’m self‑pay to protect confidentiality and flexibility. Superbills can be provided for potential out‑of‑network (OON) reimbursement (coverage varies by plan).
How do payments work?
A valid card is kept securely on file and charged prior to each session. HSA/FSA cards are typically accepted—check your plan.
Do you offer a sliding scale?
Reduced‑fee options are available for group psychoeducation. For individual work, I can discuss referral options when cost is a barrier.
Telehealth & Tech
What do I need for online sessions?
A private space, stable internet, camera/audio‑enabled device, and ideally headphones. I’ll share quick tech tips before your first session.
Is online trauma therapy effective?
Yes—evidence supports telehealth for PTSD, anxiety, and related concerns. Many clients prefer online care for privacy and consistency.
Scheduling & Policies
What is your cancellation policy?
<24 hours’ notice: 50% of session fee. No‑shows or missed appointments: full fee. Arrivals >15 minutes late without notice may be canceled.
How often will we meet?
Most clients start weekly; frequency may shift to bi‑weekly as skills stabilize. We adjust collaboratively.
Do you provide letters, forms, or legal reports?
I do not provide forensic evaluations or extensive third‑party documentation. If needed, I can discuss referrals.
Fit & Safety
Who is a good fit for your practice?
Adults seeking trauma‑informed care with an ACT‑led approach who value privacy and flexible, structured support.
What if I’m in crisis?
This practice is not a crisis service. If you’re in immediate danger, call 911 or go to the nearest emergency room. You can also contact 988 (Suicide & Crisis Lifeline) or text HOME to 741‑741.
Do you work with veterans, first responders, immigrants, or clearance holders?
Yes—my background includes VA trauma programs and culturally responsive care. See Who I Work With and Security‑Clearance‑Safe Therapy.
Still have questions?
Visit the Contact page or Schedule a free consultation. I’m glad to help you decide the best next step.