FAQs: Online Trauma Therapy in California & Virginia
I'm Dr. Sheila Vidal, a licensed clinical psychologist. This page answers the practical questions adults usually have before starting therapy with me: fees and insurance, privacy, scheduling, and how to begin.
At a Glance: How I Work & Logistics
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 to 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 to 16 sessions; integrative therapy can be short- or longer-term. We'll checkpoint progress every 4 to 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. Telehealth care is statewide, so I can work with adults anywhere in California or Virginia.
Do you offer in-person sessions?
Yes. I offer limited in-person sessions in Folsom, CA (by appointment). All other sessions are provided online statewide in California and Virginia.
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 new skills can carry into daily life.
Do I have to do exposure (PE)?
No. PE is optional, used only when appropriate and chosen. Many clients work with ACT, CBT, and CPT without exposure, and we decide together what fits.
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
If you hold a security clearance, my Security-Clearance-Safe Therapy page explains how I work with you, and my article on whether therapy affects a security clearance answers common questions.
How do you protect confidentiality?
Sessions use HIPAA-secure telehealth. I'm self-pay and don't bill insurance directly, which limits routine insurer involvement. Written communications are kept minimal and practical. What we discuss stays confidential, except where the law or professional ethics require disclosure. Any other sharing happens with your authorization or as the law permits.
I hold a security clearance. Is therapy safe for me?
I can't speak for any agency's process, but I can explain how I handle your information. I don't routinely contact employers or agencies about your treatment, and any disclosure requires your authorization unless the law or professional obligations permit or require it. Records are kept as professional and legal requirements specify, and we can talk through how any written communications will be handled.
Fees & Insurance
What are your fees?
$300 per 50-minute individual session. As a self-pay client, you have the right to receive a Good Faith Estimate of expected charges.
Do you take insurance?
I don't bill insurance directly. For therapy you book directly with my practice, I'm self-pay, which limits routine insurer involvement and keeps scheduling flexible. Superbills can be provided for potential out-of-network (OON) reimbursement (coverage varies by plan); if you submit one, it shares diagnosis and service details with your insurer.
How do payments work?
Keeping a card on file is optional. You can save a card in your profile in your billing portal, or make a one-time payment without saving it. I send an invoice after each session rather than routinely charging you beforehand. I accept credit card, ACH, or Zelle. HSA/FSA cards are typically accepted; check your plan.
Do you offer a sliding scale?
I don't offer a standard sliding scale for individual therapy. When cost is a barrier, I can discuss referral options. Separately, my paid clinical group psychotherapy and my free, non-clinical psychoeducation groups are distinct programs, not a sliding scale for individual sessions.
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, for many adults. Research supports telehealth as an effective way to deliver therapy 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 741741. Veterans can also reach the Veterans Crisis Line: dial 988 then press 1, or text 838255.
Do you work with veterans, first responders, immigrants, or clearance holders?
Yes. My background includes VA trauma programs and culturally responsive care.
Still have questions?
Visit the Contact page or Schedule a free consultation. I'm glad to help you decide the best next step.