My practice is typically full and I often work with a waitlist.

The best way to find out if I have an opening is to reach out. If I have space, I will offer a consultation first.

If I’m full, I’m happy to add you to the waitlist. Waiting times can vary from 1 week to a few months, depending on current terminations and graduations.

I generally see patients Monday through Thursday.

If you’re not sure where to start, I offer a free 30-minute consultation.

We’ll discuss what’s been going on, what you’re hoping for and any questions you have about therapy or working with me.

From there, we can decide on the next steps.

In our first session, we’ll review informed consent, the limits of confidentiality as per California law and a few brief logistics.

With the rest of our time, we’ll either begin some intake questions to better understand what’s bringing you in, or we’ll focus on what feels most present and important for you in the moment- whatever feels most supportive to start.

My office is located at 337 Spruce St. in the Pacific Heights neighborhood in San Francisco.

I have a primarily in-person practice with some Telehealth patients as well.

I maintain full transparency about my fee.

I charge $390 per session and my rates go up $10-20 every year in January.

At times, we may plan for our sessions to be longer than 50 minutes, either 75 or 90 minutes. My rate does not change.

I have several sliding-scale spots as part of my practice. These are currently full and the waitlist for these is full.

I accept payment by debit or credit card only at this time.

I do not accept insurance, but I can provide a super bill which you can use for reimbursement from your insurance provider.

Sessions cancelled 48 hours before the session time do not incur a charge.

Sessions cancelled within the 48 hour time-frame that are rescheduled within the same week do not incur a charge.

I primarily work with adults and couples. I do also work with children and families as well.

Each story and individual is different and I create an individual treatment plan around each specific patient.

There is no one-size fits all approach to trauma therapy, and this nuanced, highly specific approach is above all, collaborative. 

Modalities that I work with are psychodynamic, psychoanalytic, relational, somatic and transpersonal.

I have advanced training in EMDR, which is my primary trauma modality.

Therapy is a highly individual choice and journey and it is not possible to say how long it will take.

What research does show us is that the best outcomes in therapy are based on the strength of the therapeutic relationship and also showing up fully and doing the work.

Your active participation in the process is vital to the outcome. 

Betrayal Trauma is trauma that happens inside of an attachment bond. 

Betrayal Trauma includes relational trauma, attachment trauma, relationship trauma, interpersonal trauma, developmental trauma, trauma from relational wounding, complex trauma/Complex PTSD (C-PTSD) and emotional trauma.

- Childhood abuse or neglect by a caregiver

- Sexual assault, sexual abuse or coercion by a partner, family member, mentor etc. 

- A partner’s infidelity, deception or double life

- Institutional betrayal includes workplace, school, church, military, or medical system covering up harm or punishing disclosure

With betrayal trauma, the nervous system is dealing with danger inside an attachment bond.

Because the relationship may be necessary (emotionally, financially, socially or physically) people can develop many protective symptoms like dissociation, minimizing, not remembering or feeling confused about what happened, self-blame, hypervigilance and shame. 

These responses are the psyche’s way of preserving a needed relationship or maintaining stability when leaving is not possible. 

A general overview of what our work together might include:

1 - Assessment: We’ll get to know each other and collaborate on a plan to work together

2 - Stabilization and Resourcing: Safety, grounding, boundaries and nervous system regulation

3 - Reality Validation: Naming the violation, reducing self-gaslighting

4- Attachment-safe work: repairing trust in self and others, paced relational exposure

5- Trauma therapy, when ready: EMDR, with extra attention paid to consent, pacing and choice.

6- Throughout: Symptom and behavioral observations, learning your triggers, conscious and unconscious behaviors. 

Attachment injury + reality disruption + shame + trust/relational safety is a unique pattern of trauma requiring specialized care. 

It is important to work with someone who understands why betrayal is so destabilizing. It can scramble your sense of what is real, create hyper vigilance and trigger intense checking and rumination. A therapist who understands betrayal trauma can name this as a possible trauma response, not ‘overreacting’. 

Additionally, healing often requires relational safety, boundaries and repair, not just processing memories. Betrayal trauma therapists work to pace closeness in therapy carefully and work directly with attachment wounds. They are especially cautious around stabilization and pacing. 

Betrayal trauma therapists have a strong non-shaming framework and tools that reduce shame early and also can handle emotional realities and safety planning. 

If you are in crisis, experiencing a mental health emergency or having suicidal thoughts, the best course of action is to call 911 or go to your nearest emergency room.

You can also call or text the suicide crisis hotline at 988.