Check the rainbow bar at the top of this website - this is updated regularly. Note that when I'm not accepting new clients "officially," I occasionally have shifts in my schedule that allow me to take on one new client at a time. If you'd like to get on my waitlist, I am booking intro calls for prospective clients and can also support you in finding a therapist with availability in the meantime if you'd like to share any relevant information in an email.

Yes. I am in my Rancho Cucamonga, CA office on Thursdays and when I have openings for new clients, I prioritize those time slots for folks who are specifically seeking to do in-person therapy either exclusively or on a hybrid (in-person/virtual) basis. My telehealth clients who live out of the area and find themselves in the Greater Los Angeles area are always welcome to set up a one-off in-person session as well!

Not currently, though I am working towards it within the next year. In the meantime, I am an out-of-network provider and do not accept or interact with insurance directly. That means that if you have a PPO plan with out-of-network benefits, I can provide you with a "super bill" that you can submit to your insurance for partial reimbursement. This can be a confusing process, and though I do not interact with insurance directly, I can support you in understanding how to best use your benefits. First, ensure you have a PPO. If you have an HMO, Medi-Cal, or an insurance company that maintains its own provider network like Kaiser, you will be limited to either paying out of pocket without reimbursement or to finding a therapist who is in-network. If you do have out-of-network benefits, you will pay your full rate to me up front, and I will give you a super bill either after every session or at regular intervals (e.g. monthly, quarterly, etc.), based on your preference (how often you want to fill out insurance paperwork). You will submit a claim with the super bill attached. Most insurance companies have an online form you can submit, though some require you to mail in paper copies. "What is your process for submitting out of network claims?" is a good question to ask your insurance company when verifying your benefits before getting started with therapy. The amount of money you receive back from your insurance company will be based on two things: 1) The percentage of out-of-network outpatient mental health services covered by your plan after your deductible is met (this should be accessible to you when you log in to your insurance company's website, or you can call the customer service number on your card and ask) 2) The "allowed amount" the insurance company sets - this is the amount they think therapy should cost, which is unfortunately often set at rates much lower than the average rate for your area. For example, if your plan pays for 60% of out-of-network therapy after your deductible is met, it would not matter if my rate were $225 or $1000 - if the company's "allowed amount" is set at $150, you will receive a check from them for $90 per session. Insurance companies are not legally required to publish their allowed amount, nor do they have to share the metrics used to calculate it, though some will disclose this when asked. Regardless, it may not be possible to accurately predict exactly how much you will receive in reimbursement prior to our first session. If you would like to have one session, submit a claim, and wait for it to be processed before moving forward with therapy to ensure it's within your budget, I can hold your space for up to a month while you wait. Please contact your insurance company for specifics about your deductible, out-of-pocket maximum, and reimbursement percentage. This blog does a good job of outlining the information you'll need from them. Keep in mind that insurance companies require a qualifying diagnosis to receive reimbursement for services. While I have complex beliefs about the utility of diagnosis and pathology, I will prioritize access to care. it is my policy to discuss diagnosis with clients before documenting anything, and we will talk through the implications of reporting more stigmatized diagnoses to insurance and troubleshoot any privacy concerns that may come up.

I do! Approximately 40 percent of my caseload at a time is dedicated to reduced fee slots to increase accessibility for multiply marginalized neurodivergent folks. I maintain a set number of slots below my full fee of $225 at three tiers: "low"($100-140), "medium" ($145-175), and "high" ($175-215) levels, understanding that even when the slot you might be able to best afford is full, even $5 lower can make a difference week-to-week. The numbers are re-evaluated on a quarterly basis so that I'm able to ensure I'm offering as low a rate as my practice can financially sustain to those who need it. When I am able, I will also offer time-limited slides and/or payment plans to current clients based on circumstances (e.g. unforeseeable financial burden of unemployment, medical emergency, etc.). Money can be a difficult thing to talk about, and it's important to me to foster a relationship based on transparency that makes it feel safe to talk through your needs. As slots become available, they are offered to new or existing clients on a waitlist. Feel free to ask about what is available or how long the waitlist is prior to setting up a consultation if this is a must for you. However, I cannot typically predict length of treatment with enough accuracy to give a precise timeframe if an opening is not immediately available and will recommend seeking out another provider if you are in need of therapy ASAP (see resources). If you’re interested in working together in another capacity, consider a one-time case management consultation for personalized referrals and discussion of what goals you might benefit from working on with another provider. Or, if you’re seeking support with an eating disorder and are either autistic or an ADHDer, sign up here for the monthly free peer support group I facilitate via Zoom for adults located anywhere.

I see clients Monday through Friday between the hours of 9am and 6pm PST. I see the majority of my clients in pre-scheduled weekly or biweekly time slots, so when I have an opening, it will be because one of those slots has opened up, and I don’t have much flexibility beyond that. I will do my best to work with prospective clients to make your ideal time work, but to protect my own energetic boundaries, I can’t meet every specific request. If your schedule is very limited, please specify in your inquiry when you would be available to meet so I can check it against my own schedule. If you have a schedule that is unpredictable or fluctuates frequently, I do offer the option to check in at the beginning of each week to see what openings might be available in lieu of sticking to a set time slot, but this cannot be guaranteed. I do not provide out-of-session skills coaching.

I work with adults 18 and older. On a case-by-case basis, I may see an adolescent as young as 16. Parenting support is out of my scope of practice, so if this is the primary objective of therapy, I am not a good fit. I am happy to provide updates, education, or advocacy on behalf of my clients to their support people when requested, but goals for therapy and the content of sessions remains between my clients and me and will not be dictated by anyone else. However, I have successfully collaborated with family therapists who work with the whole family unit while I am seeing an adolescent for individual therapy. I may be a fit for a teen if they are: Able to coordinate their own appointments Seeking therapy of their own volition (e.g. not required by a parent to attend) Looking to do work unrelated to family issues, or Open to supplementing individual therapy with family therapy with a different provider

As a courtesy to both me and other clients who may be waiting on an opening, I ask that whenever possible, you inform me 24 hours ahead of our scheduled session time that you won’t be able to make it. Late cancellations and no shows will be charged the full session fee, barring an unforeseeable emergency (this includes chronic illness flare-ups). As a fellow ADHDer, I know that sometimes appointment times just slip our minds, and it can be frustrating to encounter this kind of “ADHD tax,” so let’s work together ahead of time to discuss what individualized support I can provide to help you remember, whether that’s additional reminders beyond the standard automated emails, a call 10 minutes into the hour if you’re not there, or another creative solution. This kind of planning can be really beneficial in other areas of our lives, too!

I am excited to be able to supervise fellow therapists who are specifically interested in specializing in neurodiversity-affirming eating disorder care. There are two options: 1) Regardless of your location or licensure status, I can provide informal consultation (regular, occasional, or one-time meetings about a specific case, philosophy of the affirming paradigm, countertransference related to lived experience, and more). I also offer this service to dietitians, coaches, and peer support workers. 2) If you are an ASW, AMFT, or APCCs in California or a LSW, LAMFT, or LAPC in Pennsylvania in need of formal supervision of your hours toward licensure through the state's board, I am qualified to provide this if your agency or practice is open to outsourcing supervision to a 1099 contractor. I do not supervise for the CEDS or any other certification credential. Please reach out to connect and determine whether we would be a good fit. Unfortunately, I'm unable to accept interns and students for formal supervision.

I struggle with immediate auditory processing around logistics and prefer to discuss matters like scheduling, availability, and billing via email or text whenever possible as an accommodation for myself. However, if you a more of an auditory processor and need to be accommodated yourself, I can make that happen when planned in advance, so please text or email me to set up a time for a call. I do not answer phone calls without an arranged time to talk.

When forced to label my modality of choice, I call it Rogerian, which is clinical-ese for the client-centered, non-directive approach based in the belief that people are inherently motivated toward optimal psychological functioning. In other words, I prioritize your needs and let you take the lead while providing guidance via curiosity and pattern observations to whatever extent feels supportive for each individual. I have never felt drawn to one type of therapy in particular - there are so many limitations to each, and there is no possible way that any manualized approach (“cure your whatever in three easy steps”) is going to perfectly meet any individual’s needs, so instead I pick pieces of what might be helpful in the moment. I have experience doing this with dialectical behavior therapy, internal family systems, acceptance and commitment therapy, cognitive processing therapy, inference-based therapy, exposure response prevention, and collaborative and proactive solutions, but I do not follow any one of these modalities to fidelity, so if you’ve heard good things about one of them and want to try it out, I recommend working with someone who considers it their specialty. I avoid the “gold standard” cognitive behavior therapy because so many of my neurodivergent clients have spoken out and shared that it feels dismissive and is not trauma-informed. The majority of my work is informed by theory rather than a formal approach. That means I use certain clinical skills and ideas that blend seamlessly into our conversation and build our therapeutic relationship rather than stopping to say, “Okay, now we’re entering phase three of this treatment.” The downside of this is that there won’t be a clear number of sessions this will take; it’s not something we “get through,” and there isn't necessarily a clear destination we can define from the get-go. The upside is that it will feel more natural and may have more implications outside the therapy hour. Some of the other theoretical orientations I most commonly draw from are: psychodynamic; interpersonal; feminist; and existential. As of winter 2024, I am trained in Ketamine Assisted Psychotherapy (KAP) and am partnered with Journey Clinical to support interested clients in accessing this service. However, I offer KAP only to established clients whose treatment goals it might support at this time. I hope to offer KAP as a stand-alone service to new clients in the future. If this is something you're interested in, please reach out so I can connect you with some great colleagues who are skilled in facilitating KAP alongside various other specialties, including both neurodiversity and eating disorders.

I take a strong stance against applied behavioral analysis, including what’s considered “new ABA.” I feel similarly about ABA-adjacent therapies that use rewards and consequences to modify behavior, as both research and lived experience shows us that these “therapies” are large contributors to complex trauma symptoms - especially related to attachment - in neurodivergent adults, even when they enjoyed participating as children. I have supported many autistic adults through healing from trauma that stemmed from participation in ABA "therapy." While ABA is the only “evidence-based treatment" for autism, the neurodiversity paradigm tells us that autism is not something to be treated in the first place. See the Great ABA Opposition Resource List for more information.

The same therapy we’d do for anyone else. If you’re asking this question, then probably with a focus on unpacking internalized ableism and understanding the ways in which you’ve inadvertently learned to mask your authentic self. I align with the pillars of Naureen Hunani's Neurodiversity Affirming Model®: anti-oppressive and anti-ableist, leadership of those most impacted, acceptance-based, trauma-informed (including sensory and compliance trauma), and bodymind liberation.

I prioritize my client’s autonomy over all else and do not believe it is morally acceptable to utilize the inherent power my professional role gives me to determine without my client’s consent that they are in need of a higher level of care. That doesn't mean I am against higher levels of care; it means I am one member of my client's treatment team, but they are the leader of that team, so if they are interested in exploring the potential benefits of such care, I will guide them through the informed consent process and ensure they have what they need to make the most educated decision. Additionally, I invite my clients to take the lead on creating a proactive crisis plan, which may include accessing external supports within their community and/or drafting a psychiatric advance directive. See IDHA for more information on decarcerating care.

I wanted to name my practice something that incorporated elements of both of my clinical passions - eating disorder, neurodiversity, and disability work. Autonomy is the backbone of affirming, effective, and sustainable care for all of the above. It's just a happy accident that "autism" and "autonomous" share their first three letters (it's actually because of the prefix "auto-" which means "self" - info-dump available upon request).

I invite my clients to info-dump or drop bullet points (and memes) for their therapy session agenda to whatever extent is beneficial to them via text message on the HIPAA-compliant platform I use. However, I am not able to respond to clinical updates or provide any feedback between sessions, so my response will be limited to a “thumbs up” to indicate I received your message, and I will make sure to review it before session. The benefit of this kind of communication is to support you in getting the most out of your therapy hour - if there are tedious details to a story you don’t want to spend time on or you simply expect to forget what happened during the week even though it felt really important in the moment (happens to my ADHD brain all the time!), this can be a great accommodation. Texting is for non-emergencies only, but I can provide you with both crisis hotlines and supportive "warm lines" (someone to talk to when you're struggling before it becomes an emergency) that do not call the police so that you have them handy.

I don’t gate-keep necessary accommodations, so as long as your animal meets an emotional need for you, yes. However, according to the California Board of Behavioral Sciences, we must have an established and ongoing therapeutic relationship of at least 30 days before I’m able to write this letter. To ensure I am in compliance with BBS guidelines, I also specify an end date on the letter so letters must be re-issued annually; thus, you would eventually need to seek a new letter from another provider if we end our therapeutic relationship. A few things to keep in mind about ESAs: There is no database or official registration for ESAs, but there are a lot of websites that offer them anyway - avoid being scammed! Since the FAA revised its policies, airlines no longer recognize ESAs as separate from pets, so if your goal in obtaining an ESA letter is to have your animal for support around flying anxiety, you will have to pay for them as a pet and keep them in a carrier. ESAs do not have public access rights. This is for service dogs and miniature horses only. I am not qualified to write letters for service animals. The only functional purpose of having an ESA letter currently is housing access. The Fair Housing Act dictates that ESAs cannot be charged pet rent or a pet deposit and must be permitted in housing that would not otherwise be considered "pet-friendly." Landlords cannot discriminate based on breed or size if your pet is an ESA. This is also the case for college dorms. ESA owners are still beholden to the "reasonable accommodation" clause, meaning that if the presence of your animal causes an undue burden to either a property owner or another resident, your ESA may be denied access or you may be asked to make adjustments (for example, training the animal not to dig in the yard within a certain time period or rooming with someone who doesn't have an allergy).

Yes. If we’re not able to work together on an ongoing basis or your need is time-sensitive, I’m happy to refer you to some wonderful colleagues who can see you for a one-time meeting either for free or at a low fee, depending on their availability, for this purpose only. I follow the standards of care outlined by the World Professional Association for Transgender Health (WPATH), as is mandated by both my personal morality and my professional ethics code. If you have encountered a provider who did not follow these standards and you were harmed as a result please consider filing a grievance with your state's board. If you have questions or concerns about the practice of affirming an individual's gender identity, I invite you to visit The Trevor Project to learn about suicidality among trans youth.