Name *

First Name

Last Name

Phone *

(###)

###

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Please note I only accept adult (18+) individual clients. Are you age 18 or older? *

For couples, teen, or family therapy, please refer to my referrals page.

Yes, I'm 18 or older

Do you prefer online or in-person sessions? *

Note: Currently only online sessions are available. For additional San Diego in-person EMDR therapist referrals, please see my referrals page.

Online therapy works for me

What is your availability? *

Note: Therapy sessions are typically scheduled on a weekly basis. Current availability is limited to the below weekly options. For additional San Diego EMDR therapist referrals, please see my referrals page.

Mondays at 2pm

Wednesdays at 12pm

Thursdays at 11:30am

Is this fee within your budget for the out-of-pocket cost of psychotherapy? *

If my fee is not affordable, please see my referrals page.

Yes, this is within my budget