The Attuned Practice provides clinical care in three connected areas: individual therapy and parent consultation for adolescent girls and their families; consulting services for schools on adolescent mental health; and clinical supervision for associate therapists (starting in 2027).

All three service lines draw from the same foundation: almost a decade of school-based clinical practice across the Bay Area, doctoral-level clinical training, and a commitment to substantive work that drives lasting impact for adolescents.

Individual therapy clients are typically adolescent girls ages 12 to 18 navigating concerns including anxiety, depression, identity, social media distress, body image, friendships, family dynamics, academic pressure, and trauma.

Parent consultation clients are parents of adolescent girls who want expert guidance during their daughter's adolescent years.

School services clients are independent schools, public school districts, and charter networks seeking professional development, clinical consultation, or program evaluation.

The Attuned Practice is based in San Francisco, California. I see clients in person at my San Francisco office and via secure telehealth across California. School services may include in-person work at school sites.

Yes. I offer in-person sessions in San Francisco, as well as via secure telehealth across California.

For adolescent therapy specifically, I find that in-person work is the most valuable, particularly in the early stages of building a therapeutic relationship. Many clients move between formats as makes sense for their situation, as some prefer consistent in-person sessions, others find telehealth more convenient, and others alternate.

Online therapy sessions take place through a secure, HIPAA-compliant video platform. You'll receive a unique link for your scheduled sessions. The format is similar to in-person work: 50-minute video conversations with the same clinical focus and rigor.

For sessions to work effectively online, you'll need a private space, a stable internet connection, and a device with working video and audio. We can discuss specific telehealth considerations as part of the intake process.

The first appointment is typically 90 minutes and involves both you (parent) and your daughter. We use this session to learn more about your daughter and family, how we'll communicate as a team, what your role will look like during your daughter's care, and what your daughter needs from her therapy experience.

The first session is more substantive than ongoing weekly sessions. By the end, we have a clearer sense of where to focus and how to proceed.

Standard fees for clinical services are:

• Initial intake (90 minutes): $455

• Individual therapy (50 minutes): $365

• Crisis therapy (60 minutes): $500

• Parent consultation (50 minutes): $365

• Parent consultation (50 minutes, daughter is not in therapy with The Attuned Practice): $455

• Family or combined sessions (50 minutes): $365

ERMHS consultation services are priced as packages or hourly engagements; specific rates are detailed in the ERMHS consultation overview. School services rates vary by service type and use a tiered structure for public schools and charter networks.

I am also a member therapist with the Open Path Collective, which offers reduced-fee sessions ($70/session) for clients who qualify based on household income.

I don't accept insurance directly. I'm an out-of-network provider for all insurance plans, which means I don't bill insurance companies and don't have a contract with any.

Many clients choose to seek out-of-network reimbursement from their insurance. Upon request, I can provide monthly superbills with all the information needed to submit claims. Reimbursement varies significantly by plan, so I encourage clients to verify benefits with their insurance company before treatment begins.

For families who would benefit from reduced fees, I'm currently under review to become a member therapist with the Open Path Collective, which connects therapists with clients who qualify for low-cost mental health care.

The Good Faith Estimate is a written estimate of expected charges that I provide to clients who are paying out-of-pocket (which includes most of my clients, since I'm out-of-network for all insurance). It's required under federal law (the No Surprises Act) and includes service codes, expected costs, and information about disputing bills.

You'll receive a Good Faith Estimate as part of your intake paperwork before your first session. The estimate is updated periodically as circumstances change.

This is one of the most common questions parents ask, and there's no universal threshold. Generally, therapy is worth considering when:

• Her struggles have lasted longer than typical adolescent moodiness

• You're seeing changes that concern you

• She's expressing distress in ways that feel beyond what conversations at home can handle

• You're carrying worry that you can't fully resolve

• She's asked for support, or you sense she might benefit from it

The 15-minute consultation is genuinely useful for thinking through whether your situation warrants ongoing therapy or whether something else might be more appropriate.

There's no fixed answer, and good therapy doesn't operate from a predetermined timeline. Some adolescents work with me for 3-6 months around a specific situation. Others continue for a year or more as they navigate ongoing developmental work. Some pause and return as new situations emerge.

What I commit to is having regular conversations about progress and direction together. We'll assess whether the work is producing what it should, and we'll adjust as needs change.

This is one of the most common concerns parents raise. Adolescents often resist therapy initially, sometimes because they don't want one more adult in their business, sometimes because they don't yet trust that it will help, sometimes because they're worried about being labeled as "a problem."

Most adolescents who reluctantly come to therapy decide within a few sessions whether to engage. My job in those early sessions is to give your daughter a clear sense of what therapy is, what it isn't, and what she actually has a choice about in the work.

If your daughter is strongly opposed, parent consultation may be a better starting point. You can work with me on your own, and your daughter can decide later whether she wants her own therapy.

Many of my clients have had previous therapy experiences that didn't quite land — sometimes because of clinician fit, sometimes because of timing, sometimes because the approach didn't match what she actually needed.

A few things I do differently than some adolescent therapists:

• I work specifically with adolescent girls and have substantive training in what's developmentally and culturally specific to this population

• My approach is warm but direct — I don't perform therapy

• The clinical relationship is the foundation, not a list of techniques

If past therapy didn't help, that doesn't mean therapy can't help now. Different clinician, different time, different approach. The consultation call is the place to think through whether what we'd do together might be different from what didn't work before.

This is one of the most important things to understand about adolescent therapy. Confidentiality is real, and your daughter needs to know that what she shares is private, but it doesn't mean you'll be in the dark.

What I share with you generally:

• Overall progress and clinical themes

• Significant changes in mood, behavior, or risk

• Information that affects safety

• Treatment recommendations and how the work is going

What I don't share without your daughter's awareness:

• Specific things she shares in sessions

• Day-to-day details of her experience

• Romantic or social information (unless safety is involved)

Many parents also choose parent consultation alongside their daughter's therapy, which provides a dedicated space to think through what you're navigating as a parent.

Therapy is for your daughter. The work focuses on what she's navigating, and the clinical relationship is between us. You're involved through periodic check-ins and as a partner in her overall care, but the therapeutic work itself is hers.

Parent consultation is for you. The work focuses on supporting you in your role as her parent, thinking through specific situations, understanding what she may be navigating developmentally, building skills and frameworks for the parenting work that's specifically hard with adolescents. You're the client; the work is for you.

Some families engage in both. Some only need one. Some start with parent consultation and add their daughter's therapy later.

School services include professional development, clinical consultation for counseling teams, mental health policy review, wellness program design, crisis response consultation, and program evaluation. I work with independent schools, public school districts, and charter networks.

School services use a different engagement structure than clinical services, typically a Master Services Agreement plus Statements of Work for specific engagements.

Detailed information about school services is available on the school services page.

The first step is a free 15-minute phone consultation. You'll tell me what's been going on, you'll have the chance to ask anything you want about how I work, and we'll figure out together whether my practice is the right fit for your situation.

No commitment beyond the conversation. No intake, no evaluation, no pressure.

You can request a consultation through the contact form, by phone, or by email. I will respond within one business day.