Therapy Practice FAQ
Perimenopause, Midlife & Women’s Mental Health in California
1 · At a Glance
Licensed Marriage and Family Therapist (lic # 97617) serving adult women throughout California via secure telehealth.
I specialize in therapy for women navigating perimenopause, midlife transitions, anxiety, ADHD, burnout, relationship challenges, and identity shifts.
My approach combines feminist therapy, expressive arts therapy, mindfulness, somatic practices, and narrative therapy to help women better understand themselves and create meaningful change.
Best fit: women seeking weekly therapy who want insight-oriented work combined with practical support.
Not the right fit: individuals needing crisis services, higher levels of care, treatment for active suicidality, psychosis, bipolar disorder, or severe personality disorders.
2 · Eligibility & Licensure
I am a Licensed Marriage and Family Therapist (LMFT) providing telehealth therapy to adult women located anywhere in California.
I offer therapy from the comfort of your own space. My practice is based in Oakland, California, and I work with clients throughout the state using secure telehealth.
3 · You May Be a Strong Fit If…
You’re in perimenopause and don’t feel like yourself.
You have ADHD and are wondering why life suddenly feels harder.
You’re successful professionally but privately exhausted.
You’re questioning your identity after years of caregiving.
You want therapy that honors both evidence-based practice and spirituality.
You’re looking for weekly therapy rather than occasional check-ins.
You’re navigating a major midlife transition and want deeper self-understanding.
You’re curious about blending insight-oriented work with practical tools.
4 · Who I Work With
What types of clients do you work with?
The majority of the women I help are in midlife, navigating perimenopause. They often reach out feeling lost and overwhelmed in the throes of hormonal flux and life stressors. I help them find their way during an inherently vulnerable time. They may be tackling one or more issues such as: career stress, self-esteem, burnout, issues of identity and purpose, spirituality, body image, parenthood/caregiving, relationships, health, family dynamics, boundaries, and more.
Do you work with younger women in your practice?
Yes, I do. While the majority of my practice is now focused on supporting midlife women, I am still passionate about helping women of all life stages feel confident and trust themselves in a world that often encourages them not to.
5 · Specialties
What issues do you specialize in?
I specialize in helping women navigate perimenopause, midlife transitions, anxiety, ADHD, burnout, relationship challenges, and questions about identity and purpose. My approach is grounded in feminist therapy and integrates expressive arts, mindfulness, body-based practices, and women’s spirituality for clients who wish to include it in our work. Many of my clients are thoughtful, high-achieving women who want a deeper understanding of themselves while building lives that feel more authentic, balanced, and meaningful.
Do you specialize in perimenopause and midlife mental health?
Yes. I specialize in working with women navigating perimenopause. Perimenopause can affect mood, anxiety, sleep, concentration, confidence, relationships, and overall well-being. I help women understand these changes while developing practical strategies to care for their mental, emotional, and physical health.
6 · Therapeutic Approaches
What therapeutic approaches do you use?
My work is informed by feminist psychology and centers the experiences of women within the therapeutic context. Depending on your goals, I may use feminist therapy, expressive arts, mindfulness, somatic techniques, narrative therapy, and selected DBT skills. For example, expressive arts can help when words feel insufficient, while DBT skills may support emotional regulation and burnout recovery. I also integrate psychospiritual interventions such as ritual or dreamwork for clients who are interested.
What is expressive arts therapy?
Expressive arts therapy uses creative processes such as writing, drawing, collage, movement, imagery, or metaphor to explore thoughts and emotions. Creative activities can help access insights that are sometimes difficult to reach through conversation alone.
Do I have to be artistic to benefit from expressive arts therapy?
Not at all. Artistic ability is never the goal. Expressive arts are simply another way to explore your experiences, emotions, and strengths. Many clients who describe themselves as "not creative" find these approaches surprisingly helpful.
7 · ADHD
Can therapy help women with ADHD?
Yes. I work with many women who have ADHD or who begin questioning whether they have ADHD during perimenopause and midlife. ADHD can affect much more than attention. Many women struggle with overwhelm, perfectionism, emotional regulation, self-criticism, burnout, relationship challenges, and the feeling that they are constantly falling behind. I will also add there are many (often looked-over) gifts of ADHD. Therapy can help you better understand how ADHD affects your daily life—challenges and gifts—as well as identify your strengths, develop practical strategies, and build greater self-compassion.
8 · Spirituality in Therapy
Can spirituality be part of therapy?
Absolutely. For many women, spirituality is an important source of meaning, healing, and resilience. If spirituality is important to you, we can thoughtfully incorporate your beliefs, values, rituals, creativity, dreams, or spiritual practices into therapy.
My approach is inclusive and welcoming of diverse spiritual paths. Whether your spirituality comes from an established faith tradition, nature, meditation, witchcraft, tarot, or another personal practice, therapy is a space where these parts of your identity are respected and explored with curiosity and care. You are always free to decide how much or how little spirituality is part of our work together.
9 · Practical Details
How often do clients usually meet?
Consistency is extremely important for effective therapy. I work with clients a minimum of once per week.
What happens during the first session?
The first session is an opportunity to get to know one another. We’ll talk about what brings you to therapy, your personal history, your goals, and any questions you have about the process. It’s a discussion, not an evaluation.
Can therapy help if I don’t know exactly what’s wrong?
Yes. Many people begin therapy because they know something feels different, but they cannot clearly explain why. This is particularly common during the midlife and perimenopause years. Therapy provides space to slow down, understand what is happening, and identify meaningful next steps.
How do I know if therapy is right for me?
Therapy may be helpful if you feel overwhelmed, anxious, disconnected, emotionally exhausted, or stuck. You do not have to wait until you are in crisis. Many people begin therapy because they want greater clarity, healthier relationships, and a stronger sense of purpose.
10 · Fees & Insurance
Do you accept insurance?
I am an out-of-network provider and do not bill insurance directly. If your plan includes out-of-network mental health benefits, I can provide a superbill that you may submit to your insurance company for possible reimbursement. Payment is due at the time of session.
How much do you charge?
50-minute session — $315
For clients seeking regular weekly sessions who feel 50 minutes gives enough time for the depth and support they need. These sessions may be structured in a variety of different ways depending on your preferences and goals.
80-minute sessions — $425
These sessions are perfect for folks who crave more time for support and exploration, but don’t feel the need for twice-per-week sessions. The extended sessions allow us more space for deeper work including expressive arts processes, intuitive exploration, and the meaningful narrative work that often accompanies midlife and identity transitions—as well as getting into the nitty-gritty of real life: organization, optimizing schedules, priorities, parenting/relationships, and so on.
Therapy Intensives: Half-Day (4-hour) Deep Dives — $900
For clients wanting concentrated time for significant inner work, intensives offer an immersive experience. These are ideal for rites-of-passage work, unraveling long-held patterns, midlife reinvention, and psychospiritual integration. Each intensive is uniquely structured to your goals and includes grounding, somatic, expressive, and integrative practices.
11 · Who Is Not the Right Fit
My practice may not be the best fit if:
You need crisis stabilization or emergency mental health services.
You’re experiencing active suicidal thoughts or self-harm.
You’re seeking medication management.
You need court-ordered treatment.
You’re looking for couples or family therapy.
You’re seeking assessment or testing for ADHD.
You’re outside California.
Some clients may need a higher level of support than what I currently offer through my telehealth practice. I do not work with clients who are actively self-harming or experiencing active suicidal ideation. I also do not work with severe and persistent mental health concerns such as borderline personality disorder, bipolar disorder, or psychosis.
It’s important to know that I am not licensed to prescribe hormone therapy or any medication. I do work with clients to find medical providers they feel comfortable with, and I often support clients working through their own medical anxiety in this process.
12 · Perimenopause & Medical Care
Can therapy help with the emotional symptoms of perimenopause?
A big yes to this one. Women were not meant to go this journey alone. While therapy cannot change hormone levels, it does provide a safe environment to unpack and process your unique experience in this phase of life. I am there with you as an ally. Therapy can also help you better understand the emotional impact of perimenopause while building effective strategies for managing anxiety, stress, mood changes, identity shifts, and relationships during this stage of life. With your consent, I can also work closely with your team of providers—such as gynecologists, acupuncturists, and pelvic floor PTs—to ensure you have a strong web of care during this vulnerable time.
Can therapy complement hormone therapy or medical care?
Absolutely. Therapy works well alongside medical care, hormone therapy, and lifestyle changes. Many women find that combining emotional support with medical treatment provides the most comprehensive approach to well-being.
13 · Consultation
Do you offer a consultation?
Yes. I offer a complimentary consultation so we can discuss your concerns, answer your questions, and determine whether my practice feels like a good fit for your needs.
Are you currently accepting new clients?
If I have current availability, I’d be happy to discuss your needs during a complimentary consultation. Please contact me to learn about current openings and scheduling options, or book a consultation here. I look forward to speaking with you!
Choosing the right therapist is a big decision. Below you'll find answers to the questions I hear most often about my therapy practice, including my approach, fees, virtual therapy, feminist therapy, expressive arts therapy, and my work with women navigating perimenopause and midlife in California. Please feel free to reach out with any additional questions or, after perusing the FAQ, book a free consultation here.
