Same work. Different room.
Weekly fifty-minute sessions from wherever you are in the state — gestalt and depth-oriented therapy for people who want more than symptom management.
How it works ↓You book a free fifteen-minute consultation. If it feels like a fit, we schedule a first session. From then on we meet weekly at the same time, for fifty minutes, over a secure video link that arrives by email.
There is no app to install and no intake questionnaire to complete before we have spoken. You click a link.
What you need is less than people assume: somewhere you will not be overheard, a device with a camera, and a connection that mostly holds. Headphones make a bigger difference than video quality does — hearing carefully matters more here than seeing sharply.
California law ties therapy to your physical location at the moment of the session — not your address, not mine. If you are in California when we meet, we can work together. If you are in Oregon that morning, we cannot, even if you live in San Jose and have done for twenty years.
This catches people out. A client travelling for a wedding, a fortnight at a parent’s house in another state, a work trip. The fix is simple: tell me in advance and we move the session. It is an administrative annoyance rather than a real obstacle.
If you relocate out of California permanently, we would need to plan a transfer of care. I would rather help you find someone good where you are going than end things abruptly.
The honest summary: for most common presenting concerns, research comparing video psychotherapy with in-person psychotherapy finds broadly comparable outcomes. That has held up across a range of studies and became considerably better evidenced after 2020, when the whole field ran the experiment at once.
That is not the same as saying they are identical. Something is lost — the shared physical space, the incidental information you get from a body in a room, the walk out afterwards that lets a session settle. Something is also gained. People are often braver in their own homes. The session ends and you are already somewhere safe. Clients who would never have found a depth-oriented therapist within driving distance can now work with one.
For gestalt specifically there is one adaptation worth naming. Attention to the body has to become explicit. In a room I might simply notice your breathing change. On video I will ask you what is happening in your chest. It turns out that asking often works better than noticing, because it hands the observation to you.
A conversation, by video or phone. You ask whatever you need to.
An unhurried intake — your history, what brings you here, what you have already tried.
Fifty minutes, same time each week, anywhere in California.
A free fifteen-minute conversation. No commitment, no intake forms.
Start a ConversationYes. California licensing law generally requires that you are physically located in California at the time of the session — it follows where you are sitting, not where you live or where I am. If you move out of state we would need to discuss transferring your care.
If you are outside California on a session day we normally reschedule. There are narrow exceptions in some states for temporary practice, but they vary and they are not something to improvise. Tell me your travel in advance and we will plan around it.
For most presenting concerns the research finds broadly comparable outcomes between video and in-person psychotherapy. It is not identical — some things are lost, some are gained — but the evidence does not support treating video as a lesser option for most people.
A private space where you will not be overheard, a device with a camera, and a reasonable connection. Headphones help more than people expect. That is genuinely all.
Sessions run on a HIPAA-compliant platform. The bigger variable is usually your side — who else is home, whether the door closes. Some clients take sessions from a parked car, which works better than it sounds.
Some people need in-person work, and some need a higher level of care than any weekly outpatient therapy provides. If that is the case I will say so early and help you find the right thing rather than continuing because the appointment exists.