$200/50 minute individual sessions. Heath Savings Account (HSA)/ Flexible Savings Account (FSA) are accepted to cover the cost of sessions, and a billing statements called a “superbill” can be provided upon request.

If you have PPO insurance you can check your out-of-network coverage with your insurer directly to determine how much is covered, and a superbill can be provided monthly for you to submit to your insurer for possible reimbursement.

Running a private practice involves many costs beyond session time—License renewal fees, professional insurance, professional membership dues, continuing education, administrative work, and so on, that all add up. This funding model helps me:

• Offer therapy at a lower cost to those who need it

• Maintain a sustainable income to provide quality, consistent care

• Grow my practice responsibly

I’m committed to transparency and fairness. If you have questions about fees or availability, please don’t hesitate to ask. My goal is to make therapy accessible while ensuring I can continue offering high-quality care for all clients.

For Individual Therapy and Intakes: Your intake and follow-up sessions are scheduled just for you and to ensure you have a chance to build a solid therapy connection with your therapist, our session times are kept at regular days and times. This means that our reserved sessions cannot easily be offered to another client. To ensure clarity and fairness, please take a moment to review my cancellation policy:

• All late-cancellations and No shows are charged at the full session rate, if notice is less than 24 hours from the scheduled session time. If you would like to reschedule a session, then you will need to purchase an additional session.

• Please complete all rescheduling, and cancelations via the Carepatron portal. Messaging me is appreciated, but will not remove the need for you to modify your appointment via the patient portal to avoid a charge.

• If you cancel on-time within the 24 hour window, then you will not be charged. Please keep in mind that frequent cancelations, or rescheduling of sessions may lead to discussing a better meeting time to ensure consistency, or a referral if needed.

Other situations where a partial refund cannot be provided:

• If you attend under the influence or drugs/alcohol.

• If you are in another state outside of CA.

• If you are actively driving, or in a moving vehicle and unable to park within 10 minutes.

• If you are unable to obtain the privacy needed to conduct session, miss the appointment entirely, or attend 10 minutes past the grace period, then you may not be eligible for a 50% refund.

Thank you for understanding! This policy helps me keep my schedule fair and ensures that I can provide consistent, high-quality care to all clients.

I do not work with insurance, or bill insurance directly. This can be especially meaningful for those navigating grief after the loss of a pet or other deeply significant attachment, where healing often doesn’t follow a linear timeline. I offer private-pay therapy, which allows for greater flexibility and depth in supporting grief, trauma, and emotional processing without the restrictions of insurance-based care. This means we can focus fully on what you’re experiencing—at a pace that feels supportive for you—rather than working within limitations around diagnosis, coverage, or session caps.

A limited number of reduced-fee sessions are available.

Please fill out the contact form page, or email me at Romina@existnowtherapy.com for more details.