Therapy Services
How I Can Support You
Integrative psychotherapy for individuals, couples, and families, combining evidence-based care with relational depth and thoughtful attention to your needs, context, and goals.
Ways to Work Together
Integrative psychotherapy tailored to your goals and season of life, bringing together evidence-based practices, relational depth, and nervous-system-informed care.
Individual Therapy
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I provide individual therapy for teens and adults navigating emotional or situational distress, developmental transitions, relationship concerns, or a desire for deeper self-understanding. Treatment is tailored to your clinical needs, identities, strengths, and developmental stage of life.
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Treatment is individualized according to your symptoms, diagnosis, goals, and preferred ways of engaging in therapy. Depending on your needs, I may draw from evidence-based approaches including Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP), Dialectical Behavioral Therapy (DBT), and Acceptance and Commitment Therapy (ACT). I may also integrate experiential, relational, and nervous-system-informed approaches, including attachment-focused and parts-based frameworks. When appropriate and accessible, our work may also incorporate ecotherapy or nature-based practices, which can make regulation, reflection, and emotional processing more accessible. Connection with the natural world can offer a grounded pathway toward greater awareness of your inner experience, sense of Self, and relationship to the communities and environments you inhabit.
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People seek therapy for many reasons, including anxiety, OCD, depression, trauma-related symptoms, grief, perfectionism, life transitions, relationship patterns, or a sense of disconnection from themselves. My specialized training spans Internal Family Systems, mindfulness, ecotherapy, ERP, CBT, DBT, and ACT, allowing me to integrate cognitive, behavioral, relational, and body-based approaches according to each client’s needs. Together, we can create an individualized path that combines practical skills with deeper experiential work, so change is not only understood but increasingly felt and lived
Family and Couple Therapy
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I work with couples, intimate partners, and families across diverse identities, structures, and developmental stages. Therapy can offer support when conflict, transition, relational injuries, or emotional disconnection have made it difficult to feel understood and securely connected
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My approach integrates attachment-based and relational therapies with specialized training in restorative and transformative justice, emphasizing accountability, repair, and the needs of the larger relationship system. Informed by the work of Sue Johnson, Stan Tatkin, Terry Real, and Diane Poole Heller, we’ll explore the attachment needs and protective responses beneath recurring patterns while building practical skills for communication, regulation, and repair. Together, we’ll create a more collaborative space for each person to remain connected to their authentic experience while learning to respond more fully to the other.
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We may address recurring conflict, communication difficulties, emotional distance, trust, intimacy, parenting challenges, family transitions, and unresolved relational wounds. Rather than locating the problem within one person, we’ll examine the patterns, roles, and power dynamics that shape the relationship as a whole. Because relational wounds are often experienced in connection with others, relationships can also become a meaningful place for healing, growth, and lasting change. This new learning has the potential to ripple out and impact other areas of our lives and communities in positive ways that promote healing and harmony.
Group Therapy
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Groups offer a space for shared learning, meaningful connection, and the healing experience of being witnessed by others. My facilitation is informed by training in circling, ceremony, mindfulness, psychoeducation, skill-based learning, and experiential practice. Each group is held within a clear and intentional structure designed to create a supportive container rooted in psychological safety, authenticity, and mutual respect.
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Offerings may include anxiety and emotional-regulation groups for teens, women’s groups, and mutual-aid or lived-experience support groups. The focus, format, age range, and clinical nature of each group will be clearly identified when registration opens.
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Groups are offered periodically throughout the year. Join the interest list to receive information about upcoming topics, schedules, eligibility, and registration
An Integrative Approach to Therapy
Therapy is most effective when it responds to the whole person. I draw from multiple therapeutic approaches so that treatment can respond thoughtfully to your symptoms, history, relationships, and goals.
Practical Tools
Evidence-based approaches such as Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Acceptance and Commitment Therapy, and Exposure and Response Prevention, can help us understand patterns, develop coping skills, and practice new responses to difficult thoughts, emotions, and behaviors that aren’t serving us or our relationships.
Relational Depth
Internal Family Systems, attachment-focused, and relational approaches create space to understand the experiences, needs, and the protective patterns beneath symptoms and within relationships.
Embodied Integration
Healing can happen when insight moves from the mind into the body. Integrating somatic awareness, mindfulness, Polyvagal work, and ecotherapy allows lasting change to move beyond intellectual understanding and become more deeply felt, practiced, and lived in daily life and relationship to self and others.
When appropriate, our work may also draw on the natural world to support regulation, reflection, and reconnection
“We are as intrinsic to our living world as the rivers and trees, woven of the same flows of matter, energy, and mind. Because the relationship between self and world is reciprocal, as we work to heal the Earth, the Earth heals us”
~ Joanna Macy
What to Expect
Therapy is not a linear process, but our work will often include these interconnected elements
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Connection
Therapy begins by building a relationship grounded in trust, safety, and genuine connection. Together, we’ll clarify your goals and create a therapeutic environment responsive to your needs, identities, and pace. This foundation allows the work to unfold collaboratively, with care and respect for your process.
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A Deeper Understanding
We’ll explore the experiences, emotions, and patterns that have shaped your inner and outer worlds, approaching them with curiosity and without judgment. You’ll deepen your understanding of automatic thoughts and nervous-system responses while learning practical tools that support regulation and choice. This process can strengthen self-trust and compassion toward yourself.
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Practice and Integration
We’ll translate new awareness and evidence-based skills into meaningful changes in how you navigate emotions, relationships, and daily life. With practice, new responses can become more accessible and increasingly aligned with how you want to live.
Frequently Asked Questions
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A strong therapeutic relationship includes trust, safety, honest communication, and a sense that we can engage meaningfully in the work together. Therapy may sometimes feel challenging, but that challenge should be purposeful, appropriately paced, and something we can openly discuss if you begin to feel overwhelmed, misunderstood, or stuck. When you reach out, we will consider what brings you to therapy, what you hope to change or understand, and whether my experience and integrative approach align with your needs. If I do not have the appropriate training or specialization to support your concerns and treatment goals, I will do my best to offer referrals or resources for your next steps..
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Therapy typically begins with weekly sessions to support continuity, relationship-building, and meaningful engagement with the work. The length of treatment varies according to your concerns, clinical needs, developmental stage, and the depth or complexity of what we are addressing. Together, we will develop a working clinical understanding and individualized treatment plan, revisiting it periodically to assess progress and ensure the work remains responsive to your needs. If progress feels limited, we will openly explore what may be getting in the way and adjust the treatment plan or therapeutic approach as appropriate.
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I offer in-person sessions at my East Bay office, as well as secure telehealth sessions for clients located anywhere in California. We can consider which setting best supports your privacy, accessibility, comfort, and ability to engage fully in therapy. Some clients prefer one format, while others may benefit from a thoughtful combination when clinically appropriate and available.
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My fee is $210 for a 60-minute individual therapy session and $285 for a 75-minute couples or family therapy session. Brief 30-minute sessions and extended 90-minute sessions may also be available when clinically appropriate and necessary.
This is a private-pay practice, and I do not bill insurance directly. Depending on your plan, you may be eligible for partial reimbursement through out-of-network benefits. Upon request, I can provide a superbill for you to submit to your insurance company, though reimbursement is determined by your individual plan.
I care deeply about access to mental health care. If these fees are not accessible, please visit the Resources page for sliding-scale therapy alternatives and other lower-cost community supports.
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Therapy with teens is responsive to their developmental stage, emerging independence, family relationships, and need for a trusted space of their own. I take a systems-oriented approach, understanding that a young person’s challenges do not develop in isolation, but within interconnected biological, relational, intergenerational, cultural, and social contexts. This may include exploring inherited vulnerabilities, the ongoing effects of trauma, and family patterns that affect both teens and caregivers, while avoiding blame or locating the problem within one person. Peer relationships and cultural influences are also given meaningful attention as teens develop their identities, social capacities, and sense of belonging. I prioritize building a strong therapeutic relationship with the teen while thoughtfully involving caregivers when clinically appropriate, and the scope and limits of confidentiality are discussed clearly at the beginning of treatment.
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After you reach out, I’ll contact you to briefly discuss what brings you to therapy, answer any questions, and determine whether my services may be a good fit. If we decide to move forward, we’ll schedule an initial session and you’ll receive intake forms through a secure client portal. During our first session, we’ll begin exploring your concerns, history, and goals for therapy.
“May we meet this moment fully. May we meet it as a friend.”
~ Sylvia Boorstein