I am a Licensed Marriage and Family Therapist in California, which means I can work with you wherever you are in the state. Clients meet with me from Los Angeles, San Francisco, Silicon Valley, San Diego, Santa Barbara, Marin County and Newport Beach, without the drive and without rearranging a working day around traffic.
Online sessions are the same length, the same depth and the same fee as meeting in person: $260 for 50 minutes.
Does EMDR really work over video?
Short answer: yes, with some adjustments. EMDR depends on bilateral stimulation, so it is fair to wonder whether that survives a screen. Online we use on-screen visual movement, audio tones, or self-administered tapping such as alternating knee taps. The protocol is the one I use in the room. What does the clinical work is the dual attention, not the channel it arrives through.
A 2024 systematic review in Frontiers in Psychiatry, covering 16 studies and 1,231 people, found promising reductions in PTSD symptoms, anxiety and depression from remote EMDR. Its authors were careful to note the evidence is still young: small samples, few control groups, mostly self-reported measures. Remote EMDR is a well supported option, not a proven upgrade on meeting in person.
I work within the EMDR International Association Guidelines for Virtual EMDR Therapy. They also publish a plain-language guide for clients worth reading before a first online session.
Two things differ online: we spend longer up front on grounding and resourcing, drawing on the Trauma Resiliency Model, and we agree in advance what happens if a session becomes activating.
What a session actually looks like
We meet by video on Zoom. You receive a link before each session, and you can join from a browser or the Zoom app. What you need at your end is a private room, a device with a camera, headphones if other people are home, and a connection you trust.
A first session runs 50 minutes. We talk about what brought you here, what you have already tried, and what you want to be different. By the end you will have a sense of whether EMDR, Emotionally Focused Couples Therapy or Internal Family Systems fits what you are carrying, and what a course of work might look like.
The practical things
Where you need to be. Physically in California during your session. That is a licensing rule, not a preference. If you travel out of state, tell me early.
When. Sessions run on Pacific time. Ask me about current availability.
Fees. $260 per 50-minute session, the same as in person. Payment is due after each session.
Cancellations. 24 hours notice to reschedule or cancel, or the full fee applies. The hour is held for you.
Privacy. No diagnosis is filed with an insurer, and no third party reviews your treatment.
Is online the right starting point?
Online work tends to suit people who have a private space to speak freely, who want a specific modality rather than the nearest available therapist, and whose schedule makes a weekly drive the thing that quietly ends therapy.
It is not the right fit for everyone, and I would rather say so at the start than several sessions in. If you are in immediate danger or in crisis, online therapy is not the right level of care. Call or text 988, the Suicide and Crisis Lifeline, or call 911. If you are somewhere in between, say so when we speak and I will help you find the right level of support, whether or not that turns out to be with me.
Let’s talk first
We can speak at no cost before you commit to anything, so you can ask whatever you need to and hear how I work. Call (310) 926-4001 or send a note through the contact page.