Standard sessions for individuals are 50 minutes long and are $160/session.

Standard sessions for couples and families are 50 minutes and are $180/session.  

Extended sessions for individuals are 75 minutes long and are $200/session. 

Extended sessions for couples and families are 75 minutes and are $220/session. 

All documentation is provided at a rate of $160/hour. With rare exception, which will be discussed prior to writing, Emotional Support Animal Letters, Gender Confirmation Surgery Letters, and Educational IEP/504 Plan Letters are billed at one hour, or $160.

Do you offer sliding scale?

I offer sliding scale to a select number of people in need per year. This is based on circumstance and income and must be well-documented. If you feel as though you are a potential candidate for sliding scale, please contact me to discuss your situation and to receive the necessary paperwork to apply.

Fortunately the Bay Area has many sliding scale and low-cost options for psychotherapy. Check out these providers:

Golden Gate Integral Counseling Center

Integral Counseling Center

Can I use my insurance?

I am an out-of-network provider. This means that I cannot bill your insurance company, but I am happy to provide you with  paperwork that you may submit for reimbursement from your insurance company. Always check with your insurance company about their stipulations around reimbursement. My receipt of your sessions and fees is no guarantee of their policies.

Do you take Venmo or Paypal?

You bet! PayPal, Venmo, cash, and check are all accepted.

I know I've seen you somewhere before...are sessions confidential?

Yep! I've been an active part of the Mission District and San Francisco at large for the past decade. It's highly likely that we've met at events, shows, or even on the dance floor. 

I take the privacy of every one of my clients very seriously. While it is probable that we will run into one another "out in the world", I will never acknowledge our therapeutic relationship in any public space without your express invitation and permission.

Sessions are always confidential, my voicemail line is confidential, and all email correspondence is kept confidential to the extent with which we can reasonably expect electronic communication to be confidential.

I work crazy hours. Can I still see you?

100% YES! I am more than happy to see clients as late as 10pm and I also offer weekend appointments. Just give me a buzz at 415.570.2497 or email me at ricco.joanna@gmail.com to set something up!