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FAQ

In-Person & Telehealth Sessions
I offer both in-person sessions and secure video sessions, depending on what works best for you. I’m able to work with anyone currently living in California.

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Sessions
Sessions are 50 minutes and begin promptly at our scheduled time. Most clients come weekly, usually at the same time each week which supports consistency and momentum.

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The length of therapy varies from person to person — some people come for a specific issue, while others choose to engage in longer-term work. We’ll check in along the way to make sure therapy continues to feel supportive and aligned with your goals.

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Fees
My fee is $185 for a 50-minute session.

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I am not currently in-network with insurance providers and I’m happy to provide superbills to support reimbursement if your plan allows.

 

I also offer a limited number of sliding-scale spots based on individual circumstances. If cost is a concern, please feel free to ask about current availability.

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Cancellation Policy
I ask for at least 24 hours’ notice if you need to cancel or reschedule your appointment. Sessions canceled with less than 24 hours’ notice may be subject to a cancellation fee.

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First Session Expectations
Your first session is a chance for us to get to know each other. We’ll explore what led you to seek therapy and what you’re hoping to understand or change. It’s an opportunity to ask any questions you have about the process and clarify your goals.

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Good Faith Estimate (No Surprises Act)
You have the right to receive a Good Faith Estimate explaining the expected cost of your care. You can request this at any time, and I’m always available to answer questions about fees or billing.


Office Location and Parking
My office is upstairs at 1924 4th Street, San Rafael 94901. The parking lot generally has spaces, or there is on-street parking. Come up the stairs at the front of the orange building and into the waiting room, in time for the start of your session.

© 2025 by Katharine Spencer Therapy.

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