FAQs

What are the logistics and boundaries?

All Sessions are conducted via zoom in 53+ min sessions, either once per week, twice per week, or every other week, depending on need and availability. If you need to cancel, a 48 hr notice is required to ensure I have an accurate schedule. Nothing is taboo, it’s all invited in session and everything said in therapy is considered confidential unless you present with a risk of harm to yourself or others, or there is suspected abuse or neglect of a child, elder, or dependent adult, or if disclosure is required by a court order or legal procedures.

What therapies do you offer?

I offer Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Somatic Therapy, Sensate Focus, and Schema Therapy, among other modalities. But I don’t want you to get hung up on the fancy modality titles. Every client is unique, and together we will craft a unique experience tailored to your specific needs, which may be all of one modality, or a smorgasbord of different techniques and interventions.

What is sensate fOCUS?

Sensate Focus is a therapeutic technique developed by sex therapists Masters and Johnson to help individuals and couples improve intimacy, reduce performance anxiety, and reconnect with physical sensation during sexual activity. It emphasizes non-demand, mindful touch, where the goal is not intercourse or orgasm, but simply experiencing touch and sensation without pressure or judgment. The process is typically structured in a number of stages, increasing in exposure and mindfulness.

Is “this” too taboo?

Absolutely not. This is a safe space for you to explore and feel seen. As stated above, unless there is risk of harm to yourself or others, it’s all confidential, and this space that you and I create is a judgment-free zone. I welcome you to bring to sessions what you have probably never brought up in previous therapeutic relationships. If it’s important for you to want to bring up, then it is important enough for me to spend time working it with you.

Do you take insurance?

I do! I am paneled for several insurance plans and offer a select number of insurance slots. Select your insurance provider below to see if I currently work with your carrier. Please note that coverage varies by individual plan, so acceptance of an insurance company does not guarantee that your specific plan is in-network.

Select your insurance provider below to see if I currently work with your carrier.

Insurance participation does not guarantee that your specific plan is in-network or that services will be covered. Benefits and eligibility should be verified before beginning services.

WHAT MADE YOU CHOOSE THIS PROFESSION?

What draws me to sex therapy is that sexuality intersects with almost everything we talk about in mental health. It’s not just about the physicality of sex. It’s relationships, identity, trauma, shame, pleasure, culture- all of it. But somehow sex is the thing people go years in therapy without ever really talking about. I wanted to be somebody who could say, “Let’s get curious about that.”

I want to go beyond the therapy room and explore who gets to define what is normal, healthy, acceptable, or even deserving of pleasure in the first place. So what started as wanting to make sexuality safe to talk about has grown into wanting to challenge some of the systems and narratives that create that shame to begin with.

How do you handle differences between us?

Race, gender, privilege, culture, sexual orientation? There is absolutely no way we will match up on everything. So I want to provide you with the reassurance that I approach every client with curiosity and cultural humility. I don’t assume any expertise on your unique lived experiences, but I remain open to learning about you and stay accountable. All of these identifying markers impact mental health, relationships, and access to safety. I’m committed to creating a space where you can bring all of who you are, including the parts that may not have been welcomed elsewhere. If I ever miss something or cause harm, I welcome feedback and take responsibility to repair. It’s an ongoing process of learning and unlearning, and I stay engaged in that work both personally and professionally

What if I don’t know what to talk about?

Valid concern. Sometimes, nothing extraordinary or out of the norm happens week to week and it may feel like your spinning in the hamster wheel by talking about “that thing” again. Remember that progress is an ongoing process. I always like to use the visual of a road trip when I address the therapeutic process. I will be there to support and guide, sitting in the passenger side. You are driving. You make the final call on where we go. And guess what, sometimes we don’t know where to go, sometimes we’re scared. So we, as a team, will work to break through some of those barriers, acknowledge the need to “drive the same road” a few times until we feel comfortable enough to get on that freeway.

What are your current rates?

My current rate is $200 an hour for individuals and $250 for couples, but don’t let that scare you off. Remember that this is an investment in your mental health and well-being, and I am always willing to work with clients with a sliding scale, take many insurances, and do offer a limited number of pro-bono sessions when needed and appropriate.

What is superVISION LIKE?

Supervision with me is collaborative, curious, and direct. Bring the cases that leave you stuck, the questions you feel like you should already know, and the moments when your own reactions show up in the room. We can explore case conceptualization, ethics, boundaries, documentation, countertransference, and clinical decision-making while helping you build confidence in your own therapeutic voice. I am not interested in creating a miniature version of me. My goal is to help you become a thoughtful, ethical, self-aware clinician who understands not only what you are doing, but why you are doing it. We will also stay on top of the practical side of supervision, including required forms, hour tracking, documentation, and licensure requirements.

Individual Supervision: $150 per 60-minute session
Triadic Supervision: $90 per person, per 60-minute session, when available

A complimentary 15-minute consultation is available to discuss your supervision needs and determine whether we would be a good fit.

What is aasect?

AASECT stands for the American Association of Sexuality Educators, Counselors and Therapists. It is a professional organization that sets rigorous standards for education, training, supervision, and ethical practice in the field of human sexuality. AASECT certification is widely recognized as a specialized credential for professionals who provide sex therapy, sexuality counseling, and sexuality education.

rESOURCES

A list of warm lines and helplines for LGBTQ+ and Native American communities, including contact numbers for crisis and peer support resources.
An informational poster titled 'What To Do If Ice Comes To Your Door,' providing guidelines for interacting with ICE agents including not opening the door, remaining silent, not signing documents, reporting raids immediately, and fighting back by seeking a trustworthy attorney. The poster includes icons for each step and contact information for reporting.
Flyer for a bi-weekly online support group called BDSM and Kink Support, featuring various BDSM gear items on a pink background and black feather designs.
An informational flyer about living with borderline personality disorder. It promotes a support group hosted via Zoom every other Wednesday from 7-8 pm PST, hosted by Vanessa Icazbalceta-Soto, LPCC. The flyer lists symptoms of BPD, including fear of abandonment, distorted self-image, unstable and intense relationships, impulsive and risky behavior, feelings of emptiness, inappropriate or intense anger, and unstable mood swings.