Frequently Asked Questions

What can I expect in my first therapy session?

​We often know we are struggling, without knowing what kind of help we need. Our initial appointments are designed for us to get to know each other better and to evaluate your needs. Your therapist will ask about:

  • your background,
  • what brings you to therapy, and
  • your goals.

It’s also a time for you to ask any questions you might have.

Together we will decide what kind of approach would be most helpful for what you are struggling with. We will then use evidence-based treatments to help you build a meaningful life.

How often do I need to attend therapy sessions?

This varies depending on your individual needs and goals. Typically, sessions are once a week, but can be more or less frequent as determined by you and your therapist.

Is everything I say in therapy confidential?

Yes, with few exceptions (such as risk of harm to self or others), what you discuss in therapy stays confidential between you and your therapist.

How long does therapy take to work?

The length of therapy varies for each person. Some see improvements in a few sessions, while others may need longer. It’s a personalized process, and progress depends on various factors like the nature of the issues and your commitment. 

Can I stop therapy anytime?

Yes, you can stop therapy whenever you feel it’s right for you. It’s often helpful to discuss ending therapy with your therapist to ensure a proper closure.

Will my therapist give me advice or solutions?

Therapists typically don’t give direct advice. Instead, they help you explore your thoughts and feelings and discover your own solutions.

How do I prepare for my therapy sessions?

We view therapy as a partnership between us. You define the areas to be worked on; We use my specialized knowledge to help you build a meaningful life where you can do what matters to you. Psychotherapy is not like visiting a medical doctor for a shot. Instead, it calls for a very active effort on your part. In order for the therapy to be most successful, you will have to work on things we talk about both during our sessions and at home. From time to time, we will look together at our progress and change course if necessary to meet your goals.

How do I know if a therapist is right for me?

A good fit is crucial in therapy. Look for a therapist with whom you feel comfortable and understood. It’s okay to change therapists if the first one doesn’t feel right.

What if I can't afford therapy?

We believe everyone should have access to therapy, which is why we accept several insurance plans and why many of our therapists offer sliding scale fees based on your situation. If these dont work for you, please ask, we’d be happy to direct you to community health centers and other affordable options.

How do I get an appointment with a psychologist?
  • New and existing clients can use the Client Portal to request appointments based on our availability
  • Contact form found on our Contact Page
  • Call us at (858) 208-0380
How long is each visit?

Appointments are typically 50-minutes. For some treatment approaches, we will have longer treatment sessions of 90-minutes.

Do you treat children?

No, we do not treat children or adolescents at Grounded Therapy.

Do you accept Insurance?

See our Rates & Insurance page for a complete view of what insurance is accepted by provider, and how to find out if you qualify to use your insurance. 

Depending on your insurance plan, you might be able to see us as out-of-network providers. Many PPO insurances will reimburse a portion of the cost of an out-of-network provider. You would pay for your session in full at the time of service. Then we will provide you with a superbill (an itemized statement) that you submit to your insurance company for reimbursement. If you are interested in using PPO insurance, we recommend you contact your insurance company directly to ask about their out-of-network behavioral health care policies. You might ask (1) what your deductible is and has it been met, (2) what percentage of behavioral health services they will reimburse you, and (3) how sessions per year does my insurance cover.

What does it cost to see a therapist?

See our Rates & Insurance page.

For folks using insurance, your cost will vary by your insurance policy (e.g., services may be completely covered, may pay a copay). We accept payment by check or credit card.

As of January 1st, 2022, all patients seeking medical services with an out-of-network provider have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees. Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. For questions or more information about your right to a Good Faith Estimate, visit or call 1-800-985-3059.

What is telehealth?

Telehealth is provision of therapy remotely through telecommunications (e.g., video, phone).  Some key aspects of telehealth therapy:

  • Effectiveness: Studies have shown that telehealth therapy can be as effective as in-person therapy for many mental health conditions.
  • Privacy: Telehealth offers a high level of privacy, as clients do not have to visit a therapist’s office in person.
  • Accessibility: It makes mental health services more accessible to people who might have difficulties attending in-person sessions due to geographic, physical, or time constraints.
  • Convenience: Clients can participate from the comfort of their own homes or other private spaces, making it a convenient option for those with busy schedules or mobility issues.
  • Variety of Services: It can include a range of services like individual therapy, couples therapy, family therapy, group therapy, and even psychiatric consultations.
  • Technology Requirements: Clients need a reliable internet connection and a device capable of handling video or voice communication. For secure, HIPAA-compliant video, we use Zoom.
    • Each provider has their own virtual waiting room. When you schedule an appointment, you will receive link to your provider’s virtual waiting room. It will be the same link each week. You will be prompted to download Zoom when you select the link, if you don’t already have the Zoom application installed.
    • During the appointment, you will need to find a quiet, private space that is free of disruptions.
  • Licensing and Regulations: Therapists providing telehealth services must be licensed in the state where the client resides. Regulations and laws about telehealth vary by location.
    • California: Dr. Bonds, Dr. Brew, Dr. Costanzo, Dr. Reding, and Dr. Sanders are licensed in California. We are able to see anyone in California (e.g., you could live in San Francisco, while we are in San Diego). We are not able to see clients who reside out of the state of California.
    • Minnesota: Dr. Reding is licensed in Minnesota and is able to see anyone residing in Minnesota.
    • Utah: Dr. Sanders is licensed in Utah and is able to see anyone residing in Utah.

      What if I can't attend my appointment?

      We totally understand that things come up! You can cancel upcoming appointments through the Client Portal. You can also call us to let us know you can’t make it. Please cancel at least 24 hours in advance. If you are unable to cancel with 24 hour notice, you will be charged our full fee for the appointment. Insurance will not cover this charge.

      How do I obtain my therapy notes or documentation?

      We document our meetings with you. You can obtain your notes at any time, just request to review your record. We can provide you with a copy of your record (through the Client Portal or by mail). Then you will have to assume the risk of loss of confidentiality when you receive and store your copy of the record. If we believe it might be in some way harmful for you to review your records, we may suggest we review them together or we may provide you with a treatment summary in place of the entire record.

      How do I bring up a complaint?

      Problems can arise in a therapy relationship, just as in any other relationship. If you are not satisfied, please raise your concerns with your provider as soon as possible. Our providers will make every effort to hear any feedback you have and to seek resolution. If you feel that your provider (or any therapist) has treated you unfairly or has broken a professional rule, please tell your provider. You can also contact the state licensing board, which receives and responds to questions and complaints regarding the practice of psychology.

      Notice to Consumers: The Department of Consumer Affairs’ Board of Psychology receives and responds to questions and complaints regarding the practice of psychology. If you have questions or complaints you may contact the Board on the internet at, by emailing, calling 1-866-503-3221 or writing to the following address:

      ​Board of Psychology
      1625 North Market Blvd, Suite N-215,
      Sacramento, CA 95834

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