Services, Fees and Payment for Therapy

The fees for Individual, couples, and family therapy are:

• 50-minute therapy session: $220
• 75-minute therapy session: $330

Most people begin therapy with one session per week depending on their preferences, needs, and goals for therapy. If we decide to work together, I will provide you with a good faith estimate (GFE) that reflects the cost for regular therapy sessions.

I also offer:

• Prorated services (e.g., brief check-ins, coordination of care): $66 per approximately 15-minute increment
• In-home or mobile therapy (limited availability): Includes a travel fee prorated at $66 per approximately 15 minutes of round-trip travel from my Encinitas office. Please contact me to learn more.

Payment is due at the time of service. You may securely store a credit card (including most HSA/FSA cards) through my electronic medical records system.

Payment Policies

You are responsible for payment for all services received, even if you plan to seek reimbursement from insurance or a third-party payer. I will notify you in advance of any fee changes.

If you are experiencing financial difficulties, please let me know so we can explore care options or referrals.

Insurance and Reimbursement

I do not accept insurance. I operate as a private pay-only practice. However, I do provide superbills for clients to submit to their insurance for potential out-of-network reimbursement. My license is as a Licensed Professional Clinical Counselor (LPCC), so reimbursement is typically at the LPCC rate. Please check your out-of-network benefits to see if your plan covers therapy.

Some clients prefer private pay to maintain privacy or avoid submitting a mental health diagnosis.

Therapy may qualify as an eligible expense under Flexible Savings Accounts (FSA), Health Reimbursement Accounts (HRA), or Health Savings Accounts (HSA). Check with your plan to confirm.

If you have questions, I’m happy to explain the process. You may also use the free resource I created below to help verify your benefits and coverage:

I am an opted-out Medicare provider. This means Medicare does not reimburse for my services. If you are a Medicare beneficiary, we will need to sign a private contract prior to beginning therapy. Please let me know if this applies to you so we can review the agreement together.

Therapy Approach & Modalities

What is self-care and why does it matter?

I think of self-care as the ways we attend to our physical, emotional, and relational needs so we are better equipped to manage stress and life’s challenges.

Busy schedules (e.g. work, school, caregiving, parenting) can make it easy to overlook basics like sleep, nourishment, movement, or sensory regulation. When these needs go unmet, it becomes harder to think clearly, regulate emotions, and cope effectively.

Therapy can be a supportive space to explore what self-care actually looks like for you, especially if rest, play, or moderation haven’t felt accessible in the past.

You can watch a short video with some of my thoughts on self-care here:

How does EMDR work?

EMDR (Eye Movement Desensitization and Reprocessing) is an evidence-based approach to trauma therapy and can be used to treat other mental health conditions. Unlike traditional talk therapy, EMDR does not always require detailed discussion of traumatic events or homework between sessions.

EMDR helps the brain process memories that have become “stuck,” along with the thoughts / negative beliefs, emotions, and body sensations associated with them. By reprocessing these experiences, EMDR supports the brain’s natural healing processes and allows memories to be stored in a more adaptive way. Read more about it here.

What is depth psychotherapy?

Depth psychotherapy is an umbrella term for approaches influenced by thinkers such as Carl Jung and Sigmund Freud. It is based on the understanding that much of our emotional life is shaped by processes outside conscious awareness (often referred to as the unconscious). My theoretical lens is influenced by Carl Jung, Marie Louise von Franz, Marion Woodman, and others.

Have you ever:

• Been surprised by something you said or did?
• Wondered about the meaning of a dream, symbol, or recurring image?
• Felt deeply moved by art, music, or stories without knowing why?
• Noticed intergenerational or cultural patterns shaping your reactions?

In depth psychotherapy, we approach experiences like these with curiosity and care. By reflecting on inner experiences, active imagination, relational patterns, and the therapeutic relationship itself, we can deepen insight and explore new ways of relating, communicating, setting boundaries, and caring for yourself.

What is attachment theory?

Attachment theory is a research-based framework that helps explain how we experience closeness, distance, emotional connection, and conflict in relationships.

Through an attachment- and trauma-informed lens, therapy may help you understand relational triggers, manage intense emotions, communicate more effectively, and navigate conflict with greater awareness. Over time, this work can support healthier and more fulfilling relationships.

What factors make therapy more effective?

There are many different therapy approaches shown to be effective. Rather than promoting one specific modality, research consistently highlights the importance of a purposeful, collaborative therapeutic relationship.

Some ways we may foster an effective working relationship include:

• Ongoing feedback: We are partners in the process. Sharing what feels helpful (or not) helps guide our work.
• Clear goals: We identify goals together and revisit them over time.
• Repair: When misunderstandings or concerns arise, we address them directly and compassionately.

Reach out today:  Would you like to see if we are a good fit? Contact me to schedule a free 15 to 30 minute consultation by leaving a message at (619)202-1481 or by sending me an email at kristen@kristenhornung.com