Sarah K Spencer Psychotherapy Inc. 

How do sessions with you work?

Some clients visit each week, others come more often depending on their need.  Sessions are generally 60 minutes, and 90
minute sessions may be arranged.

Where is your office?

My office is located at 1947 Divisadero St @ California in San Francisco.

What is your cancellation policy?

A 72 hour notice is required for cancellations or rescheduling. The full fee is charged for late cancellations and for missed appointments without notice.

Do you accept insurance?

One of the benefits of working with a Marriage and Family Therapist is that some insurance providers reimburse the clients for their psychotherapy sessions. I will provide you with an invoice for each session that you can submit to your insurance provider. I cannot guarantee reimbursement. Check with your Health plan, as a physician's referral may be necessary for reimbursement. Clients are responsible for paying for services at the time of the session. Payment can be made by cash, check or credit card.

How many sessions will it take to
address my needs?

Addressing your issue will depend on the nature of the challenge, your commitment to change, and your own ideas about therapy. Focused on a specific issue, therapy can be shorter term. Typically, you will know within 3 or so sessions whether working with me is effective for you. At least three sessions is helpful because it gives us a beginning, a middle, and an end.

Weekly therapy sessions can be quite effective for more deeply-rooted issues. Open ended work provides more space for the process to unfold in its own time. I do not have a formula that applies to each client. Instead we will work together to decide what works best for you.  

Can I finish therapy when I want to?

Yes, you may choose when your therapy is completed. Therapy often brings up painful memories and emotions which I may
encourage you to explore. Therapy does require a certain commitment and desire to carry through. But the client chooses to finish the therapy when they see fit and I will support you in your decision.