“What mental health needs is more sunlight, more candor, and more unashamed conversation.” — Glenn Close
Patient Information
Schedule & Cancellation
Sessions are typically 50 minutes and occur one time per week. Initial assessment appointments may be longer. This framework of appointments is encouraged to build consistency, structure, and momentum so that you can gain the most from your sessions. The number of appointments and frequency will be determined after an assessment is completed and your unique situation evaluated. The assessment period is typically the first through second or third session. Your clinician may offer the option of bi-weekly or HIPAA compliant video sessions when appropriate.
If you need to cancel your appointment, please contact your clinician as soon as possible to reschedule. If you do not cancel your appointment within 48 hours, you will be charged the full session fee. If you consistently miss multiple appointments, or are absent for a period longer than two weeks, you may lose your weekly time slot.
Fees for Services
Fees for consultations and appointments are based on the usual and customary rates for providers in the Bay Area. You will discuss length and frequency of sessions with your provider in the first few sessions. We believe that therapy and nutrition counseling should be accessible and that clinicians should be provided fair compensation for their service. We take both into account when setting fees. We are happy to answer any questions related to fees and discuss changes when circumstances are indicated.
Cypress offers a complimentary 30 minute phone consultation to discuss the process of psychotherapy and answer any questions you may have. Cypress accepts payment via cash, check, PayPal, and credit card.Payments can be made by check, cash, or credit card. Receipts and superbills are provided monthly, and may be provided more frequently upon request.
Individual Therapy Sessions: $250 for a 50 minute session
Family Therapy Sessions: $300 for a 60 minute session
Nutrition Counseling: $250 for a 50 minute session ($150 for a 30 minute session)
Consultation: $350 per 90 minutes
Intake Assessment: $300 per 60 minutes
Groups: $75 for a 60 or $150 for a 90 minute session (Group fees may vary)
Workshops: $97 for 90-120 minutes (Workshop fees may vary)
Fees for Ketamine-Assisted Psychotherapy (KAP)
As of 2024, Aetna is the only insurance provider covering KAP. However, you may be able to seek coverage for psychotherapy services; this includes all sessions outside of your dosing session. The medical intake and follow-up appointments may be covered by your insurance depending on the plan you have. If you are not cleared medically for KAP, your medical intake fee will be refunded.
Cypress Integrative Wellness Psychotherapy Costs*:
Initial Psychological Assessment: $300
The typical hourly rate for psychotherapy is $250/hr (this applies to preparation, dosing, and integration sessions. Please note that if you are using your insurance, you may only bill for one hour of the dosing session and the remaining time will be billed out-of-pocket. Typically the first dosing session is 3 hours, but dosing sessions thereafter tend to be 2 hours.
Journey Clinical Medical Costs:
First-time patients
Initial medical consultation with Journey Clinical: $250 (If you are not cleared medically for KAP, this fee will be refunded to you).
Cost of medication: $88 (enough for 2 sessions)
Ongoing treatment
Follow-up medical consultation with Journey Clinical $150 (at least 1X per quarter)
Cost of medication: $148 (enough for up to 6 sessions)
A typical course of KAP treatment and fees is outlined below:
Psychological Assessment with Cypress Integrative Health: $300
Medical Intake with Journey Clinical: $250
3 Preparation Sessions: $750 ($250 each)
1 KAP Session: $500-750 ($250 per hour)
1 Integration Session: $250
Repeat the last two steps for each new dosing session, typically 6 sessions and as needed.
*Please note that Cypress will offer a discount off of KAP services for each subsequent dosing session to help alleviate the overall cost.
Insurance
Cypress clinicians are not In-Network with insurance companies; however, we can assist you in the process of utilizing your Out-Of-Network benefits to receive reimbursement for services. Many clients are able to receive reimbursement by PPO health insurance or medical flexible spending or health savings accounts. Clients with HMO or EPO insurance plans should be aware that their plans will not offer reimbursement for services rendered by an Out-of-Network provider.
As of 2024, Aetna is the only insurance provider covering KAP. However, you may be able to seek coverage for psychotherapy services; this includes all sessions outside of your dosing session. The medical intake and follow-up appointments may be covered by your insurance depending on the plan you have. If you are not cleared medically for KAP, your medical intake fee will be refunded.
We've partnered with Mentaya, a service that streamlines getting reimbursed for your therapy sessions through out-of-network benefits.
Mentaya is perfect if you:
Have out of network benefits
Feel overwhelmed by superbills and insurance
Have submitted superbills but failed to get any reimbursement
Simply want to skip the hassle of paperwork!
Here's how it works:
Sign up for Mentaya: Click here to sign up.
Our practice will enter your sessions into the platform.
Mentaya submits the claim and handles any insurance follow-up.
You get reimbursed by insurance!
Mentaya charges a 5% fee per claim, which includes handling any paperwork required, dealing with denials, and calling insurance companies.
It's risk-free: They guarantee claims are successfully submitted, or a full refund of their fees.
If you are unsure of your mental health benefits, we recommend you call the customer service number on the back of your insurance card. We are happy to clarify this process further and support you with obtaining reimbursement from your insurer for services rendered.
Here are some helpful questions to ask:
1. Does my plan cover Out-of-Network Providers? If so, does my plan cover out-of-network nutrition counseling and/or mental health benefits?
2. Do I have a deductible? If so, how much have I met?
3. Do I have coinsurance? What percentage is my responsibility for payment?
4. How do I submit claims and/or statements from my provider?
If your insurance plan offers Out-of-Network coverage for services, then you will be responsible for your coinsurance percentage once your deductible is met. However, insurance companies are able to set their own rate for services and may only cover the percentage of a rate they deem reasonable. Thus it’s important to speak directly with your insurance provider to determine the exact financial responsibility that you will be liable for.
You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health 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 expected charges for medical services, including psychotherapy services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.
You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.
Please ask your provider if you have any questions. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.]
Good Faith Estimate
Education for Patients
Ketamine Assisted Psychotherapy (KAP)
Ketamine Assisted Psychotherapy (KAP): Patient Demographics, Clinical Data and Outcomes – Ketamine can benefit patients with a wide variety of diagnoses when administered with psychotherapy and using its psychedelic properties without need for intravenous (IV) access.
A Survey of the Clinical, Off-Label Use of Ketamine as a Treatment for Psychiatric Disorders – This research surveys the off-label use of ketamine for psychiatric conditions, including how it is being integrated into psychotherapy practices to enhance treatment outcomes.
Ketamine-Facilitated Psychotherapy for Trauma, Anxiety, and Depression – Harvard-trained psychiatrist Will Siu has found that low doses of ketamine administered in conjunction with psychotherapy are effective. He walks Goop’s team through what ketamine is, what a ketamine-facilitated therapy session is like, and why he thinks his patients have had success with it.
Ketamine as a Novel Psychopharmacotherapy for Eating Disorders: Evidence and Future Directions – This review examines contemporary findings on the treatment of EDs with ketamine. Overall, results are encouraging and point to therapeutic value; however, are limited to case series and reports on anorexia nervosa.
Ketamine Assisted Psychotherapy: A Systematic Narrative Review of the Literature – This systematic review on ketamine-assisted psychotherapy (KAP) summarizes existing evidence regarding present-day practices. Through rigorous review, seventeen articles that included 603 participants were identified.
Journey Clinical – CIW partners with Journey Clinical for Medical Oversight of KAP. Find out more about Journey Clinical.
Ketamine Assisted Psychotherapy with Jonathan Sabbagh of Journey Clinical— Listen to this podcast episode. Jonathan and Dr. Hoye discusses his journey from the work of finance to the world of mental health and psychedelically assisted psychotherapy. This is an interesting voyage of transformation and healing, and we trust you will enjoy the conversation.
Ketamine: Benefits and Risks for Depression, PTSD & Neuroplasticity | Huberman Lab Podcast — Dr. Huberman explains how ketamine causes rewiring of brain circuits and dissociative states to relieve symptoms of depression and post-traumatic stress disorder (PTSD).
Intuitive Eating
Intuitive Eating Books – The classic bestseller about rejecting diet mentality. Intuitive Eating has become the go-to book on rebuilding a healthy body image and making peace with food.
1o Principles of Intuitive Eating – From rejecting diet mentality to making peace with exercise, the 10 principles of Intuitive Eating offer a practical guide to healing one’s relationship with food and body.
Intuitive Eating: What is it and why you need to start practicing it today – This blog post tells you everything you need to know about Intuitive Eating to get started.
Intuitive eating is associated with glycemic control in type 2 diabetes — Eating intuitively, especially in accordance with body needs may be associated with lower chances of type 2 diabetics having inadequate glycemic control.
Intuitive eating and its influence on self-reported weight and eating behaviors – The highlights from research: Women with high intuitive eating scores are better at stabilizing their weights. Intuitive eating reduces overeating frequency and counteracts maladaptive eating behaviors.
Intuitive Eating Longitudinally Predicts Better Psychological Health and Lower Use of Disordered Eating Behaviors: Findings from EAT 2010–2018 – Intuitive Eating was associated with lower odds of high depressive symptoms, low self-esteem, high body dissatisfaction, unhealthy weight control behaviors.
NPR Life Kit: Trust Your Gut: A Beginner's Guide To Intuitive Eating – NPR Life Kit host and senior science and health editor Maria Godoy talks intuitive eating with Judith Matz, a clinical social worker with a focus on helping her clients make peace with food.
Acceptance and Commitment Therapy (ACT)
ACT in a Nutshell – Acceptance and Commitment Therapy (ACT) gets its name from one of its core messages: accept what is out of your personal control and commit to action that improves and enriches your life.
ACT and the Treatment of Persons at Risk for Long-Term Disability Resulting From Stress and Pain Symptoms – At post and 6-month follow- up, ACT participants showed fewer sick days and used fewer medical treatment re- sources than those in the MTAU condition.
The impact of acceptance and commitment therapy (ACT) on quality of life and symptom improvement among chronic health conditions – ACT is efficacious for chronic conditions with improved quality of life and symptoms.
How I Use ACT and CBT to Help People Cope with Health Conditions – ACT and CBT can compliment one another for the treatment of health and mental health conditions.
ACT for the Treatment of Anxiety – ACT is an innovative acceptance-based behavior therapy that focuses on decreasing the behavior regulatory function of anxiety and related cognitions, and has a strong focus on behavior change that is consistent with client values.
Effect of acceptance and commitment therapy for depressive disorders: a meta-analysis – ACT not only improves depressive symptoms and psychological flexibility, but also has a good maintenance effect.
Dialectical Behavior Therapy (DBT)
What is DBT? – Dialectical behavior therapy (DBT) is a type of talk therapy for people who experience emotions very intensely. It’s a common therapy for people with borderline personality disorder, but therapists provide it for other mental health conditions as well.
Dialectical Behavior Therapy: Current Indications and Unique Elements– Although DBT has many similarities with other cognitive-behavioral approaches, several critical and unique elements must be in place for the treatment to constitute DBT. Some of these elements include a consistent dialectical philosophy, and mindfulness and acceptance-oriented interventions.
Declining the Rate of Major Depression: Effectiveness of Dialectical Behavior Therapy – Results indicate significant difference between the two groups in declining the rate of major depression and reducing suicide tendency; thus, supported the effectiveness of Dialectical Behavior Therapy.
Dialectical Behavior Therapy: Your Toolbox for Managing Emotions – DBT provides patients with mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness skills. These tools help patients manage emotions, cope with difficult situations, and improve relationships.
Effectiveness of Dialectical Behavior Therapy for Treating Eating Disorders — DBT may be efficacious for decreasing disordered episodes among women diagnosed with eating disorders; medium to large effect sizes were noted for treating depression symptoms.
Meta-Analysis and Systematic Review Assessing the Efficacy of Dialectical Behavior Therapy (DBT) – DBT demonstrates efficacy in stabilizing and controlling self-destructive behavior and improving patient compliance.
Health at Every Size® (HAES®)
Health at Every Size Principles – Through the many varied conversations about the oppression fat people face in healthcare and in the name of health emerged groups of (mostly) professionals discussing an alternative approach to providing healthcare to fat people that didn’t focus on weight loss.
National Geographic: HAES – Join the new peace movement—with your own body! Learn how Health at Every Size can help you become healthy without waging the diet battle.
Medicare's search for effective obesity treatments: diets are not the answer – In sum, there is little support for the notion that diets lead to lasting weight loss or health benefits.
The Health at Every Size Paradigm and Obesity: Missing Empirical Evidence May Help Push the Reframing Obesity Debate Forward – The purpose of this article is to examine our understanding of HAES within the context of public health approaches to obesity, and to present strengths and limitations of the available evidence.
Obesity treatment: Weight loss versus increasing fitness and physical activity for reducing health risks – Intentional weight loss attempts fail about 95% of the time, and 225 different studies and meta-analyses show that weight neutral health interventions demonstrate more significant and consistent health benefits and lower risk compared to weight loss attempts.