One important limit, stated up front: because of how state licensing works, we can only see clients who are physically located in California. You can be anywhere in the state, from a home office in Sacramento to a kitchen table in San Diego, but if you've moved out of California, we're not able to continue care across the state line. It isn't a preference, it's the law we practice under, and we take it seriously.
If you're wondering whether online therapy is a real, lasting option or just a leftover from the pandemic, it's worth knowing that California has made telehealth a permanent, first-class part of how care is delivered here, not a temporary workaround. That's part of why we treat it as the same care rather than a lesser substitute. And research has consistently found video therapy about as effective as meeting in person for most people. What matters most, the relationship and the work, comes through the screen intact.
Start in person, then continue from home
If you would rather meet your therapist face to face before going online, you can. A new client can come in once, at our Laguna Beach office or our Irvine office, and then carry on by video from there. The first hour is often the one where you are deciding whether this person gets it, and some people find that easier to judge across a room. After that, the screen feels like a continuation rather than a stranger.
It is an option, not a requirement. You are just as welcome to start online and stay online, to meet in person throughout, or to mix the two: the office when the week allows, a video session when it does not, and sometimes an hour on the coast for Beach Therapy. Would it help to have all of those open to you rather than picking one up front? Plenty of people change how they meet as the season changes, and nobody is locked into a single way of meeting.
Whoever you meet with online is part of the same team Kay trains and supervises. If you'd like to see who you might be working with, meet the team.