Fees, Policies, & FAQs

Forms of payment accepted include Debit or Credit Card (American Express, Discover, Mastercard, Visa). Your card will be stored and will be billed through IvyPay, a HIPPA-compliant platform.

In order to offer comprehensive treatment tailored to each person, we do not accept insurance or work directly with insurance companies.

If you have an HMO, Medicare, or Medi-Cal, you will not be able to use your insurance for services. However, if you have a PPO insurance plan with out-of-network benefits, you may be able to receive reimbursement for all or a portion of the therapy fee. If you wish to seek out-of-network reimbursement from your insurance company, we can provide you with a monthly statement ( or “superbill”) that you can submit to your insurer for partial reimbursement. Please note that although the superbill lists diagnoses and procedural codes for the purpose of insurance reimbursement, there is not a guarantee that your plan will reimburse. It is recommended you first contact your insurance company to discuss their reimbursement policy for individual therapy for out-of-network providers. You will want to know the amount of your deductible, what percentage of behavioral health services they will reimburse you, and the number of visits per calendar year. We have opted-out of Medicare and therefore, Medicare patients will need to create a private contract with me to receive services and the patient will be responsible for submitting the contract to Medicare.

Appointments are scheduled on a weekly basis at a time specifically held for you.

A minimum of 24 hours notice is required for canceling an appointment, otherwise you will be charged the full fee for the session. Be mindful of the cancellation policy, and note that in the event of a late cancellation or no show, you will be charged for the full cost of the visit. This policy is to encourage those that schedule to make it to their appointments, as late cancellations and no-shows limit other patients access to visits.

At this time, Tethered Healing offers individual therapy for adults ages 18 and older. Mr. Bjorn Samadhi offers family therapy and group therapy. Dr. Elowyn Samadhi specializes in PTSD, trauma, depression, anxiety, grief, and spiritual counseling. Mr. Bjorn Samadhi specializes in PTSD, mild-moderate addiction and substance use disorders, anger management, anxiety, and grief.

Stay tuned for future group offerings.

To initiate therapy, please reach out to schedule a video consultation to discuss your care needs and how we might offer support. We will briefly discuss what brings you to therapy and what you’re looking for and feel into our fit. We believe matching well with your therapist is a key factor to successful treatment.

If we mutually determine suitability, you will then be scheduled for an initial session to discuss presenting concerns and goals for therapy. Our initial session provides the chance for me to get a more detailed sense of what kind of support you are needing, what goals you have for therapy, and do a cursory mental health assessment.

We will also ask you questions about yourself, therapeutic and medical history, as well as a little about your family and relationship history. This information will help us get a more holistic understanding on how to tailor therapy to fit your needs, goals, and personality. The intake session is also a chance for you to ask us any questions you might have and for us to discuss treatment options. If we find we are a good fit, we would schedule a consistent time in which to meet every week.

Throughout the course of treatment, all decisions are made collaboratively. Treatment will always be individually tailored to your unique needs and goals using a holistic framework incorporating evidence-based ingredients and mind-body and culturally informed approaches.

If you feel safe and comfortable to be yourself with us. If you find our explorations to be insightful or transformative, and can sense that we can empathize with what you are going through. A good sign that our work together is successful is if you are experiencing some insight, relief, and/or changes in your world.

A number of factors determine how long therapy will last. We offer both short and long-term treatment options, tailored to each individual. The ultimate purpose of therapy is to help you achieve your unique treatment goals and provide relief as efficiently as possible. Healing evolves over time as well, and what we initially focus on may change and eventually flow or transform into other areas.

In general, the more committed you are to working on practicing the skills outside of the sessions and the more regularly you attend appointments (weekly therapy is recommended for best results), the faster you are expected to progress through treatment. Change is measured over time and reviewed with you throughout the course of treatment to provide an understanding of how much more therapy may be warranted to get you to your goals. Importantly, therapy is always voluntary and therefore stopping is always an option, or you may express a desire to continue treatment to address other concerns. Part of healing from trauma is learning how to balance understanding our limits and taking care of ourselves with stretching our limits, and we are honored to have the opportunity to help you build this skill.

While trauma, anxiety, and depression disorders can co-occur with other concerns, Tethered Healing does not treat clients with self-harm (e.g. cutting, burning, scratching), bipolar disorder, or borderline personality disorder. For symptoms and conditions such as these, involving significant emotion dysregulation, Dialectical Behavioral Therapy (DBT) can be a superior treatment option. Below are several recommendations for providers in the area who specialize in these issues:

For Severe Substance Use / Addiction Treatment:

Danielle Herrera, LMFT (CA)

https://tenderheart.us/

Dr. Mollie Pleet (CA, OR, NC) https://www.drmolliepleet.com/

For Dialectical Behavior Therapy (DBT) for Borderline Personality Disorder:

DBT Center of San Diego http://www.dbtsandiego.com/index.html

Dr. Caitlin Ferriter http://www.drcaitlinferriter.com

For empirically supported treatment for Bipolar Disorder or Schizophrenia:

Dr. Irwin Rosenfarb www.familysupportsd.com

Dr. Bridgett Ross www.rosspsychology.com

For Eating Disorders:

Dr. Julie Trim (CA) https://www.julietrimphd.com

Dr. Rachel Goldstein (CA)

https://www.rachelgoldsteinpsyd.com/

The Department of Consumer Affair's 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 by visiting their web site, calling 1-866-503-3221, or writing to the following address: Board of Psychology, 1422 Howe Avenue, Suite 22, Sacramento, CA 95825-3236.

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.You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including all services offered by Tethered Healing, LLC.You can ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service. If not requested before scheduling, Tethered Healing, LLC will provide a Good Faith Estimate once your service is scheduled in the onboarding documentation.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.For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.