Counseling in Santa Rosa with Angela Sitka, LMFT

Weekly individual therapy is $300 for a 50-minute session.

Intensive packages start at $1800.

I am out-of-network provider and do not directly bill insurance. I can provide you with a "superbill," a detailed invoice that also includes diagnostic information that you may submit to your insurance company for potential reimbursement.

I also offer a service called Thrizer who handles the administrative side of getting reimbursements from your health insurance, so you don't have to deal with submitting superbills and other paperwork. Check out my detailed blog all about this topic: How to Get Insurance to Cover Out-of-Network Therapy Hassle-Free

I accept most credit cards and cash payments. You may also use your FSA (Flexible Spending Account) or HSA (Health Spending Account) accounts, including their payment cards, to pay for your sessions.

Reimbursement for out-of-network therapy sessions varies significantly depending on your specific health insurance plan.

In my practice, based on limited client data from 2025, the average reimbursement amount has been approximately $135 per therapy session after the deductible has been met.

Insurance companies calculate reimbursement using several factors, including:

• The geographic area where therapy is provided (in this case, Sonoma County)

• What the insurance company considers a “Usual, Customary, and Reasonable” fee (also called the “allowable amount”)

• Your plan’s out-of-network co-insurance percentage

Please note that this figure is only an estimate and should not be assumed or guaranteed. The data comes from a limited sample of my clients who either:

• Used Thrizer for reimbursement services, or

• Shared written documentation of reimbursement checks from their insurance company

Because reimbursement rates and plan benefits vary widely, your actual reimbursement amount may be higher or lower.

You have a couple different options to do this. I outline them in detail here: How to Get Insurance to Cover Out-of-Network Therapy Hassle-Free

Under the law, health care providers need to give clients 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, or at any time during treatment. 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, or how to dispute a bill, see your Estimate, or visit www.cms.gov/nosurprises

This is a question I hear often from new clients. In fact, it comes up so much that I created a blog/vlog on this topic, specifically about men’s mental health. You can check it out here: For men wondering, “Do I Really Need Therapy?”—Here’s Your Answer. Santa Rosa Therapist weighs in

It is also what our first consult call is used for, so I can give you my assessment if therapy can be of benefit to you, and if not, provide you resources or referrals of other options to help you.

It's normal to be a bit (or a lot) anxious in anticipation of what to expect coming in for the first time. That's why I have written a detailed blog post to answer your questions:

What to expect from your first therapy session in Santa Rosa

I use a number of different approaches to help my clients with their problems. I begin by creating a unique treatment plan to your individual needs.

A lot of what I do is based off of a modality called, Acceptance and Commitment Therapy.

If you'd like to get a preview of my approach, check out my blog. Here is a couple to get you started:

Why Therapy Works: A Santa Rosa Therapist Explains the Process of Change for your Most Stuck Problems

Could a Dead Person Achieve Your Therapy Goals? Santa Rosa Counselor Explains Better Therapy Goals

Standard weekly therapy sessions with me are 50 minutes long.

I also offer therapy intensives, which are offered in 3-hour increments in one or more days.

While every person’s journey is unique, my former clients who report they have fully met their therapy goals, on average, typically do so in about 25 sessions, or approximately a little under 6 months of weekly therapy.

In my therapy intensives, we focus on a particular goal or area of focus, which allows us to complete our work within one day to two days of concentrated work.

My goal is to help you build the skills and confidence to navigate life without ongoing therapy. We will work together to create meaningful, lasting change so that when our work is complete, you feel ready to move forward on your own.

Currently, I am available Monday-Friday for new clients. This changes occasionally, so please call me to get my most up to date availability.

I offer weekend intensives for an additional fee.

My latest session I offer is 4:00pm.

Once you are an established client in my practice (our first 1-2 sessions are on “trial basis” to make sure we are a good fit to work together), we set aside a weekly time to meet together.

In my practice I offer two options: weekly therapy or one-time intensives (one day of a longer therapy session).

Most new clients are offered same week appointments.

Yes, I have many clients who switch between the two. I make it easy to switch depending on your preference.

Once we decide I am a good fit as a therapist for you, I set aside a weekly appointment time that’s only yours - I won’t schedule anyone else during your reserved time.

Once you’re an established client of mine, I’ll be sure to offer you new appointment times as they open up before opening these slots to new clients.