Therapy is for anyone who wants to feel better, understand themselves more deeply, or navigate a challenge with support. You don't need to be in crisis to benefit. Many people come to therapy during life transitions, periods of stress, or simply because they want a dedicated space for reflection and growth. If you're curious about therapy, that curiosity itself is a great place to start.

The first session is a chance for us to get to know each other. I'll ask about what brings you to therapy, a bit about your background, and what you're hoping to get out of our work together. There's no pressure to share everything right away — we move at your pace. I also welcome your questions about my approach and how I work. By the end, we'll have a sense of whether we're a good fit and what a path forward might look like.

Yes — I offer secure video sessions for clients anywhere in California. Many clients find telehealth just as effective as in-person therapy, and it offers significantly more flexibility.

I am an out-of-network provider, which means I don't bill insurance directly. However, I provide a superbill (a detailed invoice) at the end of each month that you can submit to your insurance company for potential reimbursement. Many clients with PPO plans receive partial reimbursement. I recommend calling the member services number on your insurance card and asking: "What are my out-of-network outpatient mental health benefits?"

I ask for at least 24 hours' notice for cancellations or rescheduling. Sessions cancelled with less than 24 hours' notice are charged the full session fee, except in cases of emergency. I understand that life happens, and I approach this policy with flexibility and compassion — but consistency in scheduling helps us do our best work together.

The length of therapy varies widely depending on your goals, the complexity of what you're working through, and your own preferences. Some people find that short-term support addresses what they came for. Others find ongoing therapy valuable for personal growth over a longer period. I'll always check in with you about how things are going and adjust our work accordingly — you're always in the driver's seat.

Many clients begin with weekly sessions, although frequency can vary depending on your needs, goals, and preferences.

Yes. Confidentiality is a cornerstone of the therapeutic relationship. What you share in sessions stays between us. There are a small number of legal exceptions — for example, if there is imminent risk of harm to yourself or others, or in cases of suspected child abuse — which I'll explain thoroughly during our first session. Beyond these narrow exceptions, you have complete privacy.

The easiest first step is to reach out via the contact form or send me an email at lianne@liannezackler.com. I offer a free 15-minute phone consultation where we can talk briefly about what you're looking for, answer any questions you have, and see if we feel like a good fit. There's no commitment involved — just a conversation.