Therapy self-pay: $140–$250 per session · Telehealth in CA, OR and WA; in person in Mission Viejo on Saturdays

Some challenges don’t change just by trying to push through them. They show up in your thoughts, emotions, relationships, habits, and the way you respond to difficult situations.
At Integrative Psychiatry & Wellness, our licensed therapists provide evidence-based talk therapy to help you better understand yourself, work through challenges, and develop practical tools for lasting change.
Therapy focuses on the deeper work behind your symptoms — identifying patterns, processing emotions, improving relationships, and building healthier ways to cope.
Unlike psychiatry, which focuses on psychiatric evaluations and diagnosis, therapy provides a dedicated space to explore your experiences, thoughts, feelings, and behaviors with a licensed therapist.
Therapy is provided through secure, HIPAA-compliant telehealth to clients located in California, Oregon and Washington (Oregon and Washington through Leila Hashemi, LCSW), and in person at our Mission Viejo office on Saturdays. Psychiatric care is available across California, Oregon, Washington, and Colorado.
Live in Oregon or Washington? We also offer online therapy in Oregon and online therapy in Washington.
Therapy can support you through a wide range of challenges, whether you are managing symptoms, healing from past experiences, improving relationships, or navigating major life changes.
Learn more: Cognitive Behavioral Therapy (CBT), ERP therapy for OCD, and grief counseling.
Our therapy services include:
Trauma-focused therapy, including EMDR, helps individuals process painful experiences, reduce distressing symptoms, and develop healthier ways of moving forward.
Depression therapy focuses on understanding emotional patterns, improving motivation, processing difficult feelings, and creating meaningful steps toward feeling better.
Anxiety can affect your thoughts, emotions, relationships, and daily life. Therapy helps you understand anxiety patterns, develop coping strategies, and build confidence in managing stress and worry.
Couples therapy helps partners improve communication, navigate conflict, rebuild connection, and work through relationship challenges together.
Therapy can provide support during major changes, grief, burnout, career challenges, relationship changes, and other periods of uncertainty.
Therapy and psychiatry both support mental health, but they approach care differently.
| Therapy | Psychiatry | |
|---|---|---|
| Led by | Licensed therapists (LCSW, LMFT) | Psychiatric nurse practitioners (PMHNP) |
| Focus | Skill-based, EMDR, and trauma-focused care tailored to your specific needs | Diagnosis, psychiatric care, biological factors |
| Typical cadence | Weekly or biweekly therapy sessions, online or in person on Saturdays | Monthly or as-needed psychiatric follow-up visits |
| Why private pay | Total privacy, your pick of therapist, and sessions that move at your pace — never the clock’s | No waitlists, no red tape — priority access and unrushed time with your provider |

Talk-based mental health support
Therapy focuses on emotions, thoughts, behaviors, relationships, and life experiences. A licensed therapist helps you identify patterns, process challenges, and develop skills to support your mental well-being.

Medical mental health treatment
Psychiatry focuses on psychiatric evaluations, diagnosis, psychiatric follow-up visits, and biological factors that may contribute to mental health symptoms. Care is provided by board-certified psychiatric clinicians.Some patients benefit from therapy alone, while others find that combining therapy with psychiatric care provides additional support.


How Therapy Works
All of our licensed therapists and associates see clients located anywhere in California by secure video, from Los Angeles and the Westside (Brentwood, Pacific Palisades, Santa Monica) to the Bay Area and San Diego. Prefer to meet face to face? In-person therapy is on Saturdays at 27201 Puerta Real, Suite 300, Mission Viejo, CA 92691.
Clients located in Oregon or Washington can work with Leila Hashemi, LCSW, by secure video, in English or Farsi. See online therapy in Oregon and online therapy in Washington State. We do not currently offer therapy in Colorado; adults there can use our telehealth psychiatric care in Colorado.
EMDR helps the brain reprocess painful memories so they feel less charged. We offer EMDR by video anywhere in California and in person on Saturdays in Mission Viejo, and Leila Hashemi offers EMDR by video in Oregon and Washington. Learn how sessions work on our EMDR and trauma therapy page.


Looking for psychiatric care? Our psychiatric providers work alongside the therapy team when coordinated care is appropriate. Meet our psychiatric team → Looking for support between sessions? Explore our free mental health toolkit.
FAQ
Yes. All of our therapists see clients located anywhere in California by secure video, and in-person therapy is available on Saturdays at our office at 27201 Puerta Real, Suite 300, Mission Viejo, CA 92691.
No. You can self-refer and begin therapy without first completing a psychiatric evaluation. If your therapist thinks a psychiatric evaluation could help, we can coordinate one inside IPW Health.
The frequency of therapy sessions depends on your individual goals, treatment needs, and availability. Most clients meet with their therapist weekly or every other week, although your schedule can be adjusted over time as you make progress and your needs change.
Most therapy sessions are approximately 45–60 minutes.
Yes. We're in network for therapy with Aetna, Anthem, Blue Cross Blue Shield, Blue Shield of California, Carelon, Cigna, Magellan, Medicare, Optum, Oscar, Regence and UnitedHealthcare, and we verify your benefits before your first session. Therapy is billed separately from psychiatric care. Some clients choose private pay for their choice of therapist and added privacy, and every private-pay client receives a Good Faith Estimate first.
Yes. Leila Hashemi, LCSW, offers online therapy in English and Farsi for clients located in Oregon and Washington. Our other therapists see clients in California only.
Yes. EMDR is offered by secure video for clients anywhere in California, and in person on Saturdays in Mission Viejo. Leila Hashemi, LCSW, can also provide EMDR by video in Oregon and Washington.
Not at this time. Our therapists are licensed in California, Oregon and Washington. Adults in Colorado can see our psychiatric nurse practitioners by telehealth for psychiatric care.
Self-pay therapy is $140 to $250 per session depending on the clinician and type of therapy. We are in network with Aetna, Anthem, Blue Cross Blue Shield, Blue Shield of California, Carelon, Cigna, Magellan, Medicare, Optum, Oscar, Regence and UnitedHealthcare, and we verify benefits before your first session.
Yes. We see teens 12 and older as well as adults. Sessions are available in English, and Leila Hashemi, LCSW, offers therapy in Farsi.
Integrative Psychiatry & Wellness (IPW Health) — telehealth psychiatry for patients across California, Oregon, Washington, and Colorado, with in-person visits at our Mission Viejo, CA office.
We are dedicated to helping you achieve mental and overall wellness.
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