Online Therapy in California, Oregon and Washington, and In Person in Mission Viejo

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

Talk therapy session at IPW Health, online and in person

Talk Therapy That Fits Your Life

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.

Individual Therapy

Personalized Therapy for Your Mental Health Goals

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 Therapy / EMDR

Trauma-focused therapy, including EMDR, helps individuals process painful experiences, reduce distressing symptoms, and develop healthier ways of moving forward.

Depression Therapy

Depression therapy focuses on understanding emotional patterns, improving motivation, processing difficult feelings, and creating meaningful steps toward feeling better.

Anxiety Therapy

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

Couples therapy helps partners improve communication, navigate conflict, rebuild connection, and work through relationship challenges together.

Therapy for Life Transitions

Therapy can provide support during major changes, grief, burnout, career challenges, relationship changes, and other periods of uncertainty.

Therapy vs. Psychiatric Care: What’s the Difference?

Therapy and psychiatry both support mental health, but they approach care differently.

TherapyPsychiatry
Led by Licensed therapists (LCSW, LMFT)Psychiatric nurse practitioners (PMHNP)
Focus Skill-based, EMDR, and trauma-focused care tailored to your specific needsDiagnosis, psychiatric care, biological factors
Typical cadence Weekly or biweekly therapy sessions, online or in person on SaturdaysMonthly 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’sNo waitlists, no red tape — priority access and unrushed time with your provider
Often combined — many clients do both, coordinated under one practice
Therapy session with a licensed therapist at IPW Health

Therapy

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.

Psychiatric care visit with an IPW Health nurse practitioner

Psychiatry

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.

Who Therapy Is For

Therapy may be a good fit for:
  • People experiencing anxiety, depression, stress, grief, or burnout
  • Individuals working through trauma or difficult life experiences
  • Couples experiencing relationship challenges or communication concerns
  • People navigating major life transitions
  • Individuals looking for personal growth and emotional support
  • Patients currently receiving psychiatric care who want additional therapy support
  • Teens 12 and older, and adults
Adult in a counseling session with a licensed therapist
How therapy works in person and via telehealth at IPW Health

How Therapy Works

Online therapy across California

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.

Online therapy in Oregon and Washington

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.

Online EMDR therapy in California

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.

How sessions are held

Most therapy sessions are held on a secure, HIPAA-compliant video platform, so you can meet with your therapist from the privacy and comfort of your own space without needing to travel. If you’d rather meet face to face, in-person therapy is offered at our Mission Viejo office on Saturdays.

Session Format

Therapy sessions are typically 45–60 minutes and are scheduled based on your individual needs, goals, and treatment plan.

Getting Started

Starting therapy is simple:
  1. Choose a therapist who fits your needs
  2. Complete the intake process
  3. Schedule your therapy appointment through our dedicated therapy booking flow

Therapy Cost & Insurance

Therapy Session Pricing

Therapy services are priced separately from psychiatric evaluations and psychiatric follow-up visits.Therapy Sessions
  • Associate Clinicians: $140 per session
  • Licensed Therapists: $200 per session
  • Specialized Therapy (EMDR / trauma-focused): $250 per session

Insurance Coverage

Therapy is billed separately from psychiatric care. We’re in network for therapy with 12 plans: Aetna, Anthem, Blue Cross Blue Shield, Blue Shield of California, Carelon, Cigna, Magellan, Medicare, Optum, Oscar, Regence and UnitedHealthcare. Participation can differ by state and by plan, so we verify your benefits before your first session. Self-pay options are also available. Our team can help verify your benefits and answer questions about coverage before you begin care.
Therapy Cost & Insurance
Why clients choose private pay psychiatric care at IPW Health

Why Some Clients Choose Private Pay

  • Choose your therapist based on fit and specialty — not network limitations
  • No insurance-mandated diagnosis on your permanent medical record
  • No session caps or “medical necessity” reviews dictating your care
  • Longer, less rushed sessions when clinically appropriate
  • Full pricing transparency with a Good Faith Estimate before you ever book
  • Superbills provided so you can seek out-of-network reimbursement if your plan allows it

Meet Our Therapists

Finding the right therapist is an important part of the therapy process.Explore our therapist bios to learn more about each provider’s specialties, experience, and therapeutic approach. Need to be seen soon? See our same-week appointments.

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.

Maria Rheba Estante, therapist at IPW Health

Maria Rheba Estante

LMFT, LPCC

Leila Hashemi, therapist at IPW Health

Leila Hashemi

LCSW

Nichole Hutto, Registered Associate Professional Clinical Counselor, APCC22442

Nichole Hutto

Associate Professional Clinical Counselor

Annyce Torres, associate at IPW Health

Annyce Torres

Associate Marriage and Family Therapist

FAQ

Frequently Asked Questions

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.

Therapy For