Announcement

About Our Practice

How do I contact you?

If this is an emergency, please see our emergency contact instructions HERE.

You may contact us via:

Although we are usually not available immediately, we do check for messages regularly throughout each business day and make every attempt to return your message personally on that same day.  Contacts made after-hours or on weekends or holidays are typically returned on the next business day.

How do I contact you in an emergency?

If either you or someone else is in danger of being harmed, don't wait, please call 911 immediately.

We do not provide emergency services, so if you have already contacted us and you do not feel you can wait for us to get back to you, please contact the appropriate service below:

24-Hour Hotlines

  • EMERGENCY911
  • NATIONAL SUICIDE PREVENTION LIFELINE
    (800) 273-8255
  • DOMESTIC VIOLENCE (661) 259-HELP
    (661) 259-4357
  • SEXUAL AND INTERPERSONAL VIOLENCE
    (661) 253-0258
  • SUBSTANCE ABUSE (800) 367-8336

Other Resources

  • TEENLINE ONLINE (800) 852-8336
    (800) TLC-TEEN
  • COUNTY RESOURCE LINE*
    211

* The Los Angeles and Ventura County Resource Lines (211) have these resources available: Health & Human Services, Emergency Shelter, Disability, Substance Abuse, Family Planning, Consumer Assistance, Emergency Food, Legal Referrals, Youth Programs, Senior Services, Education, Rehabilitation, Transportation.

Where are your offices located?

For your convenience, Emotionally Focused Marriage & Family Therapy offers two locations to serve you, an office in Valencia and an office in Ventura:

What are your office hours?

Valencia Hours

MON ........ 9-2
FRI ........ 5-8
SAT ........ 9-5

Ventura Hours

WED ........ 11-6
THU ........ 11-6

Do you offer therapy via telephone or video?

Yes, we offer completely confidential, HIPAA-compliant counseling and therapy via both telephone and video.

This saves our clients the time and expense of traveling to the office, and allows them to continue treatment even when out of the area, for example when traveling for work or pleasure.

Please note however that to enable secure, encrypted communication, clients are required to download and install an app from our telecom service provider.

Do you offer therapy in Spanish?  ¿Ofrecen terapia en español?

Yes, we offer all therapy and counseling services in both Spanish and English.

Sí, ofrecemos todos los servicios de terapia y asesoramiento en español e inglés.

Do you offer a FREE initial consultation?

Yes, to make sure that we're a fit for your particular situation, we offer a FREE, 20-minute initial consultation in-office, via telephone or via video, your choice.  Call or email us today!

Contact Us

About Therapy

Why should I consider therapy?

When an athlete or sports team has plateaued, what do they do?  They hire a new coach to take them to a new level of performance.  In the same way, if you find yourself struggling repeatedly with the same issues or negative patterns in your life or relationships, then you're ready for therapy.

You've realized that there's a problem, you want to fix it, and you recognize that you've topped out working the issue on your own.

Or, perhaps you simply want to get the issue fixed faster, even if you could eventually figure it out by yourself.

So why wait any longer?  Please Contact Us today to get started.

What is therapy like?

Because no two people are alike, therapy is different for every person.  However, there are some elements of therapy that are common to many therapy sessions.

For example, you and your therapist may discuss the issue in question and your goals pertaining to it.  You may review your personal history as it relates to that issue.  Or you may discuss your progress since your last session as regards applying new skills or improving your understanding of the issue.

Also, there are typically five phases to therapy:

  • Intake
    In your first session the therapeutic process plus policies and procedures are discussed, along with the presenting problems
  • Assessment
    Your experiences, relationships and struggles are explored to help your therapist determine the best possible therapeutic approach
  • Treatment Planning
    You and your therapist collaboratively identify the goals for therapy
  • Intervention
    New skills and solutions are discussed, assignments for between sessions are given, and progress is monitored
  • Graduation
    As you reach your goals, you and your therapist will collaboratively create a transition plan aimed at reducing or concluding therapy

Sometimes therapy feels like an intimate conversation with an old friend, a friend who’s a great listener and asks the most insightful questions.  At other times therapy feels like a chat with a game-winning coach who challenges, educates and inspires you.  But whether you're exploring an issue to better understand what’s causing it or learning new skills and strategies for addressing it, therapy is always about helping you move toward your goals.

How often and how long will we have to meet?

In most cases you and your therapist will agree to meet once a week for a 50-minute session.  However, the total number of sessions you may need depends on the goals you set for therapy.  Your therapy may be short-term – for example when you’re focused on a single, specific issue – or it may be longer term – for example if there are multiple or difficult issues to address.

The length of therapy is also very dependent on the degree to which a person chooses to apply themselves to the problems at hand.

Therapy is like watching a cooking show.  Whereas watching a cooking show may give you great recipes, clear instructions, and important tips and tricks, it won’t make you dinner!  You have to get up off the couch and do that yourself.  Therapy is no different.

Finally, please know that you may discontinue treatment at any time.  However, we do ask that you give your therapist at least two weeks advanced notice so that the two of you can effectively plan for your continued care.

Wouldn't taking medications be easier?

There are cases when medications are helpful or even necessary.  However, medications tend to address a single facet of the problem at hand, for example, reducing the intensity or frequency of symptoms.  In contrast, therapy looks at the whole picture, and does so with an emphasis on finding root causes and creating lasting change.

Simply put, reducing or eliminating symptoms through therapy – where possible – is a much healthier solution in the long-term than being dependent on medications for your well-being.

How private is therapy?  Do our conversations remain confidential?

Yes, therapy is very private.  With few exceptions, all communications with your therapist remain completely confidential as required by federal law, namely by the Health Insurance Portability and Accountability Act (HIPAA).

But even without this federal mandate, therapy would still need to be private.

At the heart of the therapeutic relationship that develops between client and therapist is trust, and that trust is built on confidentiality.  For a client to achieve their goals, they need to reach the point where they feel comfortable sharing their thoughts, feelings, and experiences on sensitive subjects with their therapist.  While this may not happen overnight, without a guarantee of privacy it likely wouldn’t happen at all.  Confidentiality is what makes therapy work.

That being said, there are specific situations where your therapist is permitted or required to release information.  In such situations your therapist will limit the disclosure to only what is necessary.  Examples of these situations include:

  • The client authorizes the release in writing
  • The therapist is ordered by a court to release information
  • The client presents a physical danger to self or others
  • Child, elder, or vulnerable adult abuse or neglect is suspected

In your first session during Intake, your therapist will provide you with a full list of known disclosure scenarios and answer any further questions you may have about your privacy rights.  When it comes to therapy, confidentiality is key, so your therapist will make sure you're fully informed and comfortable before proceeding.

About My Approach

What kinds of therapy do you offer?

We provide therapy and counseling services for Couples, Individuals, Anxiety, Depression, and Trauma in both Valencia, California and Ventura, California.

Our specialty is helping people improve their relationships and connection using Emotionally Focused Therapy (EFT).  We also employ EMDR where appropriate, for example when treating Trauma.

Do you treat families and children?

Yes, we treat families and children using an integrated, participatory approach.  In general, children are not seen in isolation.  Instead, the family is included as a part of the assessment and treatment process.

Parents are expected to be involved in their child's therapy, for example by joining their child during the last 15 minutes of each session, or by alternating sessions with and without the parent(s) present.

The goal of our child and family therapy is to impart supportive skills and techniques to the point where the family is confident they can sustain and continue the progress made in therapy.

What is your approach to treatment?

Regina is a therapist who specializes in working with couples, family and trauma.  Treatment is tailored to work with a client’s strengths, areas of needed support, and current goals.

Couples seen in therapy include those who are in a committed relationship, e.g. living together, engaged, etc.  Families seen in therapy include those in various life stages such as: expecting a baby, raising children, caring for their aging parent, etc.  Individuals who have found my therapy style helpful include high goal performers, first responders, endurance/extreme sport athletes, and individuals who ‘on paper’ are successful yet something is missing.

My practice is influenced by attachment, neurobiology, and research.  Specialized trainings in Evidence Based Treatments (EBT) include:

  • Emotionally Focused Therapy for couples (EFT)
  • Emotionally Focus Family Therapy (EFFT)
  • Eye Moment Desensitization and Reprocessing (EMDR)
  • Trauma Focused Cognitive Behavioral Therapy (TFCBT)

Couples Therapy may be helpful if you are a couple who love each other and have moments or periods of disconnection.  Family Therapy can be helpful during life transitions, periods of high stress or when wanting to reconnect with each other.  Individual Therapy may help those who are feeling stuck in unhelpful patterns or feel disconnected from their relationships.

Therapy is one of the most important investments in your life you can make, because fixing problems is much better than continuing to struggle on your own ad infinitum.  So please Contact Us today to schedule your free, 20-minute consultation to see if we're a fit for you.

What is EFT?

Validated by over 20 years of empirical research, Emotionally Focused Therapy (EFT) is an evidence-based form of therapy that focuses on attachment and bonding in relationships.  Research studies show that 70-75% of couples move from distress to recovery with EFT, and approximately 90% show significant improvements.

Learn more about EFT here.

What is EMDR?

Recommended by the American Psychiatric Association (APA), the American Psychological Association, and the U.S. Departments of Defense and Veteran Affairs, Eye Movement Desensitization and Reprocessing (EMDR) is a therapeutic technique scientifically proven to be particularly effective in the treatment of Trauma and PTSD.

Intrusive thoughts, flashbacks, nightmares – Trauma has a way of injecting the same emotions and physical sensations of that fateful moment right into today.  That's because traumatic memories are 'unprocessed', they're not stored properly in the brain.  Fortunately, counseling with EMDR can help you process those memories and finally put those traumatic after-effects in the past, where they belong.

In addition to an 8-step "talk therapy" component, EMDR employs a physical component, Bilateral Stimulation.  This combination helps your brain reprocess and correctly store away traumatic events.

What is Bilateral Stimulation?

Imagine wearing a set of headphones that clicks or plays a sound that alternates between your left and right ear.  This is an example of Bilateral Stimulation, which is a rhythmic, back-and-forth pattern of auditory, visual, or tactile stimulation that alternately activates the left and right halves of your brain.

Bilateral Stimulation can also be achieved by following a light in a 'light bar' back and forth with your eyes; holding a pair of pulsators which alternately vibrate your left or right hand; or simply following your therapist's finger back and forth with your eyes.

Bilateral Stimulation is an important component of EMDR, because alternately stimulating the left and right halves of your brain helps it to finally organize and file away your fragmented, traumatic memories.

About Payment

How much do you charge?

Our current fee schedule for Individual, Couples, and Family Therapy is below.  Please note that our fees are reviewed and modified annually.  Clients are notified of any change in fee 30 days prior to it taking effect.

Fee Schedule

50 min. session ........ $135
75 min. session ........ $200
90 min. session ........ $240
15 min. consult ........ $35 
15 min. other   ........ $35 

Consultations and Other Services are billed in 15-minute increments and prorated for the time required.

Consultations include phone, secure message, email and text communications.  Other Services include professional services rendered with regard to your therapy, case planning, crisis management, and/or the imparting of information pertaining to your case.  They include telephone conferences with other professionals or individuals (which you have authorized) such as physicians, lawyers, school counselors, and the like.

Are there services for which you don't charge?

Yes, we do not bill for the following four types of services:

  • Your free, 20-minute Initial Consultation
  • Calls or messages requiring 10 minutes or less
  • Calls or messages regarding appointment scheduling or similar business
  • Time spent making simple reports to insurance companies

Please note that lengthy or complex reports or correspondence with your insurance company will be billed at the Other Services rate, and that such charges are typically not covered by insurance.

When is payment due?

Payment for services is an important part of any professional relationship.  Full payment is expected at the beginning of each appointment unless otherwise arranged.

What forms of payment do you accept?

Cash (exact amount), Checks, Visa, MasterCard, and American Express are each acceptable forms of payment.

Checks should be payable to “Regina L. Isaias, LMFT”.  Insufficient-funds checks will be returned upon full payment of the original amount plus $35 for any returned check.

Do you accept Health Savings Account (HSA) credit cards?

Yes, we accept Health Savings Account (HSA) credit cards provided they are from Master Card, Discover, AMEX, or Visa.

Will I be charged if I cancel or miss an appointment?

Yes, unless you cancel your appointment at least 24 hours in advance.  Late cancelations and missed appointments will be billed at the regular rate.

About Insurance

Will my insurance cover my therapy?

Yes, your health insurance company may indeed cover your therapy, but you must contact them to confirm your exact benefits.

Generally, if you have a mental health diagnosis and treatment that they cover and you've met your deductible, your insurance company will pay for all or a portion of your therapy.

Surprisingly, Couples Counseling is often not covered, unless one partner has an actual mental health diagnosis and couples' therapy is recommended to help the couple deal with that issue.

Furthermore, insurance companies can limit the number of sessions they consider to be 'medically necessary' for your diagnosis; specify the type of treatment they deem appropriate; and pay out what they see as a fair rate, which may be less that what your therapist actually charges.

The bottom line is that if you plan to use your insurance to cover your therapy, you must contact your insurance company to confirm exactly what they will reimburse.

If my insurance does cover therapy, should I use it?

That depends.  Your therapist will be required by your health insurance company to provide a mental health diagnosis, and that diagnosis will become part of your permanent health record.  Having a psychiatric diagnosis on your record may negatively impact you in the future as follows:

  • You may be denied when applying for a job, life insurance, financial aid, or a concealed weapons permit
  • Your diagnosis can become evidence in a divorce, family law, or criminal court case
  • Your diagnosis as stored at your insurance company and any claims clearinghouses may be made public by accident, by hackers, or through negligence

As a result, if you can afford therapy on your own and you value your privacy, you may prefer self-payment even when your diagnosis and its treatment are covered.

What insurance do you accept?

We are an out-of-network provider for all insurance plans except for Lyra Insurance, for which we are an in-network provider.

If we're out-of-network for your insurance, we will provide you with a receipt for each session when you make payment, and then a monthly statement or 'Super Bill' that you may submit to your insurance company to assist with reimbursement.

Should I contact my insurance company and get pre-approved?

Yes, with the exception of Lyra Insurance you'll want to contact your insurance company to confirm exactly what they will reimburse.

In particular, you'll want to ask them if they cover outpatient therapy, what your deductible is for that, and what percentage or amount they pay for out-of-network providers.

You'll also want to ask them whether your particular diagnosis is covered, whether your particular treatment is covered, and whether there are any limits to the number of sessions they'll cover.

Do you submit claims to my insurance company for me?

Yes, provided you have Lyra Insurance.  For all other carriers, you must submit claims to your insurance company using the monthly statements or 'Super Bills' we provide to you.

Couples

Need to restore intimacy & connection in your relationship?

Individuals

You don't have to do this alone. We can help you get through this.

Anxiety

Worry, nervousness, sleeplessness, fear: Anxiety is exhausting!


Depression

Feeling down, helpless, or hopeless? It may be Depression.

Trauma

Having flashbacks, nightmares, or racing thoughts?

"Our mission is to heal hearts and restore relationships using the evidence-based techniques of Emotionally Focused Therapy"

Regina Isaias, MA, LMFT