Do you offer a free consultation?

Yes. I invite every prospective patient (or their parent) to a complimentary 15-minute video or phone call, so we can see whether we’re a good fit.

How do I book that call?

Fill in the contact-form button at the top of the page to request a time, or call +1-916-776-6089. I’ll follow up within one business day to confirm.

Where are you located?

My office is in Midtown Sacramento at 801 Alhambra Blvd, Suite 4. I also work with clients anywhere in California via secure telehealth.

What is psychodynamic psychotherapy?

Psychodynamic work explores the patterns—often outside conscious awareness—that shape how we think, feel, and relate. By bringing those patterns into focus, we create space for insight, relief, and lasting change.

What happens in the first session?

We’ll talk about what brings you in, your history, and your hopes for therapy. The meeting also lets you get a felt sense of how I work so you can decide whether to continue.

How long will therapy take?

Every person’s process is different. Some clients come for a few months to work on a specific issue; others choose open-ended depth work. We’ll revisit goals together as therapy unfolds.

Who do you work with?

• Adults and kids (10+) • Men exploring masculinity • Individuals, couples, and families • People navigating gender identity, transition, or LGBTQIA+ experiences • Anyone facing grief, anxiety, depression, or existential questions

Do you provide letters for gender-affirming care?

Yes. I can provide letters of support for HRT or surgery in line with WPATH guidelines.

What is psychedelic-integration therapy?

Integration work helps you make meaning of altered-state experiences—whether from sanctioned clinical use or personal exploration—so insights translate into daily life. While I don’t provide or refer for illegal substances, I support clients in integrating those experiences thoughtfully and ethically.

Individual therapy – $150 Couples therapy – $250 Sliding-scale spots are occasionally available—please ask.

Do you take insurance?

I’m an out-of-network provider. If you have a PPO plan, you may be eligible for partial reimbursement. I’ll supply monthly superbills you can submit to your insurer.

What if I need to cancel?

Cancellations with at least 48 hours’ notice incur no fee. Late cancellations or no-shows are billed at the full session rate. (No charge for same-day health-related cancellations.)

Is therapy confidential?

Yes. Everything we discuss stays between us, with a few safety-related legal exceptions that we’ll review in our first session.

Do you offer evening or weekend appointments?

Yes. I currently see patients only during evenings and weekends to support busy professionals and their kids. Let me know what you need, and I’ll do my best to accommodate.

What if I’m in crisis?

I’m not a 24-hour service. If you’re in immediate danger, call 988 (emotional support) or 911 (medical emergency), or go to the nearest emergency room. You can also text HOME to 741741 for free, confidential support from trained crisis counselors.

Ancestral fears

Jun 4

Written By Oliver Slate-Greene

The hand that steadies you is also the one that wounds you.

A recent NYT piece suggests that therapy culture - our collective turn inward, toward diagnosis, language, trauma as currency - may be one reason Millennials (aka The Spice Girl Generation? [finger’s crossed that moniker sticks]) and Gen Z are having fewer children.

Not just because of money. Or climate. Or Roe.

But because we are fluent now in harm.

Because we’ve been trained to fear our inheritance.

And worse - our capacity to pass it on.

Therapy has changed how we name hurt.

We’ve gotten good at tracing pain backwards.

We fear becoming the very people who loved us in the only way they knew how — even if it wasn’t the way we needed.

It’s a compelling thesis. Also, a comfort.

Because it suggests that if we heal long enough, name things precisely enough, we might one day be safe to become parents.

Safe to love someone we might damage.

But I don’t think that kind of safety exists.

And I don’t think the answer is retreat. Or avoidance. Or narrating our suffering like it might save us.

Fear is not a problem we can solve with language.

Some things don’t get resolved.

They just get lived through.

If you’ve chosen not to have children because it’s right for your body, your life, your joy -I support you without hesitation.

This is about autonomy. Not obligation.

What I’m speaking to is something else:
The decision not to try.

Not because you don’t want to.

Because you’re afraid you’ll fail.

Because you believe brokenness disqualifies you from loving. From raising up.

Because you’ve mistaken the ache of being human for a personal defect.

But life will break you open no matter what.

You will hurt people you love.

You will be hurt by people who love you.

And parenting - if it finds you - will gut you in both directions.

That’s not failure.

That’s the deal.

We don’t parent because we’re whole.

Wholeness is a myth.

We parent because we are willing to be undone by something greater than ourselves.

What unsettles me most is not that we’re afraid of hurting the people we love.

Of course we are.

But that we’ve convinced ourselves we won’t survive it.

That feels like a child’s fantasy.

Oliver Slate-Greene

Ancestral fears

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