Revised December 2018

  • Psychotherapy Session (50 min) $180
  • Brief First Time 10 min Appts Free of Charge
  • Consultation for Clinicians (50 min) $180
  • Consultation for Clinicians (25 mins) $90
  • GEI WPATH Mentor Meeting (50 min) $180
  • GEI WPATH Mentor Meeting (25 mins) $90
  • Group Therapy Program $132/mos
  • *Low fee slots available
  • Consultation/Mentorship Group $68/month
*Low fee slots available
  • Gender Therapy Intensive Package $1590/mos
  • ​Pro-rated Fee or Extended Email Communications $3.60/minute
  • ​Hour-Long Training or Workshop Rates Start at $480 
  • ​$1800-$3000 for a 6 hour (day-long) training.  Rates negotiated based on number of attendees, travel & preparation

Office Policy on Attendance Update: November 2018

You will be responsible to pay your full session fee if you give less than 24 hours notice of a cancellation or do not show to your appointment.  In the event of a no show or cancellation with less than 24 hours notice the credit card you placed on file will be billed. You can always ask for a video or phone appointment if you cannot make the in-person session.

EXCEPTIONS: For certain Lyra plans, fees and attendance policies are set by contract with Lisette Lahana, LCSW.  They will be shared with you upon registration for services.  

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Frequently Asked Questions​​​

Do you have lower fees?  Typically 10-20% + of my practice is lower fee.   When I am writing letters I typically engage in one letter writing process (1.5-3 hrs on average) per month free of charge for someone who cannot afford to access care.  
If you want to access to therapists who can offer letter writing free of charge visit The GALAP.
*In an effort to diversify the field of gender care at least 25% of my mentorship/consultation of clinicians is offered at a lower fee, which can include individual sessions. These slots are typically reserved for non binary, trans, intersex, BIPOC and disabled clinicians who cannot afford the full fee.
For LGBT affirming therapists try interns in private practices listed on Gaylesta.org.  For general therapy try in Oakland: Open Counseling.  In Berkeley: Blue Oak Therapy Center, Pacific Center,(LGBT) Women's Therapy Center, The Psychotherapy Institute Community Clinic and The Wright Institute Clinics.  In San Francisco: Queer Life Space (LGBT) and the Liberation Institute (LGBT).  In Concord try the Rainbow Community Center (LGBT).  Feeling overwhelmed by finding a therapist?  Check out this article.

Do you take insurance? I take Lyra as well as PPO insurance which allows you to see out-of-network providers.  However, for PPO plans your full fee is due at the time the service and you submit your receipt to your insurance company. You can use a healthcare savings account (HSA/FSA) to pay for sessions which are pre-tax dollars.
What forms of payment can I use? Typically, when you register as a new client, your debit/credit card is stored securely in my practice management system for billing.  That can also be a HSA/FSA card. You can use Venmo, PayPal including the buttons on this page, Zelle, Cash Ap, and check/cash for in-person meetings only.