Frequently asked questions

I am usually accepting new clients for individual therapy throughout the year, though occasionally there may be a wait for availability. Please reach out via the form at the bottom of this page, or via email (myles@mylesmarcotte.com) if you'd like to schedule a free 15 minute phone consultation to determine if we're a good fit.

50-minute individual sessions are $165.See below for questions about lower cost therapy spots and insurance reimbursement. Non-therapeutic professional services (such as professional consultation, webinars, guest lectures, and trainings) vary in cost. Feel free to email me (myles@mylesmarcotte.com) to discuss fees.

Yes, I reserve a few lower cost spots for low-income LGBTQIA+ clients. Currently all of my lower cost spots are taken. Typically my clients with lower cost spots tend to stay for long periods of time, so it is relatively rare for one of these spots to be available. I don't always update this answer regularly, so it can't hurt to email me to ask if I have any availability!For more options for therapists with sliding scale or lower cost options, please explore my directories and referrals page.

Currently I do not accept insurance directly and I am not in-network with any insurers. However, I do provide superbills and my services are HSA eligible. Clients with insurance plans that accept "superbills" (often PPOs) are able to get partial or full reimbursement for out-of-network therapy from their insurance providers. This means that clients pay upfront for therapy and then seek reimbursement from their insurer by submitting superbills. Superbills are essentially a clinical receipt for services. While a large portion of my caseload are successfully reimbursed via superbills, I'm not able to guarantee reimbursement from your insurance provider. If you are unable to afford sessions without insurance reimbursement, I recommend speaking directly with your insurance provider beforehand. ​If you'd like to know whether your insurance will reimburse you for services, I recommend following the steps outlined here on my insurance information page.

Unfortunately, I currently do not offer weekend or nighttime appointments. I typically see clients between the hours of 11am-4pm PST Monday-Friday. My latest weekday appointments begin at 3pm PST.

Unfortunately I am only licensed to practice therapy within California, and cannot offer therapy for people outside of California. However, I do offer certain non-therapeutic services to peers and professionals outside of California, including professional consultation and social justice peer education. ​If you think we would be a great match for therapy but you're in another state or country, feel free to check out my directory page for similar providers.

Yes my practice is 100% online! I do not currently offer in-person services. So how does it work? I use a HIPAA-compliant online tele-health platform called Simple Practice. After completing some forms, you'll receive a link to our first video chat. You can use your phone's camera, a tablet, or a computer with a webcam. I will provide instructions before our first session to help you have the best telehealth setup process. For your privacy and safety, I do not record sessions with AI.

I do my very best to get back to every new inquiry within 10 days. If it has been more than 10 days and you haven't heard back from me, please feel free to send me a second email! Sometimes things do slip through the cracks and I'll be happy to receive the reminder. Please note that while I do my best to respond as soon as possible, I cannot guarantee the availability of urgent appointments for new clients. If you are having an acute crisis, please reach out to your preferred local emergency services or seek a provider who is able to guarantee rapid availability.

Currently I am not providing therapy for youth, families, or couples. If you are seeking these services, I encourage you to check out my directory page where you may find a similar provider who offers services through telehealth.