Yes I am currently accepting new clients for individual therapy. 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.

I have a handful of open slots at the moment. Once those slots are full, I also offer a waitlist for people who would like to be alerted when an availability opens up.

50-minute individual sessions are $155.

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.

Currently I do not accept insurance directly and I am not in-network with any insurers.

However, I do provide superbills. 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.

Unfortunately, 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.

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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.

Yes I do! 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.

Unfortunately, I currently do not offer weekend or nighttime appointments.

I typically see clients between the hours of 11am-4pm Tuesday-Friday. My latest weekday appointments begin at 3pm PST.

Yes and no!

No, I do not offer therapy for residents outside of California as that would be a violation of my social work license. Unfortunately, most therapist licenses in the United States are still state-based and require us to only see clients who are residents in the state(s) in which we are licensed. I am only licensed in California.

However, I do offer certain non-therapeutic services to peers and professionals outside of California, including professional consultation and social justice peer education.

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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 and do not plan to change this policy at the end of the pandemic.

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.

Many people have understandable hesitations about trying virtual therapy, but there are also a lot of advantages to online therapy. No commute, fewer missed appointments, plus you can have therapy in your PJs while your cat purrs next to you! I'm able to provide lower cost spots because I do not have to cover the cost of an office. And you might be surprised to find that there is value in receiving therapy from the safety and comfort of your own home.

Not only does online therapy protect us from exposure to the COVID-19 and other airborne viruses, it also provides long-term benefits for clients who are immuno-compromised, clients who struggle with executive functioning, and clients who have dynamic disabilities/illnesses (conditions which make your health unpredictable on a day-to-day basis).

Online therapy may not be a fit for everyone, and that's okay! If you'd like to give it a try, or have further questions, please feel free to reach out.

I do my very best to get back to every new inquiry within 10 business days. If it has been more than 10 business 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.

While I truly love working with youth, families, and couples, and have years of experience with those populations, I am not currently providing therapy for youth, families, or couples. I find that I'm not able to work as effectively and safely with youth, families, or couples through telehealth as I can in person, so I will be postponing those services until I'm able to afford the costs associated with acquiring an office to provide in-person care.

If you are a youth or family member seeking services, I encourage you to check out my directory page where you may find a similar provider who offers services through telehealth.

I do not currently offer text-based therapy services. While I would love to provide text therapy (which increases accessibility for clients with certain disabilities, sensory needs, and neurotypes), I am not currently able to do so as a result of my own disabilities.