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Frequently Asked Questions

Do you Only See LGBTQIA People?

We see everyone! Straight/Heterosexual and Cisgender (non trans) people are very welcome.  Most of our therapists have worked in general mental health clinics/practices where they saw a variety of clients and issues--our therapists are "generalists" which mean they treat general mental health issues in addition to the specialized work they do.   


Do you offer lower fee therapy?

Yes. however, currently our low fee slots are full.  Typically 10-20% of our work is lower fee including our consultation groups and WPATH mentorship.

Where else can I see a lower fee therapy in California?

In the Bay Area, for queer and trans competent therapists, try The Pacific Center(LGBT), The Liberation Institute (LGBT).  In Concord try The Rainbow Community Center (LGBT), and associates in private practices listed on  For general SF Bay Area therapy try: Open Counseling,  Blue Oak Therapy Center, The Psychotherapy Institute Community Clinic,  The Wright Institute Clinics, and CIIS Church Street Clinic. Most offer online therapy/telehealth.

In Los Angeles county for LGBT therapy you can check out the LGBT Center.

In Sacramento consider the Gender Health Center and Open Path Collective for general mental healthcare and the LGBT Center's therapists.

Do you take insurance? 

​We take two employee assistance plans, Corporate Counseling Associates (CCA) and Lyra Health. We also can provide services if you have PPO insurance, which allows you to see out-of-network providers.  If you use a PPO plan, your full fee is due at the time the service. After a month we will send you a special receipt called a "Superbill" which you submit to your insurance company for possible reimbursement.

What is the current wait to get in to see a therapist?

Currently the wait is approximately 1-3 weeks.

Do you only see people weekly?

We tailor therapy to your mental health needs and your finances.  Some clients come in weekly and others, every other week.

What forms of payment can I use? 

When you register as a new client, we ask that you put a debit/credit card on file in our practice management system for billing.  You can also use your HSA/FSA card. You can arrange with your therapist to pay by check or money order if needed. Venmo and Zelle are not accepted due HIPAA regulations.

How long does it take to write a letter to refer for surgery or other medical interventions?

This is a a question that usually has an individualized answer.  In our practice, a therapist gets to know you and learns about your goals for surgery (or gender affirming hormones).  We talk about your plans, clearing away any obstacles, mental health, fertility, benefits, risks

and what a recovery or treatment will be like.  At no point do I want someone to feel they have to "prove" their gender or that they are deserving of surgery--that is not a part of the process, nor should it ever be. My letter serves to communicate to your doctors about your history and needs--as well as can help insurance companies understand why a medical intervention is warranted.  As a WPATH Mentor and Certified WPATH GEI SOC8  Member, I follow the WPATH Standards of Care (Version 8) in the work I do related to assessment.   If you are wanting to learn more you are welcome to book a free, 15 min video appt by filling out the secure contact form below.

Can I use my FSA or HSA to pay for therapy?

Yes! You can use a healthcare savings account (HSA/FSA) to pay for sessions, which means your therapy is paid with pre-tax dollars, saving you money.

What is a Good Faith Estimate?

Generally when your therapist tells you how much you will be paying out-of-pocket, and you decide on how many times a month you will be attending, you can easily estimate how much therapy will cost.  Not so with other medical providers, when there are sometimes hidden fees and charges.  However, therapists too must give you a good faith estimate each year based on the 2022 "No Surprises Act"  Learn more here

When are you hiring?

Authentic Alliance opened in January of 2024 and is hiring therapists and supervisors this year.     If you feel you would be a good fit, there is more info on how to contact us here.

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