David Klein, LCSW

Fees

Therapy that’s private, flexible, and yours.

Individual Therapy

$250

per 50-minute session

  • 50-minute individual session
  • Relationship patterns, self-worth, grief & endings
  • Online (Zoom) — CA & NY residents
  • Sliding scale available

Couples, Co-Parenting & Family

$350

per 75-minute session

  • 75-minute session
  • Couples, co-parents, or parent & adult child
  • Online (Zoom) — CA & NY residents
  • Sliding scale available

Free Consultation

Free

15-minute phone or Zoom call

  • Brief phone or video call
  • No commitment required
  • Discuss your needs & answer your questions

Sliding Scale & Insurance

Sliding scale & reduced-fee slots

Affordability matters to me. I offer a sliding scale based on financial need, because getting the right therapy shouldn’t depend on having the right budget at the right moment. If my standard rates aren’t accessible for you, reach out and we’ll find something that works. I also keep a small number of reduced-fee slots through Open Path Collective, a nonprofit for affordable therapy. Those spots are limited and often full, so they're not always available — my Open Path profile shows whether there's an opening at the moment. When it's full, reaching out to me directly is the better path.

I also hold a limited number of reduced-fee slots through Open Path Collective, a nonprofit committed to affordable therapy. Availability there is limited and changes over time — my Open Path profile shows whether I have an opening at the moment.

Why I don’t work with insurance

Mental health care shouldn’t be dictated by profit-first corporations or the bureaucratic hoops of insurance companies. Therapy, more than anything else, should be personal, meaningful, and rooted in real human connection.

Insurance requires a mental health diagnosis for reimbursement, sets limits on care, and in some cases requests access to treatment notes. I believe in therapy that is private, flexible, and shaped by your needs — not by a system that prioritizes numbers over people.

Common Questions

What do you work with?

Relationship patterns and self-worth, couples, co-parenting, repair with an adult child, and the grief of endings: divorce, breakups, pet loss, and the losses the world doesn’t make room for. Underneath all of it is attachment.

Do I need to be in crisis to start?

No. People come at every stage — anticipating an ending, in the thick of it, freshly through it, or years past. Grief and attachment disruption don't follow a tidy timeline, and a lot of what I see surfaces long after everyone else assumes you should be "over it."

Is this the same as mediation or a custody evaluation?

No. This is clinical therapy. I don’t mediate agreements, conduct custody evaluations, serve as an expert witness, or write letters intended for use in a custody proceeding. The work assumes the legal questions are being handled elsewhere, by the people qualified to handle them.

Can my co-parent and I do this if we barely speak?

Often that’s exactly the reason to start. Co-parenting work doesn’t require the two of you to feel warmly toward each other. It requires both people to show up and to keep the child’s experience as the shared reference point. We can talk on the consultation call about whether that’s realistic right now.

Do you work with children directly?

Parent–child reconnection work involves the parent and child together, with the focus on the bond between them rather than on treating the child individually. Whether a particular child is a good fit for online sessions depends on their age and what’s going on — that’s one of the first things we sort out on a consultation call.

Is therapy confidential?

Yes. I am legally and ethically bound to protect your privacy. Information shared during sessions cannot be disclosed without your written consent, except when there is an imminent risk of harm to you or others. In parent–child and co-parenting sessions, everyone in the room hears what is said, so confidentiality protects the session as a whole rather than creating secrets between participants.

How long will this take?

There’s no set number of sessions. Some people come for a few months, others stay longer, and the pace is shaped by what brought you in. I see ending as your decision: the right time is when you’ve worked through what you came for and feel ready, not when a timeline says so. Along the way, we can always check in about how it’s going and what you still want from the work.

What is your cancellation policy?

If you are unable to attend a session, please cancel at least 24 hours beforehand. Otherwise, I do have to charge the full rate of the session.

Can I use out-of-network benefits?

Yes, many plans reimburse part of the cost of out-of-network therapy. I send a superbill at the end of each month, and you submit it to your insurer for reimbursement.

To find out what your plan covers, call the member services number on your insurance card and ask:

  • Do I have out-of-network benefits for outpatient mental health?
  • What’s my out-of-network deductible, and how much has been met?
  • What percentage is reimbursed for CPT code 90834 (individual therapy) or 90847 (couples/family therapy)?

One thing to know: insurance requires a diagnosis for reimbursement, and it becomes part of your record with them. If you’d like help weighing that, or making sense of what your insurer tells you, we can talk it through on a consultation call.

Good Faith Estimate — Notice to Clients

Under the No Surprises Act (effective January 1, 2022), you have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. For questions or more information about your right to a Good Faith Estimate, visit cms.gov/nosurprises.