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Therapy is a meaningful step toward caring for yourself.

Beginning therapy can feel vulnerable. Whether this is your first time seeking support or you’re returning after some time away, you’re welcome to come exactly as you are. We’ll move at a pace that feels grounded, steady, and manageable.
I offer online psychotherapy for individuals and couples across California, using secure HIPAA-compliant webcam sessions. This allows us to meet from the comfort and privacy of your own space, without the stress of travel or commuting.
Fees:
  • $250 for a 50-minute session
  • $400 for an 80-minute session
    Payment is collected at the time of session. If your insurance offers out-of-network benefits, I can provide a superbill for reimbursement.
Schedule Appointment

Welcome to Psychotherapy

Beginning therapy can feel vulnerable. You might be carrying stress, loneliness, anxiety, relationship strain, or simply a sense that life could feel more grounded or meaningful. Whatever brings you here, you don’t have to navigate it alone.
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Therapy is a space to slow down, explore what’s happening beneath the surface, and grow toward a version of yourself that feels more connected, confident, and supported.

Understanding Your Insurance

Insurance plans vary, and everyone’s coverage is different. Many clients use their out-of-network benefits for therapy, and once it’s set up, reimbursement generally runs smoothly.
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I don’t bill insurance directly. If your plan includes out-of-network psychotherapy benefits, you may be eligible for partial reimbursement. I can provide a monthly superbill that you can submit to your insurance company.

The Experience of Working Together

Working together means slowing down and making space to understand what’s happening inside with warmth and curiosity rather than criticism or pressure. Over time, this process can help you cultivate emotional steadiness, self-trust, and a more supportive inner dialogue — so you can move through life with greater confidence, connection, and ease.
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Areas We Can Work On Together

  • Perfectionism and the fear of not being “enough”
  • Harsh self-judgments and the inner critic
  • Relationship patterns that feel stuck, reactive, or painful
  • Loneliness and longing for deeper connection
  • Conflict that feels repetitive, charged, or hard to repair
  • Anxiety and emotional regulation
  • Depression and feeling disconnected from your purpose
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Approach & Style

  • Conversational and engaged
  • Compassionate, attuned, and non-judgmental
  • Warm and grounding presence
  • Helps you understand patterns with clarity and self-kindness
  • Integrates mentorship, guidance, and collaboration
  • Supports emotional awareness and nervous system regulation
  • Encourages growth at a pace that feels manageable and steady

Questions to Ask Your Insurance Company about Your Benefits

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Good Faith Estimate

If you do not have health insurance or are choosing not to use your insurance, you have the right to receive a Good Faith Estimate of the expected cost of psychotherapy services.  You may request a Good Faith Estimate before scheduling services or at any time during treatment.

​For more information about your rights, visit the Centers for Medicare & Medicaid Services No Surprises information page.
Contact
James Guay (#lmft39252)
Licensed Marriage & Family Therapist
​for clients residing in the State of California
310-405-0840
[email protected]

Mailing Address
​
(not an office)

8581 Santa Monica Blvd #146
West Hollywood, CA 90069

  • Home
  • Appointments
  • Specialties
    • Anxiety Online Therapy >
      • Anxiety Trains You to Never Fully Relax
    • Couples Online Therapy >
      • Why Couples Get Stuck
      • When Couples Start Feeling Like Roommates
    • LGBTQ Online Therapy
    • Mindfulness Online Therapy
    • Friendship Online Therapy
    • The James & Heather Show
    • Retreats
  • Contact
  • Biography
  • Testimonials
  • Vlog