Psychotherapy · San Diego
Psychotherapy in San Diego,
Maybe you are the one everyone relies on, and lately it takes more effort to hold it all together. Anxiety that hums in the background, a burnout that rest hasn’t touched, a pattern you keep noticing but can’t seem to change. Talking it through with the right person can help you make sense of it.
At Saffron & Sage, therapy happens with a licensed marriage and family therapist, in the same clinic as our Acupuncturists, Naturopathic Doctors and medical team. If you want it to, your therapy can connect with the rest of your care instead of sitting in a separate box.
- Licensed marriage and family therapist
- Care coordinated with our clinical team
- Book online and pay at checkout
- HSA, FSA and LSA welcome, always gratuity-free
- Session
- About 1 hour
- Cost
- 1 medical credit · first visit $250
- Practitioners
- Licensed Marriage and Family Therapist
- Payment
- HSA, FSA and LSA welcome
- Where
- 2555 State St, San Diego
New patients
How much does Psychotherapy cost? Two ways to start
Psychotherapy is paid for with medical credits. Start with a single first appointment, or add a consultation so our team can take a fuller history and review your labs, if you have them.
1 medical credit
Your first Psychotherapy appointment
- About 1 hour with a Licensed Therapist
- A safe, confidential space
- A plan for what’s next
Medical credit + consultation
First appointment + consultation
- Your first Psychotherapy appointment
- A full consultation and health history, a $300 value, included
- Lab review if you bring recent results
New patients. Through November 26, 2026. Book online and pay at checkout. HSA, FSA and LSA welcome. We are direct pay and do not bill insurance; superbills are available on request.
After your first visit
Book Psychotherapy as you need it with medical credits, or save with a monthly plan from $275/month. See monthly plans
Not sure Psychotherapy is right for you?
Talk it through on a free discovery call first. Book a discovery call
Why patients book
Why our patients book Psychotherapy
These are the reasons we hear most from people across San Diego, from Little Italy and Downtown to Mission Hills and North Park. You don’t need a label or a crisis to start. Wanting to understand yourself better is reason enough.
Anxiety that won’t switch off
Racing thoughts, a tight chest, lying awake running through tomorrow.
High-functioning anxiety →Burnout that rest hasn’t fixed
A vacation came and went, and the exhaustion came right back.
The early signs of burnout →Patterns that keep repeating
The same argument, the same reaction, the same choice, even though you see it coming.
Working with your inner parts →Low mood and low motivation
Things you used to enjoy feel flat, and getting started takes more than it should.
Breaking the stigma →Grief and loss
The loss of a person, a relationship, a job or a version of your life you expected.
Navigating grief and loss →Hard experiences from the past
Things that still show up in your body, your sleep or your relationships.
What trauma-informed care means →Relationships and family
Couples, parenting and family patterns, with a therapist trained in exactly that.
Why relationships matter →A big life change
A new role, a move, a breakup, becoming a parent, or an empty nest.
Rediscovering purpose →
The basics
What is Psychotherapy?
Psychotherapy, often called talk therapy or counseling, is a structured, confidential conversation with a licensed mental health professional, aimed at understanding your thoughts, feelings and patterns and finding new ways to respond to them.
There are many approaches. Some, like cognitive behavioral therapy (CBT), are practical and skills-based: you notice unhelpful thought patterns and practice new ones. Others go deeper into your history, your relationships and the parts of you that pull in different directions. A good therapist blends approaches around you, not the other way around.
We don’t make promises about results. Therapy is work you do together, and it moves at a different pace for everyone. Your therapist will be honest with you about what therapy can reasonably help with, and when something else, like a visit with our medical team, should come alongside it.
How therapy fits into integrative care here
At Saffron & Sage, therapy doesn’t have to stand alone. Stress and emotion show up in the body too: in sleep, digestion, muscle tension and energy. If you are a member and you give permission, your therapist can coordinate with your Acupuncturist, Naturopathic Doctor or medical provider so your care points in one direction.
Some members pair therapy with Acupuncture, Breathwork or Hypnotherapy. Others come for therapy alone. Either way, what you share in session stays confidential, and you decide what, if anything, is shared with the rest of your team.
What it feels like
What a session feels like
A session is a private conversation in a quiet room, sitting on a comfortable sofa or chair. You talk, your therapist listens closely, asks questions and sometimes offers a new way of looking at things or a small practice to try during the week. There is no couch-and-notepad script, and you never have to share more than you are ready to.
Some sessions feel light. Some bring up hard feelings, and that is normal. Your therapist will help you pace things so you leave feeling steady enough to get on with your day. Over time, many people find they understand their reactions better and feel more able to choose how they respond.
Not sure therapy is for you?
You might start with something gentler, like:
- A free discovery call to talk it through first
- Coaching, if you want forward-looking goal work
- Breathwork or Meditation to settle the body
- Spiritual Direction, for questions of meaning and purpose
Your visit
Your Psychotherapy appointment, step by step
Book online
Choose your session, pick your therapist and a time, and pay at checkout. New patients start with the $250 first appointment.
Complete your intake
Complete your intake online before you arrive, so your time together starts focused on you. Book online or by phone. We’ll send intake forms and a consent form to fill out at home, so the session is for talking.
Your session
Your practitioner reviews your intake and goals with you, then your session begins, tailored to what you need that day.
Your plan
Before you leave, you get clear next steps and a recommended rhythm for follow-up visits, which you can book online anytime.
Our sessions
Types of Psychotherapy we offer
Therapy sessions use medical service credits: 60 minutes uses two, 120 minutes uses four. Not sure which approach fits? Tell us what’s going on on a free discovery call and we’ll point you in the right direction.
1 medical credit
Individual Psychotherapy
One-on-one talk therapy shaped around you. A good fit for anxiety, stress, low mood, burnout, self-esteem or simply wanting to understand yourself better.
Stress, anxiety and mood →1 medical credit
Cognitive Behavioral Therapy (CBT)
A structured, practical approach. You learn to spot the thoughts and habits that keep you stuck and practice more helpful ones between sessions.
1 medical credit
Couples Therapy
For partners who want to communicate better, work through a rough patch or understand the pattern they keep landing in.
1 medical credit
Trauma-Informed Therapy
A consent-forward approach that puts safety and pacing first. You never have to retell more than you choose to.
Trauma-informed services here →1 medical credit
Trauma-Focused CBT (TF-CBT)
A structured, short-term approach originally designed for children and teens, with their caregivers, after a frightening or painful experience.
1 medical credit
Seeking Safety
A present-focused approach that builds coping skills and a sense of safety, without asking you to relive past events. It can also address stress and substance use together.
1 medical credit
Parenting Support (Triple P)
Practical, evidence-based strategies from the Positive Parenting Program for parents who want calmer days and a stronger connection with their kids.
Parenting and stress →1 medical credit
Grief Counseling
Space to talk about a loss, at your own pace, with someone who won’t rush you toward being fine.
The journey of grief counseling →1 medical credit
Life Transitions
Support through a move, a career change, a divorce, a new baby or retirement, when your sense of who you are is shifting.
1 medical credit
Burnout and Work Stress
Focused sessions for professionals whose work is taking more than it gives, including leaders, clinicians and attorneys.
Mental health at high-pressure jobs →1 medical credit
Therapy with Hypnotherapy
For some clients, and only when it fits, your therapist may bring in Hypnotherapy techniques as one part of the work.
How we approach Hypnotherapy →Your practitioners
Meet our Psychotherapy team
Psychotherapy is provided by our Licensed Marriage and Family Therapist, as part of our medical team alongside our Naturopathic Doctors and other Licensed Providers.
MA, LMFT
Sheava Rahimi
Psychotherapist and Clinical Hypnotherapist. Individual and couples therapy, Hypnotherapy, grief and trauma-informed care, in English and Farsi.
Read bio →Book online
Book your Psychotherapy
Choose your session, pick your therapist and a time, then pay at checkout. New patients, start with the $250 first appointment below.
New to Saffron & Sage? Start with your first appointment for $250, normally $300.
Book now
Location
Psychotherapy near Little Italy, San Diego
Saffron & Sage is in Mission Hills, just north of Little Italy, a short drive from Downtown, Bankers Hill, Point Loma and North Park. Many patients come in before or after work.
Hours: Monday and Thursday 8am to 2pm; Tuesday, Wednesday and Friday 8am to 8pm.
Questions
Psychotherapy FAQs
How much does therapy cost in San Diego at Saffron & Sage?
At Saffron & Sage, Psychotherapy is paid for with medical credits. New patients can book a first appointment for $250 (normally $300) or a first appointment and consultation for $300 (normally $600). After that, book online and pay at checkout, or save with a monthly plan from $275 a month. HSA, FSA and LSA dollars are welcome.
What is Psychotherapy?
Psychotherapy, also called talk therapy or counseling, is a structured, confidential conversation with a licensed mental health professional. You explore thoughts, feelings and patterns and practice new ways of responding to them.
How do I book Psychotherapy?
Book online on this page: choose your session, pick your therapist and a time, and pay at checkout. New patients can start with the $250 first appointment. You can also call (619) 933-2340.
Do you take insurance?
We’re a direct pay clinic and don’t bill insurance. HSA, FSA and LSA dollars are often accepted for therapy with a Licensed Therapist. Some people ask us for a receipt to submit to their plan for out-of-network reimbursement; check with your insurer first.
Who will I be seeing?
Therapy is provided by Sheava, MA, LMFT, a licensed marriage and family therapist who is also a certified Hypnotherapist. She works with individuals, couples and families.
What’s the difference between a therapist, a psychologist and a psychiatrist?
Licensed therapists, like marriage and family therapists, provide talk therapy. Psychologists also provide therapy and can do formal psychological testing. Psychiatrists are medical Doctors who can diagnose and prescribe medication. If medication might help, we can talk about next steps with our medical team or refer you out.
How often will I come to therapy?
Many people start weekly or every other week, then space sessions out as things feel steadier. Your therapist will make a suggestion, and you decide.
How long does therapy take?
It depends on what you are working on. Some people come for a focused stretch of a few months; others prefer ongoing support. You can review how it’s going together at any time.
Is therapy confidential?
Yes. What you share stays private, within the limits of California law. Your therapist will explain those limits, such as a risk to your safety or someone else’s, at your first visit. Nothing is shared with the rest of our team without your permission.
Is this crisis care?
No. We offer planned, outpatient therapy. If you are in crisis or thinking about harming yourself, call or text 988 to reach the Suicide and Crisis Lifeline any time, or call 911.
Do you offer couples therapy?
Yes. Our therapist is a licensed marriage and family therapist, so couples work is part of her training. A couples session uses two medical credits.
Should I try therapy or Coaching?
Therapy is for exploring emotions, patterns, past experiences and mental health, with a licensed clinician. Coaching is forward-looking goal and accountability work and isn’t a substitute for therapy. If you are unsure, a free discovery call helps you choose.
Can therapy be combined with Acupuncture or other care?
Yes. Many patients pair therapy with Acupuncture, Breathwork or naturopathic care. With your permission, your therapist can coordinate with the rest of your care team.
Do you offer virtual therapy?
Some sessions may be available by secure video for clients in California. Ask when you book.
Do I need to be a member?
No. Anyone can book Psychotherapy online and pay at checkout. Membership unlocks preferred pricing, member-only offers and events, and other perks.
Where are you located?
2555 State Street, Suite 101, San Diego, CA 92101, just north of Little Italy. The entrance is on West Maple Street. Call (619) 933-2340.
Free guide
Tired all day, wired all night? Read this first.
Our free guide to an overworked stress response, for people who keep performing while sleep and recovery slip. Clear, practical and honest about the evidence.
- Why tired and wired are not opposites
- The common patterns, and when to see a Doctor
- A two-week log to bring to your first visit
Ready when you are
Book your first Psychotherapy appointment
Start with a single first appointment for $250, or add a full consultation for $300, normally $600. Not sure yet? Our team will listen, explain your options and help you pick the right session and practitioner.
All medical services are provided by Kasawa Medical APC dba Saffron & Sage MD. Psychotherapy at Saffron & Sage is planned outpatient care and is not an emergency or crisis service. If you are in crisis or thinking about harming yourself, call or text 988 (Suicide and Crisis Lifeline), available 24 hours a day. In an emergency, call 911.