Frequently Asked Questions
In-person therapy in San Francisco; Virtual in California and Ohio.
The Logistics
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I am independently licensed to provide psychotherapy in California as a Licensed Clinical Social Worker (LCSW) and in Ohio as a Licensed Independent Social Worker (LISW).
This means I can see you virtually anywhere from the states of California and Ohio.
You can verify my professional licenses through the respective state licensing boards:
California: Board of Behavioral Sciences
Ohio: eLicense Ohio
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In downtown San Francisco in the historic James Flood Building located on Market Street right where the cable car turns around. The address is 870 Market Street, Suite 619.
Muni and BART have stops directly outside the building on Market, and the Ellis-O’Farrell public parking garage is located across the street from the back entrance of the building on Ellis.
I also see clients virtually- you just need to be physically located in the state of California or Ohio for our appointment.
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My fees are based on the average market rate for licensed therapists specializing in the treatment of eating disorders and ADHD in San Francisco. Please reach out for current rates.
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I am not an in network provider, but I do help clients use their out-of-network benefits
What are out-of-network benefits? Here's a breakdown:
✨ Unlike in-network providers, who bill your insurance company directly, with out-of-network therapists, you pay for the session upfront and then submit a claim to your insurance for reimbursement (called a “superbill”).
✨ Insurance companies often reimburse a percentage of the therapist's fee, usually after you meet an out-of-network deductible. For example, after you meet a $1,000 deductible, your insurance may reimburse 50-80% of the session cost. A deductible is the amount you have to pay on your own before insurance benefits kick in (they use a lot of fancy words, I know).
✨ Out-of-network benefits give you flexibility to choose the right therapist for you, not just one in network.
✨ Most PPO plans have Out-of-network coverage. Check your coverage here: https://calculator.meetnirvana.com/
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I offer individual therapy for ages 18 and up.
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Sessions are 45 minutes long. If you need a shorter or longer session, we can prorate the time to fit your needs. Just let me know, and we’ll adjust the fee accordingly.
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Typically, appointments are scheduled once a week for the first month. After that, some clients find they prefer meeting every other week, or every few weeks. We will talk it through and find the frequency that makes sense for you.
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24-Hour Notice: Please give me a heads-up at least 24 hours before your appointment if you need to cancel or reschedule. This helps me offer your spot to someone else.
Late Cancellations: If you cancel with less than 24 hours' notice, there’s a fee of 100% of the missed sessions' cost.
No-Shows: Missing an appointment without notice will result in a no-show fee of 100% of the session fee.
Rescheduling: Need to change your appointment? Just give me at least 24 hours’ notice. I’ll try to fit you in, but it depends on my availability.
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I do not participate in Medicare or Medicaid and do not accept either as payment for services.
I have formally opted out of Medicare. Medicare beneficiaries who choose to receive services from me must enter into a private contract before treatment. Medicare will not reimburse these services, and patients are responsible for the full cost of care.
I do not bill Medicaid or enter into single-case agreements with insurance providers.
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You can use my online booking system, email megan@meganbrucelcsw.com, or call/text 408-805-4385 to set up an appointment.
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State California
License type LCSW
License number LCSW107498
Expiration date March 31, 2028State Ohio
License type LISW
License number I.2608252
Expiration date June 3, 2028 -
If you are uninsured or self-pay, you have the right to receive a Good Faith Estimate of expected charges before services. You can request this at any time, and if your bill is $400 or more above the estimate, you may dispute it. Learn more at the Centers for Medicare & Medicaid Services.
The Experience
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The first session is a chance for us to get to know each other. We’ll chat about what you want to work on, your background, and what you hope to get out of therapy. It’s also a chance for you to ask me any questions and see if we click.
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This depends on your needs and what challenges brought you into therapy in the first place. For example:
Short-term therapy: Typically lasts 6-12 weeks. Used in the treatment of mild anxiety or stress about a specific situation.
Moderate-term therapy: Typically lasts 3-6 months. Used to treat ongoing depression, anxiety, ADHD or relationship problems.
Long-term therapy: Over 6 months or longer. Used in the treatment of eating disorders, more severe depression, complex ADHD, anxiety, and trauma. Family Based Therapy (FBT) is usually 6 months to a year long.
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In our sessions, we’ll focus on the problem you want my help with. We’ll set goals based on a positive outcome you want for yourself. We might try different exercises or talk through the areas you feel stuck.
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I use a mix of different approaches. This includes insight oriented approaches and depth oriented approaches:
Cognitive-Behavioral Therapy (CBT) is a behavioral, insight oriented approach
Acceptance and Commitment Therapy (ACT) blends insight and experiential techniques
Experiential Dynamic Therapy (EDT), including Accelerated Experiential Dynamic Therapy (AEDP) and Intensive Short Term Dynamic Psychotherapy (ISTDP) for depth-oriented dynamic processing