RYAN PERISHO, MS, LMFT
Frequently Asked Questions
What is a psychotherapist?
While the American Psychological Association defines psychotherapy as a service used to treat emotional and behavioral patterns through communication, I view it as a collaborative partnership designed to help you navigate life’s complexities with greater clarity and resilience.
In California, being a Licensed Marriage and Family Therapist (LMFT) requires a rigorous path: a Master’s degree from an accredited university, 3,000 hours of supervised clinical experience, and passing two comprehensive state licensure exams.
My Credentials & Approach
I earned my Master of Science in Psychology from California Polytechnic State University, and have spent the last decade practicing within the California clinical community. Following years of intensive supervised training, I obtained my license (#116569). My commitment to your care includes:
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Ongoing Mastery: I complete extensive continuing education annually and engage in regular clinical consultation to stay at the forefront of therapeutic research.
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Specialized Expertise: I hold advanced certifications in Gottman Method Couples Therapy (Levels 1 & 2), am a Certified Domestic Violence Therapist, and have extensive training in Trauma-Informed Care and Human Trafficking Curriculum facilitation.
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Professional Membership: I am an active member of the California Association of Marriage and Family Therapists (CAMFT) and am governed by the Board of Behavioral Sciences.
Beyond the certificates, I dedicate myself to my own personal and professional growth so that I can show up fully for the individuals and families I serve.
What is the investment of therapy?
As a boutique practice, I intentionally maintain a smaller caseload to ensure that each individual and couple receives the dedicated, high-touch, and deeply attuned support they deserve. This allows me to be fully present and highly responsive to your unique needs. Individual Sessions (50 mins): $250; Couples or Family Sessions (50 mins): $275
Payment & Insurance:
I accept all major credit cards, as well as FSA and HSA cards. While I am not in-network with insurance providers, many clients utilize their out-of-network benefits. I am happy to provide you with a monthly "superbill" which you can submit to your insurance company for potential reimbursement.
Accessibility
I believe in making high-quality care accessible and reserve a limited number of sliding scale spots based on financial need. If my standard fee is a barrier for you, please reach out directly so we can discuss your specific situation.
Why choose a private-pay practice?
I recognize that the decision to use or forgo insurance benefits is a personal one. While using in-network insurance is an option for many, there are several reasons why my clients choose a private-pay, boutique model:
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Complete Confidentiality: When you pay privately, your records—including formal diagnoses and clinical notes—remain strictly between us. Insurance companies require a "medical necessity" diagnosis that becomes part of your permanent record; private pay ensures your privacy is protected.
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Clinical Freedom: Insurance companies often dictate the length of treatment, the number of sessions, and even the focus of our work. By forgoing insurance, we ensure that you are the one in control of your healing process, not a third-party payer.
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Specialized Care: You aren't limited to a list of contracted providers with high caseloads. You are choosing a therapist based on a specific fit and specialized expertise.
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No "Medical Necessity" Requirement: Many people seek therapy for personal growth, life transitions, or relationship enrichment. Insurance often refuses to cover these services because they don't meet the criteria for a "mental disorder." Private pay allows us to work on what matters to you without the need for a label.
Using Your Out-of-Network (OON) Benefits:
If you have a PPO insurance plan, you may be eligible for significant reimbursement—often 60% to 80% of the session cost.
I provide a monthly Superbill (a detailed receipt) that you can easily submit to your insurance company. I recommend calling the member services number on the back of your card and asking:
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"Do I have out-of-network benefits for mental health (CPT code 90837 for individuals or 90847 for couples)?"
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"What is my out-of-network deductible, and has it been met?"
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"What is the 'allowed amount' or percentage of reimbursement for an out-of-network provider?"
What is the cancellation policy?
Because I maintain a smaller caseload to provide individualized, dedicated care, your session time is reserved exclusively for you. I require a 48-hour notice for any cancellations or rescheduling requests. This allows me the opportunity to offer that time to another client if needed. Sessions cancelled with less than 48 hours' notice will be charged the full session fee.