California Telehealth·Sliding Scale·Now Accepting Clients
California telehealth therapy for people who are ready to understand their patterns and start changing them. You’ll get a closely supervised therapist, a clear plan from your first session, progress you can actually see, and a fee based on your income or your insurance.
No commitment required. We’ll reach out before scheduling.
Insurance
Attune is in-network with the plans below. If your plan isn’t listed, our sliding scale private-pay rates are still here for you — see your rate further down the page.
Not sure if you’re covered? Get started and we’ll confirm your benefits during your free consultation.
About
We’re not all talk. Our associate therapists are trained in treatments that are proven to work, like CBT, DBT, ACT, and trauma-focused therapy — with regular clinical feedback on how to apply these approaches tailored to each client.
We use a sliding scale because we believe cost shouldn’t determine who gets quality care. You’ll discuss your fee with us during the intake process and we’ll find something that works.
We meet you where you are and follow your lead on what matters. Our associate therapists are trained to work respectfully with people from all backgrounds, identities, and experiences to provide affirming, culturally responsive care.
A licensed clinical supervisor reviews your care every week, with session-level analysis of how each session is going, so your care isn’t just one person’s best guess. It’s actively checked and refined. That’s rare. Most therapy happens in a room with no one else watching how it’s going.
Focus Areas
Every focus area pairs proven approaches with a clear plan and progress you can see, so therapy feels like it’s going somewhere.
For the mind that won’t switch off, including high-functioning anxiety, perfectionism, and people-pleasing.
Learn moreWhen everything feels heavier than it should. Rebuild momentum with practical, proven tools, one step at a time.
Learn moreEvidence-based trauma care, paced with care, so what happened has less hold on how you feel today.
Learn moreFor when you’ve been running on empty for too long, and rest alone hasn’t fixed it.
Learn moreUnderstand why the same dynamics keep showing up with partners, family, or at work, and practice something different. Couples welcome.
Learn moreTake our 2-minute quiz to see the therapist style that suits you, or just reach out. There’s no wrong door.
Take the quizGetting Started
Tell us a bit about yourself and what you’re looking for. We’ll hold your spot and reach out to schedule your free consultation call.
There will be a brief call to understand your needs, answer your questions, discuss fees, and match you with a therapist who’s a good fit.
Meet with your therapist by video each week. From your very first session, you’ll work toward goals you set together, with regular check-ins so you can both see how things are going. Many people start to feel a shift within the first month or so.
Not Sure Where to Start?
Are you burnt out?
Take our 2-minute check-in to get a clearer read on what’s going on and what might help.
Take the Burnout Check-In Or read our burnout guide →Is your anxiety the “high-functioning” kind?
Take our 90-second check-in to get a clearer read on how it’s showing up for you and what might help.
Take the Anxiety Check-In Or read our high-functioning anxiety guide →What type of therapist would you click with?
Answer a few quick questions to see the style and approach that tends to work best for you.
Find Your Therapist MatchWhat to Expect
Everyone’s path is a little different, but you’ll never have to wonder where things are headed. Here’s what most people can expect when they start with Attune.
Your first session
We’ll talk through what’s been going on, what you’ve already tried, and what you’d love to feel different. Together, you’ll land on a few goals that really matter to you.
Sessions 2 and 3
Your therapist starts sharing practical tools that fit your goals, like ways to quiet an overthinking spiral or approach a hard conversation, and you’ll try them out between sessions.
Around session 4
You’ll pause to look at what’s shifting, including the short check-ins you fill out along the way, and adjust the plan so it keeps working for you.
From there
Many people start to feel a real difference somewhere between sessions 4 and 6. You’ll keep meeting weekly, and can move to every other week once things feel steadier.
Who We Help
We work with teens, adults, and couples throughout California via telehealth. If you’re experiencing things like anxiety, depression, trauma, relationship difficulties, grief, life transitions, or chronic stress, we may be a good fit. If you’re not sure, reach out anyway. We can talk through it during the intake call.
Fees
Pay out of pocket with a fee based on your income, determined during the intake process, or use one of our in-network insurance plans.
Not sure which is right for you? We’ll walk through both options during your free consultation. If your plan isn’t in-network, we can also provide a superbill for out-of-network reimbursement.
If things change. If cost becomes hard partway through, just tell us. We can re-check your rate, move to every-other-week sessions, check your insurance, or connect you with a reduced-fee option. We’d much rather adjust than have you stop.
Get StartedYour Rate
Attune’s fees are based on your household size and income, not a fixed rate card — typically $60–$150 per session. Enter your info below to see your estimate. No email required, nothing is saved.
Our Approach
Your therapist uses proven approaches (CBT, DBT, ACT, trauma-focused care) and we track your actual progress every session with validated tools, not just a gut check.
We also use outcome measurement tools to track your progress throughout treatment, so you and your therapist can see what’s working and adjust what isn’t. The goal is for your care to keep getting better the longer you’re here.
“At most practices, nobody is really checking whether the therapy is working. We wanted to build a place where someone always is.”
— Daren Casagrande, Director of Clinical Operations
Evidence-Based Treatment Modalities
Get Started
Fill out our new client form and we’ll reach out to schedule your free consultation call. There’s no commitment, and if you have questions, we’re happy to answer them.
Get Started No commitment required. We’ll reach out before scheduling.