Yes! Our practice currently has openings for in person therapy in San Diego & Chula Vista California, or virtually throughout California and Arizona. You can schedule a free 15 minute Intro call using the orange button above!

Julia Malone, MA, LMFT

50 min Individual session - $175

50 min Couple/Family Session - $200

90 min Couple/Family Session - $275

Sanam Nourazari, PHD, AMFT

50 min Individual session - $115

50 min Couple/Family Session - $130

90 min Couple/Family Session - $150

Nathan Smith, MA, AMFT

50 min Individual session - $100

50 min Couple/Family Session - $120

90 min Couple/Family Session - $140

Yes, we reserve a limited number of sliding scale spots. If you do not think you can afford the full fee, please don’t hesitate to contact us. If we’re unable to offer you a sliding scale spot, we would be happy to offer referrals to trusted clinicians in the area.

If you’re hoping to find an in-network provider, www.psychologytoday.com is a great resource.

Like most specialty providers, we are an out-of-network provider and do not directly bill insurance for treatment. This means that all fees must be paid at the time of service by credit card. Paying out of pocket is a great option for those who want the maximum amount of include flexibility, privacy, and confidentiality.

Health insurance plans and benefits vary. If you are interested in using your health insurance, please call your insurance provider to inquire about reimbursement for out-of-network counseling services. At your request, I can provide you with a receipt at the end of each month, called a superbill, which you can submit to your insurance company for possible out-of-network coverage/reimbursement.

LYRA

Julia Malone accepts clients who would like to use Lyra EAP benefits. Before we begin, your eligibility will be checked to determine how many sessions will be covered. If we use those covered sessions, you will be required to pay my standard rate if you wish to continue.

Before scheduling a therapy session, I do a free 15 minute intro call with all potential new clients. This gives us the chance to get to know each other.

Here’s what you can expect:

I’ll ask you about why you’re seeking therapy

I’ll tell you a bit about myself and my approach as a therapist

You can ask me any questions that I didn’t cover

We’ll talk about rates, insurance, availability, etc.

If we believe we are not a great fit, I will refer you to other trusted therapists I know and trust.

No, therapists can only provide services in the states they are licensed.

Julia is licensed to work with residents of California and Arizona.

Sanam and Nathan are licensed in California.

If we both decide we're a good fit after our intro call, we'll schedule our first therapy appointment. You will get access to the Simple Practice portal and I will have you complete a couple of quick forms before our first session. You will be able to access our virtual sessions through this portal once we have scheduled the appointment.

The therapists at Balance and Bloom have a collaborative, non-judgmental, and relatable approach that will make getting started a bit easier. During our first session or two, we will ask you a bunch of questions to get a better picture of your life journey. We will listen to you without judgment. We will come up with goals together of what you hope to accomplish in therapy. During therapy you'll have an opportunity to vent, gain perspective and new insights, learn to challenge your thoughts, receive feedback, and develop and practice new coping skills. Sometimes therapy can be tough work, and sometimes it is fun and full of laughter. Either way, we are here to support you and will help you achieve the change and growth you are looking for.

We meet with the majority of our clients on a weekly basis. We ask that all new clients commit to meeting weekly or biweekly, for at-least the first 6 weeks. This will allow us to start off on a strong foot, so you can start seeing progress right away. We may recommend that we increase or decrease the frequency of sessions to best meet your needs.

Our approach is collaborative and solution focused. The goal is not to be in therapy forever. Many of my clients find that they’ve met their goals in 3-6 months and no longer need therapy. Other clients who choose to remain in therapy for much longer; they have seen improvements and still really enjoy having ongoing support and a place to process their thoughts and feelings each week.

Almost! There are rare instances in which I may need to break confidentiality such as if you are a serious danger to yourself or someone else, if you report suspected abuse or neglect of children, elders (aged 60+) or vulnerable adults or in certain legal situations. Here is a full list of situations in which I would need to break confidentiality in therapy.