The Tower in Seville. ACBS World Conference, Spain. Jun 2017


Private Client Sessions

Individual client sessions are available by telephone or in person at my downtown Palo Alto office. My therapeutic orientation is Acceptance and Commitment Therapy — a mindfulness based approach that aims at living one’s life to the fullest. I believe that the therapeutic agent of change is psychological contact, i.e., a genuine sense of connectedness between the therapist and client. Or, as Marion Woodman puts it, ‘What analysis is all about is for one hour a week, you sit and hope that for a flash of a moment you will experience connectedness.’ (I aim for more than a flash of a moment, though it’s a good starting point.)  For new clients, please contact Nelly Cotto (650-492-3702 or


If you need to reschedule or cancel your appointment, I ask that you provide 48 hours notice. Otherwise, you will be charged the full fee for your missed session. Please leave your message with Nelly by text or voicemail (not email) 650.492.3702.
My fee is $230 per session (50 minutes). Payment is due in full at each session. In order to maximize our session time, payment is collected outside of the session. You will receive a follow-up email (24 hours after our appointment) requesting payment.  Alternatively, you can set-up automatic payment with Nelly.
I do not accept insurance. I am considered an out-of-network provider. If you are wanting to receive partial reimbursement from your insurance company, then confirm your benefits before our first meeting. I have a document that can help you with this process; Contact Nelly at the number listed above and she will send it to you via email. You might also consider using a flex spending account (associated with your primary insurance) or an HSA (health savings account) in order to pay for office visits.
Please return the last page of the ‘Therapy Agreement’ form at our first meeting. Let Nelly know if you do not have the form; She will send it to you via email.
Please take note of our photography waiver. We take photos at all of our retreats and events. Let us know if you prefer to not have photographs taken of you; In that case, you can sit in areas that will not be photographed.


Book all of your sessions here (or contact Nelly)