Judith Nitchie, CMT, LMFT

To make an appointment or for more information call me at (415) 665-5220.  You can also send me an email here.

Chronic Illness Counseling in San Francisco

Frequently asked questions...

Q: Who do you work with?

A: I work with individuals, couples and families. Some of my clients are confronted with issues related to M.S. (Multiple Sclerosis), I.B.D. (Inflammatory Bowel Disease--Crohn's Disease, Ulcerative Colitis), Asthma or other chronic illness.  Others are dealing with aging, grief, loss or other difficult life changes and situations. All of my clients are ready to start feeling better about their lives.

Q: How long is a session?

A: Unless we have made other arrangements, a session is 45 to 50 minutes long.

Q: How long does this take?

A: Some clients achieve the change they want and decide to continue on their own after just a few sessions.  Others find value in continuing longer term or even returning episodically as life situations change.  My door is always open for returning clients.

Q: What is your fee?

A: Sessions are $170.00 to $190.00. Occasionally we can negotiate a lower rate if this is beyond your ability to pay.

Q: Do you take credit cards?

A: You can pay with your credit card prior to our session through PayPal. A fee of $5.00 will be charged to cover PayPal costs. Please let the office know ahead of time so I know to look for your payment!

Q: Do you take insurance?

A: I do not bill insurance directly.

Having said that, I can provide you with a monthly statement that you can use to seek reimbursement from your out-of-network benefit. Generally you can also use pre-tax Flexible Spending or Health Spending Account dollars to pay for therapy.

Q: Is your office accessible?

A:  Access to my current office on Irving Street includes one shallow step down to reach the waiting room and one shallow step up to reach the bathroom.  The waiting room is just inside the outside door and my office is directly off of the waiting room. 

Q: Do you prescribe medication?

A: I do not prescribe medication.  Sometimes medication can be helpful.  I can refer to and consult with a client's prescriber as needed.

Q: What is ACT? What is CBT?

A: Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT) are psychotherapy modalities that provide many tools to help us recognize and work with the thoughts, feelings, and behaviors that keep you feeling bad and get in the way of living your best life.

Q: What's this about "Somatic"? What does my body have to do with my feelings? Will this be like massage?

A: Massage or touch is not part of this therapy.  Somatic does refer to our physical bodies. Awareness of our physical embodiment and sensations (and not just the ones that hurt!) gives us access to powerful tools that provide insight, helps us manage our emotional states and responses to challenging situations, and gives us room to move forward with our lives. 

Q: How do we start?

A: Sometimes the hardest step is to make that first phone call to ask for help.  It gets easier from there!

The fastest and most reliable way to reach me is by phone: (415)665-5220.  I check my voice mail messages often throughout the day and return calls promptly.  You can also email me from the contact page.  Generally I can respond to emails within 24 hours.  We can usually schedule your first appointment within a few days of our first phone conversation.


Call me with the questions I haven't answered!

You can get back on track--let's get started!


Call today for a free 15 minute phone consult: (415)665-5220