A little about our office:

When people search for effective counseling, they generally seek a qualified professional who can be both compassionate and focus on solutions. You are looking for effective therapy, and an authentic relationship with a counselor who cares.

In our San Diego counseling practice, you can expect collaborative therapy designed for your individual needs, in a safe, comfortable environment. In our office, you are a person - not a disorder. We offer each client our complete focus and commitment.

Licensed Marriage and Family Therapist Tammy Fletcher works with a variety of issues, including:

  • Anxiety, and anxiety-related disorders
  • Dermatillomania, Trichotillomania, and other Body-Focused Repetitive Behaviors
  • Depression
  • Marriage Counseling
  • Couples Therapy
  • Premarital Therapy
  • Highly Sensitive Person and Empath traits
  • Post Traumatic Stress Disorder (PTSD)
  • Chronic pain, chronic illness, new diagnosis, hospice

Dr. Fletcher works primarily with adults, seniors, and teens. She occasionally sees children who are in need of one of her areas of specialization - dermatillomania, trichotillomania, or Deaf children/parents who need a therapist fluent in American Sign Language.

How much does it cost?

Sessions with Tammy Fletcher, Licensed Marriage and Family Therapist in San Diego, are $150.00 per therapeutic hour. We offer the option of reduced rates for clients who qualify.  We also offer multi-session counseling packages which can reduce your costs. If you would like to work with us but are concerned about making counseling affordable, let us know. We'll work with you to help you get the services you need.

50-minute session for Individuals or Couples: $150.00
*4-Session package: $500.00 (savings of $100.00)
*Packages must be used within 6 months of purchase.
*Packages are non-refundable.

**Sessions can be paid for with cash, check, credit card, or flexible spending account.

**Session fees are due at the time of service.

Our counseling office offers a few reduced-fee spots for clients who qualify. If you worry about ways to make your therapy affordable, please let us know. We will work with you to help.

Insurance: Our practice is not affiliated with any insurance networks. We do not bill your insurance. However, your insurance company may be able to reimburse you for all or part of your treatment on an "Out of Network" basis. Contact your insurance provider and ask about their Out of Network coverage for mental health services.

The reasons we are not currently "in-network" with insurance companies are related to your quality of care and confidentiality as a patient. In order for insurance to cover your visits, our therapist must diagnose you with a mental health disorder, which becomes a part of your medical record. The insurance provider then can access your records, and may determine how many sessions you may receive - even how many minutes long the sessions can be. These processes can result in treatment delays and gaps. This prevents us from having the freedom to create what we feel is an appropriate treatment plan for each individual client.

Getting Started

If you are interested in therapy in San Diego, please contact Tammy Fletcher, LMFT, either by phone at (619) 252-9811 or by email at tammy@fletchertherapy.com. If you are not in San Diego, but live in California, it is possible in some cases that Dr. Fletcher can offer treatment via HIPAA-compliant video such as VSee, telephone, or other electronic means.

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