Thank you for your interest in my services. To get started, please fill out the form below to arrange a complimentary 20-minute consultation, either by video or phone, at your convenience. Once I receive your request, I'll contact you within 24 hours to set up our call.

This consultation is a chance for us to explore your therapy goals, clarify any queries you might have about my approach, and discuss the best way to begin our sessions together. I'm excited about working with you and helping you on your journey.

Looking forward to our conversation. Chat soon!

Warm regards,

Dr. Keskin

Name *

First Name

Last Name

Email *

Phone *

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What are your preferred pronouns?

She/Her

He/Him

They/Them

Something else

Are you at age 18 or older? *

I only work with adult (age 18 and older) clients. Please see Psychology Today for clinicians providing therapy for teens and children.

Yes

Are you a California resident? *

I am licensed to provide services for clients who are residents of California ONLY. If you are not a CA resident, please see Psychology Today for clinicians licensed to provide services in your state of residency.

Yes

What is the form of therapy you are interested in? *

I offer virtual sessions through a HIPAA-compliant platform. My practice is fully virtual.

Virtual Only

In-Person

Combination of virtual and in-person

How often would you like to schedule our therapy sessions? *

Weekly

Every other week

Monthly

Other

Is the listed fee within your budget for out-of-pocket psychotherapy costs? *

Please note that I do not accept insurance. The fee is $300 per 53 minute session. As an out-of-network provider, I can provide a "superbill" if requested. Many PPO plans provide partial or full reimbursements for services received from out-of-network providers. You can also check reimbursify.com.

Yes

Are you experiencing a mental health crisis right now? *

Please note that this form is not intended for individuals currently experiencing a mental health crisis. If you are in crisis, please seek immediate assistance from one of the mental health crisis service providers listed here: https://www.cdph.ca.gov/Programs/CCDPHP/DCDIC/SACB/Pages/Crisis-Hotlines--Resources.aspx

Yes

Which of the following issues apply to your current experience? *

ADHD

Anxiety

Depression

Relationship Challenges

Stress Management

Self-Esteem Issues

Trauma and PTSD

Grief and Loss

Addiction

Life Transitions

Eating Disorders

Men's Issues

Women's Issues

Mood Disorders

Dual Diagnosis

Something else

What brings you into therapy today? *

Available days and time-slots for the 20-minute consultation call? *

Upon receiving your request, I will respond via email or text within 24 hours to arrange our 20-minute consultation call. During this call, we can explore your goals for therapy, address any questions you have about my approach, and discuss the logistics of beginning our sessions. Looking forward to connecting with you!

What is your preferred method of contact for scheduling our 20-min consultation call?

Text

Thank you! I'm looking forward to connecting with you. Expect an email or text from me within the next 24 hours to schedule our 20-minute consultation call. This will be a great opportunity for us to discuss your therapy goals, answer any questions you might have about my methods, and go over how we can start our sessions. Talk to you soon!

Elea Praxis Counseling & Wellness

Yesim Keskin, PhD, LMFT

AAMFT Approved Clinical Supervisor

CA License #129021

Email: yesimkeskin@eleapraxis.com

Phone: +1-626-466-2464

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Virtual Psychotherapy Services, now available for clients in California including Los Angeles, San Diego, San Francisco, San Jose, Long Beach, Oakland, Santa Ana, Los Altos, Anaheim, Riverside, Irvine, Hillsborough, Sacramento, Fresno, Bakersfield, Santa Monica, Palo Alto, and Pasadena.