Online Therapy in California
Online somatic therapy for high-achieving adults anywhere in California, from Los Angeles to San Diego and the Bay Area
Your nervous system regulates faster somewhere safe. For most people, that's home.
I offer online therapy to adults anywhere in California. I'm Katie Hargreaves, LCSW, a somatic therapist licensed in California. Sessions happen by secure video, so you get body-based therapy for anxiety, trauma, and burnout from wherever you live in the state. Most clients meet with me from home, a parked car, or an office with the door closed. If an office visit never fit your week, online sessions remove the barrier. Book a free 15-minute consult to see if we're a fit.
The logistics of in-person therapy in California are a real barrier.
Because sessions are online, fit matters more than location. I work with clients in Los Angeles, Orange County, San Diego, the Bay Area, Sacramento, the Central Coast, and the Inland Empire. Clients in Los Angeles find more about my approach on the Somatic Therapy in Los Angeles page.
How Online Sessions Work
Sessions run 60 minutes, with extra time for grounding when you need it.
We meet on Sessions Health, a secure, HIPAA-compliant video platform.
California law requires you to be physically in California during each session.
You need a private space, headphones, and a stable internet connection.
Early morning appointments are available for clients who want therapy before work.
Somatic Therapy Works Online
Somatic therapy translates well to video. I watch your breath, posture, and movement, and guide you to notice sensations in your own body. Many clients settle faster at home, in a space their nervous system already knows.
Research on telehealth therapy shows outcomes for anxiety and depression comparable to in-person sessions. For many clients, removing the commute is what makes weekly therapy sustainable.
Somatic Therapy Works Online
Burnout and high-functioning stress
Trauma, through somatic trauma therapy and EMDR
The approach: body-based, not talk-only
Most therapy works primarily with thoughts, patterns, and history. That work has real value. My approach goes a layer deeper.
Somatic therapy works directly with the nervous system's physiological state. Rather than analyzing anxiety from the outside, we work with what is happening in the body in real time. Sensation, activation, breath, holding patterns. We use those as the primary site of change.
Anxiety is not a thought pattern. It is a physiological state. The autonomic nervous system's threat response operates below conscious thought, faster than reasoning, independent of what you understand about yourself. Changing how you think about anxiety does not change the underlying state. Somatic therapy addresses that state directly.
The framework draws from Polyvagal Theory (Porges), Somatic Experiencing (Levine), sensorimotor psychotherapy (Ogden), and trauma neuroscience (van der Kolk). This is evidence-based clinical work, not wellness-adjacent support.
For more depth: What is somatic therapy? | Somatic therapy Los Angeles, CA | Anxiety therapy Los Angeles
How do online therapy sessions work?
Sessions are 60 minutes via a HIPAA-compliant telehealth platform. All you need is a private space and a reliable internet connection. A home office, a quiet bedroom, or a parked car between commitments all work.
The 60-minute format is clinically relevant. Somatic work needs enough time to move through activation, processing, and regulation within a single session. A session that ends while your nervous system is still activated does not produce the corrective experience the approach depends on. You leave settled, not stirred up. For that reason, we will continue for upto 15 minutes to get you grounded at no additional charge.
You will get a reminder email and text before each session with a link to the telehealth room. Click the link, enter your name in the waiting room, and the session starts. Nothing to download.
Many clients find virtual sessions easier than in-person, not harder. If you have relational trauma or feel nervous around mental health professionals, the slight remove of telehealth often allows you to open up faster.
The Details of Online Sessions
"I have learned to recognize, feel, and care for my emotions in a holistic manner. I never had previously done this."
Session length: 60 minutes, with up to 15 additional minutes for grounding
Fee: $275 per session
Insurance: Private pay. Superbill provided for out-of-network reimbursement. HSA/FSA accepted. Thrizer available for automated out-of-network billing.
Platform: HIPAA-compliant Zoom
Who I see: Adults 18+, throughout California.
Scheduling: Tuesday–Friday with evening availability. Discussed in the consult.
Affirming practice: Explicitly LGBTQIA2S+ and BIPOC affirming. Gender-affirming care letters available.
"Embodied awareness is truly what Katie is all about. Within a year I was able to reconnect to my body and experience my emotions more fully than I had in years."
"My work with Katie served as the most foundational piece of accepting myself where I am at."
Step 1
Book a free good-fit consultation with me via my online scheduler to determine if my therapy services are a good fit.
Step 2
Discuss goals, format, and what you are hoping to shift. Ask any questions.
Step 3
Begin sessions. I am currently scheduling new California therapy clients about 6 weeks out.
Areas Served in California
Echo Park, Burbank, Studio City, Sherman Oaks, East Hollywood, Glendale, San Diego, the Bay Area, Marin County, and Orange County.
Available to clients anywhere in California.
About Katie
Katie Hargreaves is a somatic therapist and nervous system specialist serving clients in Los Angeles and throughout California. She has 12 years in behavioral health, including 6 years as a therapist, with more than 4000 sessions under her belt. She has her own lived experience resolving clinical anxiety, which informs how she works. Her training integrates somatic therapy through Alchemy Somatics, polyvagal-informed regulation through The Embody Lab, breathwork, parts-based approaches, and trauma-informed processing. Her practice is explicitly LGBTQIA2S+ and BIPOC affirming.
FAQs about Online Therapy in California
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A space where you will not be interrupted and where you feel comfortable speaking openly. A bedroom with the door closed, a home office, a parked car, a quiet spot with headphones. It does not need to be a formal office. We talk through your setup on the consult call.
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Yes. Therapy is legally protected by confidentiality regardless of profession or public profile. Private pay means your sessions do not go through insurance, which means no employer or insurer has any record of your treatment.
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No. A device with a camera and microphone (laptop, tablet, or phone) and a reliable internet connection. You will get a reminder email with a link before each session. Click, enter the waiting room, start.
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Yes. I see clients anywhere in California by telehealth.
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Yes. Research on anxiety, trauma, and depression shows telehealth produces equivalent outcomes to in-person when the therapeutic relationship is strong. For somatic work, the relational attunement that drives nervous system regulation happens through voice, pacing, and presence. None of that requires physical proximity.
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This practice is LGBTQIA2S+ and BIPOC affirming. Gender-affirming care letters are available for clients who need them.
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The work is body-based and evidence-informed. Results cannot be guaranteed, and I will do my best to support you in meeting your goals. We use the consult to talk through whether the approach fits what you are looking for.
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Individual talk therapy and somatic therapy. I do not see couples. All sessions are informed by a somatic therapy lens.
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All therapy is conducted via HIPAA compliant telehealth software.
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I am out of network with all insurances. I accept out-of-network benefits, HSA, and FSA cards, and partner with Thrizer for automated reimbursement. Private pay, to meet your needs, not your insurance company's.
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Sessions are $275 for 60 minutes with up to an additional 15 minutes at no cost for grounding.
If you would like to use out-of-network benefits, I partner with Thrizer to help process those claims.
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Click on the “Book a Free Consultation” button. This will connect you directly to my schedule. Or you can use my online scheduler.
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The call will be via telephone and last 15 minutes. Our goal is to see if we are a good fit to move onto the first session.
It’ s good to come with any questions you have about what our work would look like. I’ll ask you some questions about what brings you to therapy, and what you want out of therapy. At the end we will decide if we want to try a first session together.