Question 1

What happens in a free consultation?

Accepted Answer

During our 15-minute call, we'll briefly discuss what brings you to therapy, I'll share a bit about my approach, and we'll both get a sense of whether we'd be a good fit to work together. There's no pressure or commitment.

Question 2

How do I know if therapy is right for me?

Accepted Answer

If you're experiencing emotional distress, relationship challenges, life transitions, or simply want to understand yourself better, therapy can help. The fact that you're considering it is often a good sign that you're ready.

Question 3

What should I expect in my first session?

Accepted Answer

In our first session, we'll explore your history, current challenges, and goals for therapy. It's a time for us to get to know each other and begin building a foundation of trust. I'll ask questions, but you're always in control of what you share.

Question 4

What are your fees?

Accepted Answer

Individual sessions are $255 for 50 minutes. Couples sessions are $285 for 60 minutes. Eating coaching is $255 for 50 minutes. I offer a sliding scale for those with financial constraints—please ask.

Question 5

Do you accept insurance?

Accepted Answer

I'm an out-of-network provider, which means I don't bill insurance directly. However, I can provide you with a superbill that you can submit to your insurance for potential reimbursement. Many PPO plans offer out-of-network benefits.

Question 6

How often do we meet?

Accepted Answer

Most clients meet weekly, especially at the beginning when we're building momentum. As you progress, we may shift to every other week. Together, we'll find a rhythm that works for your needs and schedule.

Question 7

Do you offer virtual sessions?

Accepted Answer

Yes! I offer both in-person and virtual sessions. Many clients prefer the convenience and comfort of meeting from home. Virtual sessions are just as effective as in-person for most concerns.

Question 8

What is the difference between therapy and coaching?

Accepted Answer

In coaching, the work is focused primarily on skills and the container is less strict. The client may learn more about me and my personal life in a coaching relationship. I practice psychotherapy under my Marriage and Family Counselor's License when the client is physically located in California. I can coach clients outside of California if the client agrees to find a therapist in their home town if clinically indicated. Psychotherapy is best if a client wants to do depth work.

Question 9

What therapeutic approaches do you use?

Accepted Answer

Sheira teaches people how to have peaceful relationships between their parts inside. My influences are from the world of attachment theory and research including AEDP, Emotionally Focused Therapy, and the work of David Wallin and Karen Pando-Mars. As a shortcut to understanding human suffering and how to alleviate it, also using Freud's Theory of Personality and have contributed to the canon of work on reducing the inner critic. She brings in a spiritual approach and radical acceptance for those who resonate with that.

Question 10

What is nervous system work?

Accepted Answer

Nervous system work helps you regulate your body's stress responses, which are usually influenced by your inner critic and early family dynamics. By recognizing when you're in fight, flight, or freeze and understanding the stories behind your reactions, you will develop a set of tools you can use to get to a calm, connected state. This makes your relationships easier.

Question 11

How is eating coaching different from therapy?

Accepted Answer

Eating coaching focuses specifically on your relationship with food and body image, including GLP-1 eating coaching support. It's not about diets or weight loss, but about developing intuitive eating practices, understanding emotional eating patterns, and cultivating body acceptance.

Question 12

What is GLP-1 integration coaching?

Accepted Answer

GLP-1 integration coaching helps people who are taking GLP-1 medications build a bridge between their changing body and their mind. The body changes quickly, but our self-image, habits, emotions, and relationships with food often take longer to catch up. I create a supportive space for that catching-up to happen.

Question 13

Do I have to be on a GLP-1 medication to work with you?

Accepted Answer

No. I work with people who are considering GLP-1s, starting them, adjusting to them, or navigating life after them. Whether you're curious, already prescribed, or thinking about discontinuing, we can explore what integration looks like for you.

Question 14

Is this medical care?

Accepted Answer

No, this is coaching and therapy, not medical advice. I do not prescribe, manage, or advise on medication. I work with the emotional, psychological, and relational aspects of your GLP-1 journey, while you coordinate medical decisions with your prescribing physician.

Question 15

What kinds of challenges do people face on GLP-1s?

Accepted Answer

Common challenges include a changing self-image, shifts in relationships, grief around food, anxiety about eating, identity questions, and unexpected emotions that surface as the body changes. Some people also feel disoriented by how quickly others start treating them differently.

Question 16

How do you help someone adjust to their new body?

Accepted Answer

We slow down and make room for the whole experience. That includes processing emotions, updating your internal narrative, building new habits that feel kind rather than punitive, and helping your mind land in the body you now have. The goal is not just a new body—it's a self you can genuinely enjoy living in.

Frequently Asked Questions About Therapy & Eating Coaching

Getting Started

Practical Information

My Approach

GLP-1 Integration

Eat in Peace

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