Clear, straightforward fees.
Private-pay and reduced-fee options, explained before we begin.
Private pay, no insurance billing
Sessions are a flat fee. I do not accept insurance, which keeps billing simple and makes the cost clear before we begin. Private pay also keeps things off insurance records entirely — a real consideration whether you hold a license, a security clearance, a public profile, or simply a reputation you've built and want to protect.
- Free 15-minute consultation
- Weekly or biweekly cadence
- Secure online sessions statewide
- No insurance, no diagnosis on record
Therapy within reach through Open Path
If my standard session fee is outside your budget, a limited number of reduced-fee sessions may be available through Open Path Psychotherapy Collective, a nonprofit that connects eligible clients with participating therapists.
Open Path currently offers individual therapy for $40-$70 per session after a one-time $65 lifetime membership fee. Eligibility requirements and therapist availability apply.
- 1Join Open PathCreate your account and complete their membership registration.
- 2Choose Sasha MadrigalAfter joining, search for and select me as your Open Path therapist.
- 3Schedule your first sessionContact me through Open Path to confirm availability and arrange your appointment.
Click the logo to join Open Path
Watch this short introduction to learn how Open Path works.
Open Path is an independent nonprofit organization. Membership, eligibility, fees, and therapist availability are determined through Open Path and may change.
Pay only — no insurance billing, no diagnosis on an insurance record.
HIPAA-compliant platform, discreet from first contact to first session.
Work centered on anxiety, performance pressure, and burnout — not a general caseload.