Therapy That Makes Space for Your Life.

There isn’t a single test. Many people reach out because something feels heavy, unclear, or out of balance, and you don’t need a crisis or a diagnosis to start. A free consultation is a good place to ask questions and get a sense of whether individual therapy, and OPAL, feels like a fit.

The first session is an intake interview. Your clinician gets to know your history, current concerns, and goals, and the two of you begin shaping a plan that fits you. You don’t need to prepare anything in advance.

Sessions are typically 50–60 minutes. The exact length can vary by clinician and service, so your clinician or our team can confirm what to expect.

Many people meet weekly, though frequency can flex up or down depending on your needs, goals, and schedule. You and your clinician will talk through what makes sense for you.

Yes. Many people begin therapy to understand their stress, relationships, or patterns without a diagnosis in mind. If you plan to use insurance, a diagnosis is typically part of how claims are processed, so our team can explain how that works for your plan.

No. You can start with whatever feels closest, even if you can’t put a name to it yet. Part of the early work is sorting out what matters most to you.

Read each clinician’s profile, consider the concerns, populations, and approaches they list, and think about practical details such as format, scheduling, and insurance. If you’d like help, request a free consultation and our team can talk through your options. Fit matters, and it’s okay to ask questions.

Yes. You can mention the clinician you’d like to work with when you request a consultation. Availability changes over time, and some clinicians may have a waitlist. Our team can also share who else may be available.

OPAL works with adolescents. Whether services are appropriate depends on the teen’s age, clinical needs, clinician availability, and applicable consent requirements, and age ranges vary by clinician. Request a free consultation and our team can explain what to expect.

Yes. OPAL offers secure, HIPAA-compliant virtual sessions for clients located in California, in addition to in-person sessions at the La Jolla office. Available formats can vary by clinician and by what is clinically appropriate.

OPAL is in-network with Aetna, Cigna, and UnitedHealthcare and offers free eligibility checks so you can learn about your copay in advance. Participation and coverage can vary by plan and clinician. See our Insurance & Fees page for current details.

Yes. Self-pay options are available. Details are on our Insurance & Fees page, and our team can answer questions about what applies to your situation.

Confidentiality is a cornerstone of therapy. What you share with your clinician is protected under applicable laws and professional standards, with limited exceptions, such as imminent danger, suspected child or elder abuse, or a court order. Your clinician can explain how this applies to you.

The free consultation is a complimentary phone conversation with one of our available providers. It’s a chance to share what you’re looking for and ask questions. It isn’t an assessment, a diagnosis, or therapy. If it feels like a good fit, the provider helps schedule your first therapy appointment, which is the intake interview.

OPAL’s website and consultation requests are not an emergency service. If you or someone else is in immediate danger, call 911. For urgent emotional support, call or text 988, the Suicide & Crisis Lifeline.