Sacramento, CA · Private pay · Online
Therapist in Sacramento, private pay, online
Looking for a therapist in Sacramento who keeps your care off every plan and payroll system? Martha Fernandez, LCSW, meets you on a secure video call, in whichever of her two languages you prefer, and never files a claim. Midtown, East Sac or Elk Grove: the session starts when you close a door.
Clients log in fromMidtown · Downtown · East Sacramento · Land Park · Curtis Park · the Pocket · Natomas · Arden-Arcade · Carmichael · Fair Oaks · Folsom · Elk Grove · West Sacramento · Davis · Roseville
Census: ACS 2024 1-year, tables B08013 and B08303 (Sacramento County)
Who she sees in Sacramento
For the people who keep the capital working
Capitol staff and appointees
Chiefs of staff, consultants and agency appointees who answer to an elected boss, a two-year cycle and a building where everyone talks.
Medicine
Physicians at UC Davis Health, Sutter, Kaiser Permanente and Mercy General, where every relicensing form asks the same careful questions.
Law and advocacy
Partners at the Capitol Mall firms and the lobbyists who work the hallways, paid to stay composed for clients with a lot at stake.
Executives
Department heads and private-sector leaders who set the pace for hundreds of people and seldom get asked how they are holding up.
What comes up in the capital
A capital city with a small-town grapevine
The legislative calendar
The budget is due June 15, bill deadlines stack up through spring and the session closes in a late-summer rush. Clients often set a standing weekly slot early in the year and move it online when a floor week takes over.
Everyone knows a staffer
Staff, lobbyists, reporters and agency people cross paths on K Street, in the same Midtown coffee lines and at the same kids' games. A therapist's waiting room downtown is one more place to be noticed. A video call is not.
Hospital rotations
From UC Davis Medical Center on Stockton Boulevard to the Kaiser and Sutter campuses, shifts and call nights rarely line up with a fixed weekly hour. Sessions are booked online, so they can follow the rotation.
Couples therapy in Sacramento's two-career homes
One partner at a state office, the other on a hospital schedule or a long drive from Folsom: plenty of couples here barely overlap on weekdays. A 50-minute couples session can happen at home, together, without a second commute.
En español
Terapia en español en Sacramento
En el condado de Sacramento, el 14.2% de los residentes habla español en casa. Martha Fernandez, trabajadora social clínica con licencia, ofrece terapia completa en español, sin intérprete y sin cambiar de clínica.
Para empleados estatales, personal de hospitales y parejas que discuten en un idioma y se reconcilian en otro. Basta una conexión privada dentro de California; nada pasa por una aseguradora.
Terapia en español en CaliforniaSacramento FAQ
Practical answers for the capital
Do you offer couples therapy in Sacramento?
Yes. A couples session is 50 minutes by secure video for $450. Both partners need to be in California for the session and join together from one private room, and each of you can speak in the language you think in.
I work for the state. Will CalPERS or my department see anything?
No. Nothing is billed to a CalPERS health plan or any other insurer, and nothing goes through an employee assistance program, so there is no claim and no report for anyone to see.
How can I check a Sacramento therapist's license before booking?
Use the California Board of Behavioral Sciences license lookup. Martha is listed as a licensed clinical social worker, license 127918. It is a quick step worth taking with any clinician you are considering.
Kaiser covers therapy for me. Why would I pay $400?
In-network care is a reasonable choice for many people. Private pay is for those who want to choose their clinician, keep sessions out of their health plan's records and start this week instead of waiting for an opening.
Do you see clients in Davis, Roseville and Elk Grove?
Yes. Yolo, Placer and El Dorado counties all count, since the only rule is that you are inside California when the call begins.
Elsewhere in California
Other places she sees clients
Fees, with context
What $400 actually buys
One fee for everyone, private pay only, the first session and every one after. Here is what is in it.
- 01
Martha, every session
The clinical co-founder of a private-pay network, and the only clinician in this practice. The person you book is the person you see, never an associate.
- 02
Nothing filed
No insurer and no diagnosis code sent to a payer, so there is nothing an employer, a studio or a licensing board can request from one.
- 03
Either language
Fully clinical in English and Spanish, with the same depth in both, switching whenever you do.
- 04
This week
Her calendar is open now. No consultation call, no waitlist, no referral needed.
Your first session can be this week
Pick a time on Martha's calendar. Private pay, secure video, anywhere in California, in English or Spanish.