Frequently Asked Questions

You have questions. That makes complete sense, especially if this is your first time looking for a therapist, or if therapy hasn't worked the way you hoped before. Everything you want to know is fair to ask. If something isn't answered here, reach out directly and I'll answer it honestly.

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What to Know Before You Start Therapy

The idea of therapy can feel abstract and intimidating. In reality, it’s a very human process. It’s a dedicated space to be heard, to understand yourself more deeply, and to get support in creating change. Many people wonder about the basics before they even begin their search. For example, therapy is different from talking to a friend because a therapist is a trained, confidential, and objective professional whose only focus is your well-being. They can notice patterns a friend might miss and offer science-backed tools to help.


The most important thing to know is that you don't have to be in a crisis to start. Curiosity is enough. A feeling that something is "off" is enough. If you’re not sure if you’re ready, that’s okay too. Just learning about it, like you are right now, is a perfect first step.

What Happens in a First Therapy Session?

The anxiety about a first session is real—what will you talk about? What will I ask? I want to make it as comfortable as possible. Our first session is less an interrogation and more a conversation. It’s about us getting to know each other.

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First session is a conversation

The session is designed to feel comfortable and collaborative, focusing on getting to know each other.

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Mutual understanding and questions

You’ll discuss what brought you to therapy, your goals, and your background, while also having the chance to ask about the therapist and their approach.

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Safe, pressure-free environment

You won’t be pushed to share anything you’re uncomfortable with, and there’s no preparation or “right” way to attend—just come as you are.

Crisis Support and Educational Resources

If you are in crisis or need immediate support, please call 911 or go to your nearest emergency room. The following resources also offer free, confidential support 24/7.

Crisis and Immediate Support

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988 Suicide & Crisis Lifeline

Call or text 988 anytime in the US to be connected to a trained crisis counselor.

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Crisis Text Line

Text HOME to 741741 from anywhere in the US to connect with a crisis counselor.

Educational Resources

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The Jed Foundation (JED)

A leading nonprofit dedicated to protecting emotional health and preventing suicide for teens and young adults.

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National Alliance on Mental Illness (NAMI)

Provides advocacy, education, support, and public awareness so that all individuals and families affected by mental illness can build better lives.

Frequently Asked Questions

It’s completely normal to have questions before starting therapy. Finding the right information can help you feel more confident in your decision. If your question isn’t answered here, please feel free to reach out. I’m happy to answer anything that’s on your mind.

  • I've never been to therapy before. What can I expect?

    The first session is what I call the intake session it's where we get to know each other. I'll ask questions about your background, your family, your relationships, and what has been bringing you down lately. We'll also review my credentials, go through the consent paperwork together, and talk about confidentiality and what it protects. You'll have time to ask me anything you want,  including whether I feel like the right fit.


  • How do I know if therapy is the right move for me right now?

    This is one of the most common fears I hear, and it’s completely understandable. Please know you don't need to have an agenda or a prepared story. Sometimes the most powerful sessions begin with "I'm not sure what to talk about today." My job is to help guide the conversation with gentle questions. Your only job is to show up.

  • What should I do before my first session?

    Nothing, really. You don't need to prepare a speech or have your story organized. Showing up is the whole job for the first session. I'll ask the questions and guide the conversation.

  • How do I schedule an appointment?

    You can book directly at malena ally.clientsecure.me, or reach out through the contact form and I'll follow up to find a time that works.

Scheduling, Sessions, and Availability

  • How long are sessions?

    Individual therapy sessions are 50 minutes. Extended individual sessions are 90 minutes. Group therapy sessions are 60 minutes. ART sessions range from 50 to 90 minutes depending on what we're working on.

  • How often do people come to therapy?

    Most clients start with weekly sessions. Some move to every other week once things have stabilized. The frequency is something we figure out together based on what you need.

  • Do you offer virtual sessions?

    Yes. I see clients in person at my Encino office and via secure telehealth video for anyone in California or Illinois.

  • Where is your office located?

    I am located at 16055 Ventura Boulevard, Suite 1111, Encino, CA 91436. The office is accessible from the 101 freeway with parking available on site.

Fees, Insurance, and Payment

  • How much does therapy cost?

    Individual Therapy (50 minutes): $250

    Individual Therapy (90 minutes): $450

    Group Therapy (60 minutes): $100

    Accelerated Resolution Therapy: $250–$450, depending on session length and goals

  • Do you accept insurance?

    I am not paneled with any insurance companies, your care stays entirely between us. If you have out-of-network benefits, I provide a superbill at the end of each month that you can submit to your insurance company for potential reimbursement. Questions about out-of-network coverage are best directed to your insurance company before we begin. You can also check your OON benefits here.

The Therapy Process and Approaches I Use

  • Are sessions confidential? What if a family member calls asking about me?

    Yes. What you share in therapy is private. There are legal limits to confidentiality (things like imminent risk of harm or suspected child or elder abuse) and I review all of these with you clearly in our first session. If a family member contacts me, I will not confirm or deny that you are a client. That information belongs to you.

  • How long does therapy take?

    There is no standard timeline, and I will not give you one that isn't honest. For clients using Accelerated Resolution Therapy (ART) for a specific memory, meaningful relief often comes in 1 to 5 sessions. For more layered patterns, the work may take longer. We check in regularly.

  • What is Cognitive Behavioral Therapy (CBT)?

    CBT is an evidence-based approach that focuses on the connection between how you think, how you feel, and how you act. When we can identify painful thought patterns clearly, we can start to rewrite them in ways that are more accurate and a lot less punishing. CBT is structured, often involves practical homework, and tends to work well for anxiety and depression.

  • What is Accelerated Resolution Therapy (ART)?

    ART is a gentle, evidence-based approach that uses bilateral eye movements to help your nervous system reprocess distressing memories or sensations. Unlike traditional talk therapy, ART doesn't require you to recount what happened in detail. The memory doesn't disappear, you still have the facts, but we will work to eliminate the emotional charge that it has, or even make it positive for you. Most clients experience real relief within 1 to 5 sessions.

  • Can therapy help with everyday stress?

    Absolutely. Therapy is genuinely useful for the kind of stress that accumulates, too much to do, too many people to manage, too many conversations that didn't go the way you hoped. We can build practical coping strategies, work on setting limits with people who take more than they give, and look at the patterns underneath the stress.

  • I already have a therapist I love. Can I still work with you?

    I offer adjunct Accelerated Resolution Therapy (ART) sessions for clients who are already working with a therapist they love! We would meet for 1 to 5 sessions to focus on a distressing memory or the feeling of being stuck.

Still Have Questions? I'd Love to Hear From You.

If something comes up that isn't answered here, reach out. No question is too small. The free 15-minute consultation is the easiest way to get your questions answered directly.