About My focus Who I work with Services Rates FAQ Resources Contact

Teletherapy · Licensed in California

Something feels heavy —
even when you can't
quite name why.

Therapy for anxiety, burnout, and the quieter questions of meaning, identity, and purpose. Wherever you're starting from, and however put-together your life looks from the outside.

rooted · restored · resilient
13
Years post-graduate experience
LCSW
Licensed in California
EMDR
Trained trauma therapist
18+
Adults of all genders welcome
Genevieve Palmer, Licensed Clinical Social Worker providing teletherapy in California

About Genevieve

When something's been quietly wearing on you.

I'm Genevieve Palmer, LCSW — a therapist with 13 years of experience helping adults work through anxiety, burnout, trauma, and the harder-to-name questions of meaning, identity, and purpose.

Some of my clients arrive in the middle of a crisis. Others arrive because something has been quietly wearing on them for a long time — exhaustion that rest doesn't fix, worry about the state of the world, or the sense that something important is missing and it's time to find out what.

You don't need a particular résumé, diagnosis, or life circumstance to belong here. I work with adults of all genders, backgrounds, and stages of life who are ready to feel less alone with what they're carrying.

LCSW — Licensed Clinical Social Worker, California
13 years post-graduate clinical experience
EMDR trained — trauma-focused therapy
Teletherapy — all of California, all genders, 18+

My focus

Where meaning, mental health, and daily life meet.

Anxiety, burnout, trauma, and the quieter questions of who you are and what you're here for don't usually show up one at a time. My work lives at that intersection — helping you feel more like yourself, however that shows up for you.

01

The search for meaning

Sometimes life looks fine on paper — or it doesn't — and there's still a hollow feeling underneath. Existential restlessness isn't a sign that something is wrong with you. It's often a sign that something important is trying to get your attention.

02

Identity beyond roles & expectations

When your sense of self gets built around a role — a job, a relationship, a way of being needed — any disruption can feel like a collapse. We'll explore who you are underneath the roles you play, and build an identity that can hold change.

03

Values, purpose & direction

Not the mission statement version. The real one — what actually matters to you, what kind of person you want to be, what you want your relationships and your days to feel like. Therapy as a space to figure out what you're actually building toward.

04

Existential worry & the weight of the world

Many people carry a steady hum of dread about the state of the world — climate anxiety, political overwhelm, a news cycle that never really turns off. You don't have to be in crisis for this to be worth addressing. It's real, it accumulates, and it deserves direct attention, not just management.

05

Generational & historical trauma

The patterns you inherited — family dynamics, cultural wounds, intergenerational pain — shape how you see yourself and move through the world in ways that aren't always visible. Understanding the roots is how you stop carrying a story that was never yours to begin with.

06

Life stages & transitions

The milestones look different for everyone now — career pivots, delayed or reimagined relationships, the slow grief of a future that didn't arrive as planned. Whatever stage of adulthood you're navigating, therapy can help you meet it on your own terms.

Who I work with

Thoughtful people. Real questions.

My clients come from all kinds of circumstances — some are in the middle of a hard season, others are quietly working through something they can't quite name yet. What they tend to share is a willingness to look honestly at their life. If that resonates, you're in the right place.

Anxiety & burnout

Whether it's racing thoughts, waking up already tired, or feeling stretched too thin for too long, anxiety and burnout are some of the most common reasons people reach out. We'll work on what's driving it, not just how to manage it.

Depression & low mood

The flatness, the disconnection, the sense of going through the motions — depression doesn't always look dramatic. You deserve support whether you're barely getting by or seem to be doing just fine on the outside.

Trauma & EMDR

Whether it's a single event or something that built up slowly over time, trauma can live in the body long after the story feels "over." EMDR is one of the most researched approaches for helping the nervous system finally let go.

Existential worry & world events

Climate anxiety, political overwhelm, a sense of dread about the future — these are real, they're common, and they're worth addressing directly rather than managing quietly on your own.

Identity, meaning & purpose

You don't need a dramatic life event to want to understand yourself better. Whether you're in a season of change or just feeling stuck, this work helps you reconnect with who you are and what matters to you.

Big life transitions

Career shifts, relationship changes, becoming a parent (or deciding not to), aging, loss — whatever this stage of life is handing you, you don't have to navigate it alone.

Wherever you're starting from — mid-crisis or quietly unsettled, thriving on paper or not — you're welcome here exactly as you are.

You don't have to have it all figured out

The most growth-oriented thing
you can do is ask for help.

The same curiosity and drive that got you here — the willingness to learn, to iterate, to get better — is exactly what makes therapy work. This isn't about something being wrong with you. It's about wanting more for yourself, and being honest enough to pursue it.

Whether you've been in therapy before or this is your first time reaching out, you're welcome here exactly as you are — no performance required.

Whole-person care

Meaning lives alongside mental health.

Questions of purpose and identity rarely arrive alone. They're often accompanied by anxiety, depression, burnout, or unprocessed trauma — sometimes quietly managed for years, sometimes finally impossible to ignore. I'm trained to treat the full picture, not just the presenting question.

Trauma & PTSD

Trauma doesn't announce itself — it shows up as reactivity, numbness, disconnection, or a persistent sense that something's off. Using EMDR and trauma-informed approaches, we'll address what's underneath, not just what's visible on the surface.

Anxiety & burnout

Anxiety and burnout can show up as racing thoughts, exhaustion that rest doesn't fix, or running on fear even when things look fine from the outside. We'll get to the root of it, not just teach you to manage it better.

Depression & low mood

Depression looks different for everyone — going through the motions, feeling disconnected from things that used to matter, or simply not having the energy you used to. However it shows up for you, you deserve more than just getting through the day.

Grief & loss

The loss of a person, a relationship, a version of your future, a sense of who you were. Grief takes many shapes — and it often gets deferred until it can't be anymore.

Identity & relationships

Attachment patterns, relational dynamics, boundaries, intimacy — who you are with others, and whether those relationships reflect who you actually want to be. This work is often where the meaning-making happens.

Generational & cultural trauma

The inherited wounds — family systems, cultural stress, intergenerational pain — that quietly shape ambition, self-worth, and relationships. Understanding the pattern is the first step to changing it.

How I work

Evidence-based. Tailored to you.

I don't use a one-size-fits-all approach. Each client brings a unique history, set of strengths, and set of needs. What I offer is a trauma-informed, integrative frame — and a specific, powerful tool for trauma work.

Specialized modality

EMDR — Eye Movement Desensitization & Reprocessing

EMDR trained therapist

EMDR is one of the most research-backed trauma treatments available — used with veterans, first responders, and survivors of complex trauma. It helps the brain reprocess stuck memories so they lose their charge, without requiring you to retell your story in exhaustive detail. Many people find it reaches places that years of talk therapy haven't. I integrate EMDR as part of a broader, personalized treatment plan — never as a rigid protocol.

Approach

Insight-oriented therapy

Space to process, reflect, and develop understanding — with a therapist who will offer honest, thoughtful feedback, not just reflections. This is where meaning-making happens.

Approach

Somatic & body-based work

The body keeps score. We'll pay attention to what's happening physically — not just cognitively — because lasting change often begins below the level of thought.

Approach

Trauma-informed care

Every session is grounded in an understanding of how trauma — big and small — shapes the nervous system, the self, and the stories we tell about who we are.

Approach

Existential & meaning-focused

Drawing on existential and humanistic frameworks to explore purpose, values, identity, and the deeper questions that shape — or haunt — all of our lives, not just the high-achieving ones.

Approach

Integrative & personalized

CBT, psychodynamic, somatic, attachment-based — I draw on what works for you, not what's easiest to categorize. Your treatment plan is built around your life, not a diagnosis code.

Investment

Fees & payment.

This is a private-pay practice. No insurance panels, no managed care limitations, no session caps. Just focused, unhurried work — on your terms.

Individual therapy

50-Minute Session

$175

Per session · standard length

The foundation of the work. Fifty focused minutes to process, explore, and build insight at a pace that respects both your time and the depth the work deserves. Scheduled weekly or bi-weekly depending on your needs and treatment goals.

EMDR & extended sessions

90-Minute Session

$250

Per session · extended length

Designed for EMDR trauma processing, which requires longer uninterrupted time to move through a complete processing cycle effectively. Extended sessions allow the work to breathe — beginning, moving through, and landing safely before the hour ends. Also available for intensive work at key moments in treatment.

Why private pay?

Your privacy, protected

When you use insurance, your diagnosis becomes part of a permanent medical record — accessible to insurance companies, and potentially to future employers, life insurance underwriters, and others who request your records. Private pay means what happens in therapy stays between us, full stop. For people in high-visibility roles — or anyone who simply wants their mental health care kept private — this matters enormously.

Treatment without interference

Insurance companies require a psychiatric diagnosis to authorize payment — then dictate how many sessions are "medically necessary." They can deny coverage, limit session length, and require periodic justification of your care. Private pay means your treatment is guided by your goals and our clinical judgment, not a utilization reviewer who has never met you.

Depth over efficiency

Insurance-driven therapy is often structured around symptom reduction in the fewest possible sessions. The kind of work we do here — exploring meaning, processing trauma, understanding who you are beneath the roles you perform — requires time, continuity, and a therapeutic relationship built on real trust. Private pay creates the conditions for that work to actually happen.

Superbills for out-of-network reimbursement

If you have a PPO or out-of-network mental health benefit, you may be eligible for partial reimbursement directly from your insurance company. Upon request, I provide a monthly superbill — a detailed receipt containing the diagnostic codes, procedure codes, and session information your insurer requires — which you submit directly to your plan for reimbursement.

Many clients with PPO plans recover a meaningful portion of their session costs this way. Before beginning, I recommend calling the member services number on the back of your insurance card and asking: "What are my out-of-network mental health benefits for outpatient psychotherapy, what is my deductible, and what percentage do you reimburse after it's met?" This gives you a clear picture of your actual out-of-pocket cost before we begin.

Frequently asked questions

Answers before you reach out.

A few things people usually want to know before booking a consultation. If your question isn't here, it's a good first thing to ask on our call.

What issues do you specialize in?

I specialize in anxiety, burnout, trauma (including EMDR), depression, and the existential concerns that come with meaning, identity, and purpose — including worry about the state of the world. Most clients come in with more than one of these overlapping.

Do I have to be a "high-achiever" or executive to work with you?

Not at all. While some of my clients are in demanding professional roles, I work with any adult navigating anxiety, burnout, trauma, or questions of meaning and identity — regardless of your job, income, or how "together" your life looks from the outside.

What is EMDR and how does it work?

EMDR (Eye Movement Desensitization and Reprocessing) is a research-backed therapy for trauma. It helps the brain reprocess stuck memories so they lose their emotional charge, without requiring you to retell your story in exhaustive detail. I integrate it as part of a broader, personalized treatment plan.

Do you accept insurance?

No — this is a private-pay practice. I provide monthly superbills so clients with PPO or out-of-network benefits can seek reimbursement directly from their insurer.

What is a superbill?

A superbill is a detailed receipt with the diagnostic and procedure codes your insurance company needs to process an out-of-network reimbursement claim. I provide one monthly upon request; you submit it directly to your plan.

Do you offer telehealth or in-person sessions?

Both, I offer in-person at my Roseville office, and virtually to anyone in California. All virtual sessions are secure video teletherapy, available anywhere in California.

Who do you work with?

Adults 18 and older, of all genders and backgrounds, located anywhere in California at the time of our sessions.

How much does therapy cost?

Standard 50-minute sessions are $175. Extended 90-minute sessions (used for EMDR processing or intensive work) are $250.

How do I get started?

Book a free 20-minute consultation to see if we're a good fit. From there, we'll schedule an intake session and begin regular sessions, usually weekly or biweekly depending on your needs.

Do you work with anxiety about world events, like climate change or politics?

Yes. Existential worry about the state of the world is one of my specialty areas, not a side note — it's real, it accumulates, and it's worth addressing directly.

Is what I share confidential?

Yes. Sessions are protected under HIPAA and California's Confidentiality of Medical Information Act, with standard legal exceptions (risk of harm, abuse reporting, court order). Because this is a private-pay practice, your records also aren't shared with an insurance company.

Teletherapy — wherever you are in California

Secure video sessions. No commute. Fits around a demanding schedule.

Get in touch

Let's talk.

The first step is the hardest one. A free 20-minute consultation is a no-pressure way to see if we're a good fit — for both of us. You bring your situation. I'll bring the questions that help us figure out where to start.

Flexible scheduling — early mornings, evenings available
genevievepalmerlcsw@gmail.com
Teletherapy — all of California
All genders welcome · Adults 18+

This will help me respond to your query via an email.

What would you like to discuss?

Support resources

Mental health resources for California.

If you or someone you know is in distress, please know that support is available — often immediately. Below is a list of trusted crisis lines and support resources serving California residents.

If you or someone else is in immediate danger, call 911. This list of resources is intended as a starting point and is not exhaustive. In a life-threatening emergency, always contact emergency services first. The resources below are not affiliated with this practice.

Crisis & suicide prevention — 24/7

988 Suicide & Crisis Lifeline

Call or text 988

Free, confidential support for anyone in suicidal crisis or emotional distress. California has 12 dedicated 988 crisis call centers. Available in English and Spanish.

24 / 7 · Call · Text · Chat at 988lifeline.org

Crisis Text Line

Text HOME to 741741

Free, confidential crisis counseling via text message. Connects you with a trained Crisis Counselor. Useful when calling isn't possible or preferred.

24 / 7 · Text only

California Peer-Run Warm Line

Call or text 1-855-845-7415

California's official peer-run warmline. Non-emergency emotional support staffed by people with lived mental health experience. Not a crisis line — for support before a situation becomes a crisis.

24 / 7 · Call · Text · Chat at mentalhealthsf.org

Specialized support

Veterans Crisis Line

Call 988 then press 1 · Text 838255

Confidential crisis support for veterans, service members, and their families. Staffed by responders who are also veterans or have military experience.

24 / 7 · Call · Text · Chat at veteranscrisisline.net

Trevor Project

Call 1-866-488-7386 · Text START to 678678

Crisis intervention and suicide prevention for LGBTQ+ young people under 25. Trained counselors provide affirming, confidential support.

24 / 7 · Call · Text · Chat at thetrevorproject.org

Trans Lifeline

Call 1-877-565-8860

Crisis and peer support hotline staffed by trans people, for trans people. Focused on reducing isolation and providing direct community support.

24 / 7 · staffed by trans operators

NAMI HelpLine

Call 1-800-950-6264 · Text NAMI to 741741

Information, resources, and support from the National Alliance on Mental Illness. For individuals and families navigating mental health challenges — not an emergency line.

Mon–Fri 10am–10pm ET · Email: info@nami.org

SAMHSA National Helpline

Call 1-800-662-4357

Free, confidential information and treatment referrals for mental health and substance use disorders. Available in English and Spanish.

24 / 7 · Free · Confidential

CalHOPE Warm Line

Call 1-833-642-7696

California's statewide warm line staffed with support specialists. Free, confidential emotional support and resource referrals for Californians in English and Spanish.

24 / 7 · Chat at calhopeconnect.org

Domestic violence & safety

National Domestic Violence Hotline

Call 1-800-799-7233 · Text START to 88788

Crisis intervention, safety planning, and referrals to local shelters and resources for anyone affected by domestic violence. Confidential, available in multiple languages.

24 / 7 · Chat at thehotline.org

National Sexual Assault Hotline

Call 1-800-656-4673

Confidential support from RAINN for survivors of sexual violence. Connects callers to local sexual assault service providers across California.

24 / 7 · Chat at rainn.org

211 California

Call or text 211

California's information and referral service connecting residents to local health and human services — including mental health, housing, food, and domestic violence resources in your county.

Available in most CA counties · 24 / 7 in many areas

Important disclaimer: This list of resources is provided as a courtesy and is not exhaustive. Inclusion of a resource does not constitute an endorsement by Genevieve Palmer, LCSW or this practice. Phone numbers, hours of availability, and services may change — please verify current information directly with each organization. This practice does not provide crisis services. If you or someone else is in immediate danger, call 911. If you are a current or prospective client experiencing a mental health emergency between sessions, please contact 988 or your nearest emergency room.

Legal & licensing information

California Board of Behavioral Sciences — Required Disclosures

License information

Genevieve Palmer is licensed as a Licensed Clinical Social Worker (LCSW) by the California Board of Behavioral Sciences (BBS).

License Type: Licensed Clinical Social Worker
License Number: [LCSW86503]
Verify: search.dca.ca.gov

Scope of practice

Services are within the scope of practice of a Licensed Clinical Social Worker under California BPC §4996. Services include individual psychotherapy, mental health assessment, and treatment planning for adults 18 and older. Genevieve Palmer does not prescribe medication. Psychiatric referrals are available upon request.

Telehealth disclosure

All services are provided via HIPAA-compliant encrypted video. Prior to initiating services, clients receive an informed consent form including telehealth-specific disclosures as required under California BPC §2290.5. Telehealth services are available to clients physically located in California at the time of session.

Confidentiality & HIPAA

All client information is protected under HIPAA and California's Confidentiality of Medical Information Act (CMIA). Confidentiality exceptions include: imminent risk of harm, suspected child/elder/dependent adult abuse, valid court order, and other legally mandated disclosures. A full Notice of Privacy Practices is provided at intake.

Mandatory reporting

Genevieve Palmer is a mandated reporter under California law, required to report suspected abuse or neglect of children (under 18), elders (65+), and dependent adults to appropriate authorities regardless of client consent. These obligations are explained fully during informed consent.

Fees & good faith estimates

This is a private-pay practice. Under the federal No Surprises Act, you have the right to receive a Good Faith Estimate of expected charges before beginning services. Superbills for out-of-network reimbursement are available upon request. This practice does not bill insurance directly.

Notice to clients — Required by the California Board of Behavioral Sciences (SB 1024)

The Board of Behavioral Sciences receives and responds to complaints regarding services provided within the scope of practice of marriage and family therapists, licensed educational psychologists, clinical social workers, or professional clinical counselors. You may contact the board online at www.bbs.ca.gov or by calling (916) 574-7830.

Genevieve Palmer · Licensed Clinical Social Worker · License #[LCSW86503]

This website is for informational purposes only and does not constitute a therapeutic relationship. A therapeutic relationship is established only upon completion of a formal intake process and signed informed consent. If you are experiencing a mental health emergency, call 988 (Suicide & Crisis Lifeline), call 911, or go to your nearest emergency room. This practice does not provide crisis services. Website content is not a substitute for professional mental health treatment.