Mental Health Continuity Care (MHCC)
Healing doesn’t end when therapy does
Many people have been in therapy.
Few have had a therapist who stayed.
One person, over the arc of your life, who knows your whole story; not just the current chapter. Because healing continues in the small moments.
☙ ☙ ☙ ☙ ☙ ☙ ☙
MHCC offers continued access to your mental health support:
One Therapist ☙ Real Relationship ☙ Paced to your life
Built for the people who do and have done the work, know how it helps them, and want a relationship with their therapist that doesn't have to end.
The best time to have support in place is before you need it.
“Therapy should not be theory-driven, but relationship-driven.”
Irvin D. Yalom
What is Mental Health Continuity Care?
MHCC is a membership-based model designed for people who want continued mental health support without the barriers of traditional therapy. You can reach out, check in, and maintain continuity—whether you are currently in weekly therapy, transitioning between seasons of care, or have completed your primary treatment.
Life doesn’t always follow a therapy schedule. Work changes, families grow, and routines shift. Sometimes you just need a place to check in, reflect, or steady yourself without having to start over.
What you have with MHCC:
Direct Access: Reach out when something's landing hard, not just when a session is on the calendar.
Flexible Pacing: Care that flexes with your life. No required weekly sessions.
Real Continuity: The same therapist, over years. No starting over, no re-explaining your history.
Priority Scheduling: When you do need a session, you get in.
A Coordinated Hub: With your permission, I coordinate with your other providers, so your care is connected instead of fragmented.
One therapist. One ongoing relationship. Paced to your life.
What MHCC Members Say
“It’s hard to explain, but this setup has made therapy feel less fragile. Before, when sessions ended, I’d feel like I was on my own again. Now it’s like someone’s still paying attention even when life gets busy.”
— Matthew K., Lake Forest
“For me, MHCC feels like having a therapist who actually fits into real life. Some months I need more contact, some less, but I never feel like I’ve fallen off the map. It’s made therapy feel more like partnership than appointments.”
— Kim M., Costa Mesa
“I joined MHCC after finishing regular therapy because I didn’t want to lose that sense of connection. I don’t message all the time, but just knowing I can if I need to keeps me grounded. It feels more personal, more real.”
— Suzan R., Modesto
Is MHCC for You?
MHCC is for people who have been in therapy, valued it, and learned something about themselves from it: that they function better when they have a standing relationship with a clinician in their life.
Not because they're in crisis. Because they've figured out, through their own experience, that consistent relationship is how they stay well.
For people in that place, regular weekly therapy often stops making sense. The acute work is done. But letting the relationship end and starting over with someone new a few years later, when something shifts, feels like a step backward. MHCC is the third door. One therapist, ongoing mental health support, paced to your life.
You don't have to reintroduce yourself every time you need support. You already have a trusted place to turn; a familiar relationship that stays with you through the years.
How It Works
1. We start with a conversation
A free 20-minute consultation. A chance to talk about what you're looking for and whether MHCC is the right fit. No pressure.
2. We confirm the fit.
If you're already a client, MHCC extends the relationship we already have. If you're new to the practice, we begin with a brief assessment period: 2-3 sessions for individuals, 3-4 for couples. This lets us both make sure MHCC is the right structure for you, not just in theory but in practice.
3. You reach out when you need to.
Message, call, schedule a session, or check in. Some months you'll want a standing hour. Some months a text thread will do. The relationship stays either way, paced to your life.
What’s Included in Membership
Monthly membership:
$149 individual / $249 couples
Your membership covers the relationship itself: ongoing access, continuity, and the infrastructure that keeps the door open.
Included in your membership:
Direct Access Between Sessions: Secure messaging and phone access when you want to check in, reflect, or steady yourself.
Scheduled 15-20 Minute Calls: For the times when a text won't do but a full session isn't needed.
Priority Scheduling: When you want a session, you get in, even during busy seasons.
Annual Wellbeing Review: A dedicated hour once a year to step back and look at the bigger picture: patterns, progress, what's shifted, what's next.
Proactive Check-Ins: If we haven't connected in a while, I reach out to make sure you're still on the map.
Integrated Care Coordination: With your permission, I collaborate with your primary care doctor, psychiatrist, or other specialists so your mental health care is connected to the rest of your healthcare.
Warm Handoffs to Higher Levels of Care: If something shifts and you need therapy or specialized treatment, I manage the transition, referral and handoff so your story doesn't get lost.
Community & Education: Free or discounted admission to practice-hosted workshops, trainings, and therapeutic groups.
Secure Digital Connection: HIPAA-compliant portal for secure messaging, document sharing, and scheduling.
Billed separately, when needed:
Dedicated Weekly Therapy - If we determine a consistent weekly rhythm is necessary for your needs, sessions are billed at the Member Session Rate of $225 per 50 minutes.
Intensive sessions (75 min-4 hours) - Starting at $325. For deep-dive trauma work, couples intensives, or extended processing.
One-time enrollment and assessment - $395 individual / $495 couples. Covers your first 2-4 sessions to establish the relationship and confirm fit.
In-home or site visits - Session rate plus travel time.
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No. MHCC doesn’t replace traditional therapy.
Think of it as the "home base" for your mental health.
It’s designed to provide ongoing access and support between or beyond regular sessions. While it may include therapeutic work, it isn’t therapy. It is mental health support. MHCC focuses on maintaining connection, reflection, and support over time, not intensive weekly treatment. If a higher level of care is needed, I’ll recommend standard therapy or appropriate referrals.
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That’s the goal! The membership isn't just for "crisis"; it's for continuity. Even in "well" seasons, I am monitoring your progress, available for check-ins, and holding your spot so you never have to "start over."
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Item descriptionThe model is designed to be flexible. If you enter a season of life that requires more support, we can incorporate Dedicated Weekly Care at the Member Session Rate.
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Item descriptionYes! You can reach out to your therapist anytime. The goal is to respond within 24 hours or the next business day. Usually sooner. You’ll receive a clear outline of when and how to use this access effectively.
Note: This is not a crisis service. If you are in crisis call 911.
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Item descriptionThe goal is to respond within 24 hours or the next business day if it is after hours. However, every effort is made to respond within a few hours if possible.
MHCC is not for crisis response. If you are in need of immediate help please go to your nearest emergency room or call 911.
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Yes. I love new clients! New clients complete a 2–4 session assessment period first so we can both confirm fit and build a plan that works.
There is an enrollment fee for new clients. Your 2-4 assessment sessions are included in that fee.
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Absolutely. While MHCC is built for long-term continuity, you are not locked into a contract. You can cancel your membership at any time You can make changes prior to your next billing date and you won’t be charged.
Just a heads up. If you decide to cancel and then choose to reenroll at a later date the enrollment fee will apply.
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I am an out-of-network provider and I do not do any billing or interact with insurance companies. This keeps your care simple, confidential, and relationship-driven.
Superbills can be provided for your MHCC membership. Your insurance company likely will not reimburse for this. However, I recommend checking with your provider regarding "Direct Care" or "Concierge" models.
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Most HSA and FSA accounts can be used to pay for clinical sessions. Whether they cover the monthly membership fee depends on your specific plan’s rules.
Understanding MHCC
What MHCC is Not
I want to be clear about what MHCC does and doesn't do, so you know what you're signing up for.
Not crisis or emergency care. If you're in danger or need immediate help, please call 911 or go to the nearest ER. MHCC is ongoing care, not crisis response.
Not insurance-billed. I work as an out-of-network provider. This keeps your care simple, confidential, and focused on the relationship rather than on codes.
Not medical or psychiatric care. I don't prescribe or manage medication. If that's part of your care, I can coordinate with your psychiatrist or primary care doctor.
Not documentation for legal, disability, or court-mandated purposes. MHCC is clinical care, not forensic or legal support.
Not unlimited availability. There's no guaranteed minimum amount of contact. The point is a real relationship, not a service-level agreement.
Not coaching. MHCC is mental health care, with a licensed clinician, grounded in clinical training.
“We’ve built a mental health system that runs on schedules and insurance codes instead of human need. And then we wonder why people give up trying to find help. It’s not a failure of motivation; it’s a failure of design. We need a model of care that stays close, connected, and meets people where life actually happens.”
— Karl Stenske, LMFT, on why I built MHCC
Why I Created MHCC
I’ve always believed that healing doesn’t happen in fifty-minute boxes; it unfolds in the quiet spaces between them. For too long, the mental health system has focused on "episodes of care" rather than the actual human need for connection. When clients told me how hard it was to access support when they needed it most, or how disconnected they felt waiting for their next session, I knew the design had to change.
I believe the answer isn’t more distance—it’s more relationship. I understand, from my own life, how much it matters to be truly known. Not only by friends and family, but by the people who walk alongside us in care. MHCC was built from that belief: that being seen, remembered, and understood over time changes everything.
MHCC is the model I’ve always wished existed—one that honors the relationship, allows for real accessibility, and treats mental health care as something living, human, and continuous.
If this sounds like what you've been looking for, the next step is a conversation.