# Alex Marshi Therapy Services

> Registered Associate Marriage and Family Therapist (AMFT #159153, supervised by Alex Lerza, Licensed Marriage and Family Therapist; Integrated Therapy and Recovery Inc.) providing online couples therapy as the primary clinical focus, alongside family and individual psychotherapy throughout California via secure telehealth.

## Core Clinical Services

- [Couples Therapy](https://alexmarshi.com/couples-therapy): Primary clinical focus. Evidence-informed Gottman Method Level 1 & 2 couples therapy across California to de-escalate recurring conflict cycles, rebuild trust, and practice sustainable communication habits.
- [Family Therapy](https://alexmarshi.com/family-therapy): Dedicated family psychotherapy across California addressing parent–teen communication breakdowns, blended-family dynamics, and healthy generational boundary setting.
- [Individual Psychotherapy](https://alexmarshi.com/individual-therapy): One-on-one therapy for adults navigating anxiety, depression, creative burnout, addiction recovery, grief, and major life transitions.

## Fees & Insurance Information

- [Fees & Insurance Summary](https://alexmarshi.com/fees-insurance): Standard private-pay session rates ($175 per 50-minute session for couples and family therapy, $150 per 50-minute session for individual therapy), in-network insurance billing options (Optum, UnitedHealthcare, Aetna, Blue Shield of California, TRICARE West, TriWest through Integrated Therapy and Recovery Inc.), out-of-network superbill reimbursement guidance, and No Surprises Act Good Faith Estimate notice.

## Practice & Clinical Approach

- [About Alex Marshi, AMFT](https://alexmarshi.com/#story): First-person clinical background, Master's in Clinical Psychology, Gottman Method Level 1 & 2 training, family systems perspective, narrative approach, and explicitly affirming care for LGBTQIA+ and neurodivergent clients.
- [Clinical Framework](https://alexmarshi.com/#framework): Therapeutic models combining Gottman Method principles, family systems perspective, Narrative Therapy, trauma-informed care, and solution-focused strategies.
- [First-Session Walkthrough](https://alexmarshi.com/#how-it-works): Detailed 3-step walkthrough: free 15-minute consultation, confidential electronic intake, and first 50-minute session.
- [Clinical Fit & Referral Criteria](https://alexmarshi.com/#fit-check): Transparent screening criteria for who works best and clear referral policies (active intimate partner violence, undisclosed ongoing affairs, destabilized chemical dependency, acute psychiatric emergencies).
- [California Telehealth Coverage](https://alexmarshi.com/#where-i-work): California service regions (Los Angeles, Orange County, San Diego, SF Bay Area, Sacramento, Central Valley) and physical location legal requirements.
- [Frequently Asked Questions](https://alexmarshi.com/#faq): Complete 10-item FAQ covering couples therapy structure, clinical neutrality, insurance rules, partner reluctance, proactive counseling, supervision, and session fees.

## Consultations & Portals

- [Request a Free 15-Minute Consultation](https://alexander-marshi.clientsecure.me): Secure HIPAA-compliant SimplePractice scheduling portal through Integrated Therapy and Recovery Inc.
- [Direct Contact Information](https://alexmarshi.com/#contact): Direct phone (310-773-0761) and email (alex@alexmarshi.com) with privacy reminders.
- [Relationship Assessment Tool](https://assessment.alexmarshi.com): Educational online relationship reflection tool designed to spark constructive dialogue between partners.

## Legal & Regulatory Disclosures

- [Full Context Documentation](https://alexmarshi.com/llms-full.txt): Comprehensive plain-text documentation of clinical policies, BBS consumer notice, and legal disclosures for large language models.
- [Privacy Policy](https://alexmarshi.com/privacy): HIPAA-aligned client privacy policy, electronic communications, and data handling practices.
- [Terms of Service](https://alexmarshi.com/terms): Website terms, emergency contact notice (call 911 or call/text 988), and disclosure that website contact does not establish a therapist–client relationship.
- [XML Sitemap](https://alexmarshi.com/sitemap.xml): Full XML sitemap of all indexed pages.