Treatment Services

I am a licensed Marriage and Family Therapist who provides treatment for obsessive compulsive disorder (OCD) and other related disorders in children, adolescents, and adults.

Services include:

- performing an assessment and evaluation  

- providing a diagnosis   

- developing a treatment plan   

- providing individual, family, and group therapy


Therapy will always include Cognitive Behavioral Therapy (CBT) when treating the individual with OCD. When treating OCD, Exposure and Response Prevention (ERP) has proven to be the most effective form of therapy treatment. For treatment of Trichotillomania and skin picking, Habit Reversal Therapy (HRT) has shown to be the most effective therapy. If my "client" is either a family member of somebody with OCD or in a relationship where one partner has OCD, then relational systems therapy may also be used.


It is very important to find a therapist who understands OC and Related Disorders and how to effectively treat them, as they are frequently misdiagnosed and can be exacerbated by ineffective treatment.

Group Therapy

OBSESSIVE COMPULSIVE DISORDER GROUP: 

This is an 8-week group that will focus on support and exposure and response prevention for individuals struggling with Obsessive Compulsive Disorder (individuals with Body Dysmorphic Disorder (BDD) are welcome to join this group to work on exposure aspect of treatment if deemed appropriate). Initial assessment is required to join group. This is considered a closed group, which means that people will not be allowed to join group in the middle, but will have to wait until new group round begins.


Group start date: To Be Determined.

 Group Price: $150 for each intake session(s); $400 ($50/wk) for 8-week group.

If the group has already begun, or the group occupancy is already full, please call to be put on group list and to inquire about next group start date.


BODY FOCUSED REPETITIVE BEHAVIOR GROUP: 

This is an 8-week group that will focus on support and habit reversal therapy for individuals struggling with Trichotillomania (hair pulling) as well as individuals who struggle with Excoriation (skin picking). Initial assessment is required to join group. This is considered a closed group, which means that people will not be allowed to join group in the middle, but will have to wait until new group round begins.


Group start date: To Be Determined. 

Group Price: $150 for each intake session(s); $400 ($50/wk) for 8-week group.  

If the group has already begun, please call to be put on the group list and to inquire about the next group start date.


HOARDING GROUP: 

This is an 8-week group that will focus on support, Cognitive Therapy, and Exposure and Response Prevention for individuals struggling with Hoarding. Initial assessment is required to join group. This is considered a closed group, which means that people will not be allowed to join group in the middle, but will have to wait until new group round begins.


Group start date: To Be Determined.

Group Price: $150 for each intake session(s); $400 ($50/wk) for 8-week group.  

If the group has already begun, please call to be put on the group list and to inquire about the next group start date.

Video Chat Therapy

While my office is physically located in San Diego, CA, I am legally able to see clients via video chat throughout the entire state of California. This option is limited to individuals needing therapy only, as therapy involving more than one person is more effectively done in person. 


Intake forms can be faxed or mailed and payment can be done via credit card or check by mail. Sessions will be 45-50 minutes long and arranged by mutual agreement. Due to the nature of the internet, there is some potential for loss of privacy that the client will have to assume. 

Fee Arrangement

The fee for a 60 minute initial intake assessment session is $150, and all follow-up 45-50 minute sessions are also $150. Sessions longer than 45-50 minutes are charged for the additional time pro rated. Advance notification will be provided for any fee changes.


Additionally, clients are expected to pay for services at the time services are rendered. Cash, checks, or credit cards are accepted.


Clients are responsible for payment for any missed session or for any session for which the client failed to give at least 24 business hours notice of cancellation.

Insurance

I am able to take limited insurance (PPO and POS); however, please note that I am out of network and am not on any panels. Clients will still be expected to pay the full amount for each session at the time of service, and insurance will be billed on the client's behalf. Please note that there are no guarantees that insurance will reimburse the client, and so the client will be responsible for the  entire fee regardless of insurance reimbursement.

Confidentiality

The information disclosed by a client is generally confidential and will not be released to any third party without written authorization from the client, except when required or permitted by law.

Exceptions to confidentiality include, but are not limited to, reporting child, elder, and dependent adult abuse, when a client makes a serious threat to harm a reasonably identifiable victim (including both self and others).


Special note regarding emails or contact form on this site sent to Rachael Hatton: Your name and email address will not be shared with any third party. Be aware that unencrypted email transmission via the Internet is not secure. For you protection, do not include any personal details in your email message.


For copy of Notice of Privacy Practices click here.