What can I expect in my first therapy session?
Your first session is a chance for us to get to know each other and set the tone for our work together. We’ll discuss your goals, what’s been feeling difficult, and how you’d like life to feel different. You can expect a calm, confidential space where you feel heard, supported, and never judged.
Most clients describe the first session as surprisingly easy — it’s simply a conversation that begins your healing process.
Do you offer both in-person and virtual therapy?
Yes. I offer therapy sessions in my Newport Beach office as well as online therapy across California through a secure, HIPAA-compliant telehealth platform.
Many clients choose virtual sessions for convenience, privacy, or busy schedules — while others prefer in-person connection. We’ll choose the option that best fits your life and needs.
What is concierge therapy?
Concierge therapy offers the same evidence-based care as traditional therapy, with the added benefit of personalized access, flexibility, and discretion.
It’s designed for high-achieving individuals, professionals, and families who want elevated care, flexible scheduling, and direct access between sessions when needed.
Think of it as therapy that meets you where you are — literally and emotionally.
Who do you work with?
I specialize in working with individuals, couples, and professionals navigating:
Anxiety, panic, and perfectionism
Relationship or communication challenges
Life transitions and burnout
Trauma and emotional overwhelm
Grief and loss
I also offer focused services for medical providers, therapists, and young adults, and support for those seeking trauma-informed, mindfulness-based therapy.
Do you work with teens and young adults?
Yes — I work with older teens and young adults who are ready to engage in talk therapy. Sessions focus on managing stress, social pressure, perfectionism, and identity development. My approach helps young clients build confidence, emotional regulation skills, and self-compassion.
What therapeutic approaches do you use?
I draw from a variety of evidence-based modalities including Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), EMDR, and mindfulness-based practices.
I also integrate somatic and relational approaches, helping clients connect their emotional and physical experiences for deeper healing.
Do you take insurance?
I am an out-of-network provider for PPO insurance plans. This means you pay privately at the time of service, and I can provide a superbill for potential reimbursement from your insurance provider.
Paying out-of-pocket ensures complete privacy and gives you control over the frequency and duration of your care.
What are your session rates?
50-Minute Session — $275 ($295 for initial appointment)
75-Minute Session — $380 ($400 for initial appointment)
30-Minute Session (for existing clients only) — $175
60-Minute Professional Consultation — $265
What if I need to cancel or reschedule?
Please provide at least 48 hours’ notice if you need to cancel or reschedule your appointment.
Missed or late cancellations will incur the full session fee. Weekend sessions must be confirmed 7 days in advance.
What if I’m not sure therapy is right for me?
That’s completely normal — many people feel uncertain before starting. I offer a brief consultation call to help you decide if this is the right fit. Therapy is not about having all the answers; it’s about having a space to explore them safely.
Where are you located?
My office is located in Newport Beach, California, and I also serve clients virtually throughout the state.
Many of my clients live or work in Orange County, including Costa Mesa, Irvine, and Laguna Beach.
How do I get started?
Simply fill out the Contact Form or email shelby@shelbycastile.com to schedule your first session. Whether you’re ready to begin therapy or just want to learn more, I’ll personally respond to guide you through the next steps.