How do I get started?
Book a free 15-minute consultation. There’s no pressure — we use the call to see if we’re a fit. If we are, we’ll schedule a full initial session and start building a treatment plan together.
Quick answers about how telehealth therapy works at Better Thoughts. Don't see your question? Book a free consult and ask.
Book a free 15-minute consultation. There’s no pressure — we use the call to see if we’re a fit. If we are, we’ll schedule a full initial session and start building a treatment plan together.
Rose Markotic, LMFT is licensed in California, Connecticut, Maine, Rhode Island, and Vermont. All sessions are conducted online via a HIPAA-compliant secure video platform. You need to be physically located in one of those five states at the time of session.
Research consistently shows telehealth psychotherapy is as effective as in-person treatment for most concerns, including anxiety, depression, and perfectionism. TEAM-CBT in particular suits telehealth well — its measurement-based, structured methods translate cleanly to video sessions.
TEAM-CBT (Testing, Empathy, Paradoxical Agenda Setting, Methods) is an evidence-based form of Cognitive Behavioral Therapy developed by Dr. David Burns at Stanford. It is structured, measurement-driven, and built around specific tools you can use outside of session.
Yes — perfectionism is a signature focus of Rose’s practice, both as a presenting concern and as the quiet driver behind anxiety, procrastination, social anxiety, and burnout for many clients.
TEAM-CBT is designed to be brief and goal-oriented. Many clients see meaningful change within a few months, though length depends on what you’re working on. We track your mood and progress every session so we always know what’s working.
A 50-minute telehealth session is $220. Initial 15-minute consultations are free.
Better Thoughts is an out-of-network practice. We provide superbills you can submit to your insurance for out-of-network reimbursement, which typically covers 60–80% of session fees on PPO plans. Our insurance specialist can help you check your benefits.
Yes — therapy is a qualified medical expense and most HSA and FSA accounts can be used to pay for sessions. We can provide receipts for your records.
Sessions are 50 minutes. Most clients meet weekly to start; some shift to biweekly or monthly later in treatment.
As an adult (18+), your sessions are confidential. Even if your parents are paying, what you discuss in session is not shared with them or with your school.
If you move between California, Connecticut, Maine, Rhode Island, or Vermont, we can continue working together — you just need to be physically located in one of those five states at the time of each session.
A 15-minute video call with Rose. We'll talk about what's bringing you in and see if I'm the right fit. No pressure to book sessions afterward.
No credit card · 15 minutes · Talk directly with Rose