1. Free 15-minute call
A no-pressure conversation. You share what's going on, I share how I work, and we figure out together if this feels like the right fit.
Online TEAM-CBT therapy across California
One therapist for the whole state — whether you live in San Francisco, Los Angeles, San Diego, or anywhere in between. Licensed in California, working entirely by telehealth, with the same clinician you keep through every move within state lines.
No credit card · 15 minutes · Talk directly with Rose
Rose Markotic, LMFT — licensed in California, Connecticut, Maine, Rhode Island, and Vermont.
Therapy that fits California
California has more residents than any other state — and one of the country’s tightest mental-health provider shortages, especially for evidence-based therapy. The waiting list for a CBT-trained therapist in San Francisco or Los Angeles can stretch months. Telehealth closes that gap.
I work with adults across the state by secure video — most often clients dealing with high-pressure careers, perfectionism, anxiety in tech and creative industries, ADHD that didn’t get caught until adulthood, and the identity questions that come with major California life transitions (a job change, a layoff, a move within the state, parenthood).
Because everything happens online, I can be your therapist whether you’re in the Bay Area working in tech, in LA navigating the entertainment industry, in San Diego stationed near the coast, or in a smaller California city where in-person specialists are scarce.
Serving clients across California: San Francisco · Oakland · Los Angeles · San Diego · Sacramento · San Jose · Berkeley
Whether you're in San Francisco, Oakland, Los Angeles, or anywhere else in California, video sessions remove the geographic barrier — you just need a private space and a stable connection.
How sessions work
All sessions take place over a HIPAA-compliant video platform. You need to be physically located in California at the time of session.
2. Initial session
An extended 90-minute assessment session. We review any measures or inventories you've completed, talk through your history, and clarify what you're hoping to accomplish in therapy.
3. Goal setting & treatment plan
Together we set the direction — what we'll work on, what tools we'll start with, and how we'll know when something is working.
Common reasons Californians reach out
California clients tend to bring a specific mix of concerns — high-stakes careers, identity questions, and the perfectionism that often hides underneath both.
High-pressure careers and burnout
Tech, startups, entertainment, healthcare, law — California careers can be punishing. We work on the thoughts that drive over-functioning and the boundaries that protect what you actually care about.
Perfectionism in high-achieving fields
A signature specialty. The standards that got you here often become the thing keeping you stuck. We test those standards directly — without losing the drive that brought you to where you are.
Anxiety and panic
Skills to interrupt anxious spirals, calm panic, and re-engage with the parts of life anxiety has shrunk. TEAM-CBT pairs in-session methods with practical homework you can use the same week.
Adult ADHD
For California professionals diagnosed late or never formally diagnosed. Less shame loop, more systems that fit the way your brain actually works.
Major life transitions
Layoffs, role changes, becoming a parent, moving cities within California, leaving a long-term relationship. The disorientation is real, and it’s workable.
Continuity through California moves
If you relocate from the Bay Area to LA, or from San Diego to Sacramento, we keep meeting. Same therapist, same treatment plan, no starting over.
Rose Markotic
MA, LMFT
Licensed in: California, Connecticut, Maine, Rhode Island, and Vermont
Telehealth across all five states
Most of my clients arrive having already tried hard. They're thoughtful, capable, often outwardly successful — and stuck on something the strategies that got them this far can't fix. What I love about TEAM-CBT is that it gave me a way to do therapy that respects how hard people are already trying. We don't sit with stuckness for years.
We measure how you're feeling at every session, look honestly at what's keeping change from happening, and use specific tools — not vague encouragement — to move things. I trained in TEAM-CBT through Dr. David Burns' Stanford group at the Feeling Good Institute, where I'm now Level 3 certified. The methodology fits how I work: structured, transparent, and built around real change you can feel by session three or four — not a relationship you maintain forever.
My counseling style is warm, empathetic, and collaborative. I provide a safe space to explore what's going on and generate solutions you can actually use between sessions. I'm currently accepting new clients across California, Connecticut, Maine, Rhode Island, and Vermont.
Frequently asked questions about therapy in California
I live in California — does your license cover me?
Yes. Rose is a Licensed Marriage and Family Therapist (LMFT) in California, which authorizes psychotherapy with anyone physically located in the state at the time of session. You don’t need to be in any specific California city — Bay Area, LA, San Diego, Sacramento, Central Valley, anywhere in CA.
Do you work with people in tech or startups?
Yes — a substantial portion of California clients work in tech, startups, or adjacent fields. The pattern of perfectionism, burnout, identity-fused-with-job, and anxiety around layoffs/funding is common, and TEAM-CBT addresses it directly. Sessions can usually accommodate variable work schedules.
What if I move within California — do we have to stop?
No. As long as you’re still physically in California at the time of session, we continue. SF to LA, San Diego to Sacramento, urban to rural — all fine. The continuity often becomes one of the most useful parts of treatment during a relocation.
How does insurance reimbursement work with my California PPO plan?
Better Thoughts is out-of-network. Most California PPO plans (Blue Shield, Anthem, Aetna, Cigna, United) reimburse 60–80% of out-of-network therapy fees. Email us to request a superbill any time; you submit it through your insurer’s member portal — see our reimbursement guide at /insurance-reimbursement for direct links and step-by-step instructions. HMO plans (Kaiser, etc.) typically don’t reimburse out-of-network — if you have an HMO, we can talk through whether out-of-pocket still makes sense on the free consult.
Can I see you from a different time zone within California?
California is one time zone, so this isn’t an issue within the state. If you travel out of state for work, we’d need to pause those weeks unless you’re in another state where I’m licensed — Connecticut, Maine, Rhode Island, or Vermont. That’s rare for most clients but worth knowing in advance.
Do you take Medi-Cal?
No — Better Thoughts is private-pay only. If Medi-Cal is your primary coverage, the most accessible option is usually a community mental-health agency or a county-run clinic that accepts Medi-Cal directly. I’m happy to talk through that on the consult call.
Common reasons California clients reach out
Each link goes to a focused page on what TEAM-CBT for that concern actually looks like — signs, how the work unfolds, and a condition-specific FAQ.
Perfectionism
A signature specialty — and the quiet driver behind a lot of what California professionals bring to therapy.
Read more →Anxiety
The tech-burnout / startup-anxiety / "what if I get laid off" pattern, worked directly.
Read more →Depression
For the high-functioning depression that keeps shipping while everything inside has gone flat.
Read more →Also licensed in
One therapist, five states. If you split time between California and any of the below, we keep meeting through the move.
Therapy in Connecticut
Executive burnout, perfectionism, and Yale / UConn students — for high-RPM lives.
Read more →Therapy in Maine
Anxiety, depression, SAD, and perfectionism — telehealth where in-person specialists are hard to find.
Read more →Therapy in Rhode Island
College students, recent grads, social anxiety, and perfectionism across the small-but-dense state.
Read more →Therapy in Vermont
Structured TEAM-CBT for clients who already do mindfulness or yoga and want the cognitive-behavioral toolkit too.
Read more →Local mental-health resources in California
Better Thoughts is a private telehealth practice — these external resources are independent and may help if you need crisis support, lower-cost care, or want to verify a clinician's license.
In a crisis
If you or someone you know is in immediate distress, the 988 Suicide & Crisis Lifeline is free, confidential, and available 24/7.
Call or text 988 →Community support & education
NAMI California offers free education, support groups, and family programs — a useful adjunct to therapy or a starting point if you're not sure what you need.
NAMI California →Verify any clinician's license
You can independently confirm any therapist's license — including Rose's — through California's public licensing-board lookup.
California Board of Behavioral Sciences — License Verification →Get started with Better Thoughts today
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