California Telehealth
Online Therapy Across California
Sex therapy, perinatal mental health care, and postpartum intimacy support for clients located in California.
ROAM is based in San Francisco and offers telehealth therapy across California. Online care can make specialized support more accessible for people balancing work, caregiving, pregnancy, postpartum recovery, transportation, privacy, disability, or other access needs.
During consultation, ROAM will talk with you about whether telehealth feels clinically appropriate for what you need right now.
Fees & Access
Session Fee & Access
$200per 50-minute session
ROAM offers self-pay therapy for clients who are able to pay the standard session fee. Self-pay means paying directly for therapy rather than using insurance. ROAM does not currently take insurance.
ROAM's standard fee is $200 per 50-minute psychotherapy session with Hiromi "Romi" Ortega Roque, AM, LCSW (CA #126338), PMH‑C. Fees are paid to ROAM Therapy, a 501(c)(3) nonprofit, and help sustain clinical services, operations, and access-centered programming.
Therapy fees are payment for services and are not tax-deductible donations. Reduced-fee availability depends on current funding and program capacity, and fees are discussed clearly before intake.
Book a Free ConsultationTelehealth Can Support
What to Expect
Where You Are Located Matters
ROAM provides psychotherapy to clients who are physically located in California at the time of service.
The First Step Is a Consultation
A free 15-minute consultation gives you space to share what you are looking for, ask questions, and talk through fit.
Care Is Still Relationship-Based
Telehealth can offer privacy, accessibility, and continuity while still making room for trust, pacing, and collaborative goals.
Privacy, Safety, and Fit
Before telehealth sessions begin, ROAM will review consent forms, privacy practices, fees, emergency contact information, and required client notices. Clients are asked to join sessions from a private space when possible and to confirm their location at the start of care.
ROAM is not a crisis service. If you need urgent support, call or text 988, contact a local crisis service, or call 911.
Considering Telehealth?
Schedule a free 15-minute consultation to talk through your needs, location, and whether ROAM feels like a good fit.
Book a Free Consultation