Therapy with a plan, for people used to having one.
Structured, evidence-based care for trauma and PTSD, anxiety, and depression. Clear goals from the first session and an honest read on progress along the way.
Book a Free 15-Minute Consult or call (916) 583-8810Most people who reach out are still getting everything done.
They're going to work, answering the messages, and showing up for the people who count on them. What brings them in is what it costs to keep that going.
Trauma and PTSD
Something that happened, recently or long ago, that still shows up in sleep, in the body, or in how safe the world feels.
Anxiety
Worry that passes for productivity: overpreparing, rechecking, rarely fully off.
Depression
A flat, heavy stretch that won't lift, even when life looks fine on paper.
Burnout and Perfectionism
Standards that got someone this far and are now making everything harder.
Licensed Marriage and Family Therapist
California License #163796
M.A., Marriage and Family Therapy
Trained in Cognitive Processing Therapy
Vincent Tomaiuolo, LMFT
I'm a licensed marriage and family therapist based in Sacramento, working with adults across California by video. Before opening this practice, I worked where the stakes were high and time was short: a suicide prevention crisis line, and urgent mental health assessments in schools, shelters, and hospitals.
That work taught me something simple. People do better with someone steady, honest, and clear about the plan. That's the therapist I try to be.
More About VincentA 15-minute call is a reasonable place to start.
No preparation needed. Consults can be booked online or by phone, and any question is fair game.
Book an AppointmentGet in Touch
About
To give adults across California access to therapy that is structured, evidence-based, and honest about progress, delivered with steadiness and respect.
My ApproachI rely on approaches with solid research behind them, and I explain what we're doing and why as we go. Most people I work with like knowing the plan. When a week calls for something other than the plan, we deal with what's in front of us. Progress gets checked, not assumed.
Vincent Tomaiuolo, LMFT
About VincentI'm a Licensed Marriage and Family Therapist based in Sacramento, my hometown, and I see adults across California by secure video. My clinical background spans crisis work, community mental health, and specialty outpatient treatment.
I started on a suicide prevention crisis line, building safety plans with callers in some of the hardest moments of their lives. From there I conducted urgent mental health assessments in schools, shelters, inpatient settings, and hospitals, and provided therapy to adolescents and adults. Today I also work as a primary therapist in a specialty outpatient treatment program, providing individual, group, and family therapy as part of an interdisciplinary team.
Across all of it, one thing has held true. People do better with someone steady, honest, and clear about the plan. That's the therapist I try to be.
EducationM.A., Marriage and Family Therapy, California School of Professional Psychology at Alliant International University (2024)
B.A., Psychology, California State University, Sacramento (2022)
Licensed Marriage and Family Therapist, California Board of Behavioral Sciences, License #163796
Training and Certifications- Cognitive Processing Therapy (CPT) for PTSD
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Psychological First Aid, Johns Hopkins University
- QPR Suicide Prevention, QPR Institute
- Psi Chi International Honor Society in Psychology
Services
Individual telehealth therapy for adults located in California.
Areas of Focus
Trauma and PTSD
Something that happened, recently or long ago, that still shows up in sleep, in the body, or in how safe the world feels.
Anxiety
Worry that passes for productivity: overpreparing, rechecking, rarely fully off.
Depression
A flat, heavy stretch that won't lift, even when life looks fine on paper.
Burnout and Perfectionism
Standards that got someone this far and are now making everything harder.
Grief
Loss that doesn't follow anyone else's timeline.
Service Members and Veterans
Working through what service, deployment, or the transition home left behind.
Young Adults, and Their Parents
The first stretch of independent life: school, work, relationships, and direction. Parents of a young adult are welcome to call and talk through whether therapy makes sense, and what their role in it might be.
Evidence-based doesn't have to mean rigid.
Cognitive Processing Therapy for Trauma
Cognitive Processing Therapy, or CPT, is one of the most researched treatments for PTSD and carries the strongest recommendation in the major clinical practice guidelines, including the one used by the VA and the Department of Defense. It's a defined course of treatment, often about twelve weekly sessions, with room to adjust the pace.
CPT focuses on the conclusions trauma tends to leave behind, the ones that feel true but don't hold up once they're looked at closely, in areas like safety, trust, power and control, self-worth, and closeness. Short written practice between sessions carries a lot of the work forward. I completed formal CPT training and take part in ongoing CPT consultation.
Cognitive Behavioral Therapy (CBT)
Practical work on the thoughts and habits that keep anxiety and low mood going.
Dialectical Behavior Therapy (DBT) Skills
Concrete skills for intense emotions, distress, and relationships.
Acceptance and Commitment Therapy (ACT)
Making room for hard feelings while still moving toward what matters.
Client-Centered Therapy
The client sets the direction. My job is to help get there.
From First Call to First Session
A free 15-minute consult
A short phone call to talk through what's going on, ask questions, and decide whether we're a good fit. If we're not, I'll point toward other options.
Online paperwork
Intake forms and consents are completed through a secure client portal. It takes about ten minutes.
The intake session
Fifty minutes on history, goals, and what's getting in the way. We finish with a working plan.
Regular sessions
Sessions by secure video. As things improve, sessions can space out. Therapy is meant to end once the work is done.
We're here to help.
A free 15-minute consult is the easiest way to find out whether this is a good fit.
Book a Free ConsultFees & Insurance
Self-Pay Rates
| Service | Length | Fee |
|---|---|---|
| Consultation | 15 minutes, by phone | Free |
| Intake session | 50 minutes | $175 |
| Individual session | 50 minutes | $175 |
| Extended session | 75 minutes | $260 |
Visa, Mastercard, Discover, American Express, and HSA or FSA cards. Fees are due at the time of service and charged to the card on file.
CancellationsAppointments cancelled or rescheduled with less than 48 hours' notice, and missed appointments, are charged the full session fee. Fees may be waived for documented emergencies.
InsuranceI'm currently an out-of-network provider. A superbill, a detailed receipt for submitting to an insurance plan, is available on request. Many PPO plans reimburse part of out-of-network therapy, but coverage varies, so it's worth checking with the plan before starting.
Under the No Surprises Act, people who are uninsured or not using insurance have the right to receive a Good Faith Estimate of expected charges. Every self-pay client receives one in writing, and an updated estimate is available at any time on request. If a bill comes in at least $400 above the estimate, it can be disputed. More information is available at cms.gov/nosurprises or by calling 1-800-985-3059.
Contact
New clients can start with a free 15-minute phone consult.
Call or Text
(916) 583-8810
Fax (916) 890-2469
PO Box 188265
Sacramento, CA 95818
Sessions are held by secure video through SimplePractice. Clients need to be physically located in California at the time of each session.
MessagesPhone, text, and email aren't fully secure, so they're best kept to scheduling and logistics. Messages are generally returned within two business days.
Privacy and TechnologyClient records are kept in a HIPAA-compliant electronic health record. AI-assisted note tools are used only with a client's written consent, and declining them never affects care.
This practice is not a crisis service and messages are not monitored for urgent needs. In a mental health emergency, call or text 988 (Suicide & Crisis Lifeline), call 911, or go to the nearest emergency room.