Private practice
Psychological work
for people who already perform.
Adults who keep a public or high-output life often limit themselves in the internal process — the hesitation, the repeating pattern, the decision that does not land. That is the work.
Conversational, adult, one-to-one. Private-pay. One practitioner.
The practice
One practitioner. A confidential room.
You meet with one practitioner. There is no clinic waiting room, no group program, and no insurance form as the way in. Whether we work by video or in person is confirmed in a first conversation, along with whether the work can be offered where you live.
Sessions stay with what is actually happening: the week you are in, the pattern that keeps repeating, the places you hold yourself back. This is not a program, and it is not motivational coaching.
Who this is for
01
Adults who already perform
The outer life is running. The work is the internal limit: how you restrict yourself while you do the job.
02
When the work is public
Output is visible. The room is not. A conversation that does not become content.
03
Private-pay by design
This practice does not bill insurance. There is no diagnosis code as the way in. One practitioner.
Work
How the work is structured
01
A short note
You write briefly. No portal. No intake questionnaire. Do not send what you would only share inside a clinical relationship.
02
A first conversation
If there is a fit, we schedule. If not, you hear that plainly. A reply is not treatment and does not create a client relationship.
03
Ongoing sessions
Fifty minutes, eighty minutes, or longer when needed. Weekly is common. Sessions are scheduled as they are needed.
Fees
Fees are stated in writing first.
This practice does not bill insurance. Fees, sitting length, and payment terms are stated in the first conversation, in writing, before any ongoing work begins. Sittings are typically 50 minutes, 80 minutes, or longer. Payment at the time of service unless another arrangement is written.
Self-pay clients may request a Good Faith Estimate. A superbill, if it is appropriate for you to submit to a plan, is discussed up front. Reimbursement is never guaranteed. Twenty-four hours’ notice to cancel; late cancels and missed sessions are billed at the session rate.
Practice
Jess Duran
A solo practice. Conversational work with adults. Credentials are confirmed in the first conversation so you can verify them before ongoing work begins. A license number is not printed here until it is locked.
Not psychiatry. Not a hospital. Not crisis, after-hours, or forensic work. Medication is not prescribed. Court-mandated treatment and emergency care are outside the scope of this practice. If you are in danger, call 911. In the US, call or text 988.