Integrative Therapy for a More Authentic Life

Navigate life with clarity and care with NEST's specialized therapy services. Our clinical team offers grounded, personalized support to help you navigate life’s complexities. Whether you’re processing the past or discovering what’s next, NEST can help you find your path.

Ready to thrive?
Schedule your consultation today.

In-network Insurance

Coverage varies by clinician

About NEST

NEST is a progressive therapeutic clinical practice dedicated to accessible, inclusive mental health care. We work with adults, couples, families and teens who are committed to making impactful changes to their lives and relationships. We believe everyone deserves compassionate support on their healing journey—regardless of identity, relationship style, or life circumstances.

Our Commitment:

  • Compassionate, confidential psychotherapy - virtual, walk & talk, & in-person

  • Psychedelic-informed preparatory/integration & Ketamine-Assisted Psychotherapy (KAP)

  • Diverse, LGBTQIA+ affirming and culturally responsive care

  • Alternative relationship & ethical non-monogamy/poly-informed providers

  • Substance use disorder support from a harm reduction lens

  • Trauma-informed practices across all services

  • Sliding scale and insurance options for accessibility

Our Services

Individual, Couples & Family Psychotherapy

Transform your relationship with yourself and others through personalized, evidence-based therapy.

Our clinicians specialize in:

  • Trauma Recovery: Healing from past experiences with compassionate, trauma-informed approaches

  • Anxiety & Depression: Building resilience and coping strategies for emotional wellness

  • Relationship Dynamics: Improving communication, intimacy, and connection

  • Professional Burnout: Addressing compassion fatigue and career-related stress

  • Substance Use Support: Harm reduction approaches to create healthier relationships with substances

  • Life Transitions: Navigating major changes with confidence and clarity

50-minute virtual sessions: $125–$250
Walk-and-talk therapy & in person sessions available in Los Angeles

Ketamine-Assisted Psychotherapy (KAP)

Experience breakthrough healing through our innovative KAP program, offered in partnership with trusted medical prescribers.

KAP combines the therapeutic benefits of ketamine with psychotherapy to help clients achieve:

  • Faster symptom relief

  • Deeper therapeutic breakthroughs

  • Sustained improvement in depression, anxiety, and trauma symptoms

Available virtually, in person, & home concierge services in Greater Los Angeles

Psychedelic Support & Consultation

Gain clarity, safety, and support around psychedelic use through individualized preparation and integration sessions. Our clinicians offer a grounded, nonjudgmental space to help you make sense of experiences and approach altered states with intention

We specialize in:

  • Preparation: Setting intentions, reducing risks, and cultivating supportive environments

  • Integration: Making meaning of insights and applying them to daily life

  • Harm Reduction: Navigating challenges and repairing after difficult experiences

  • Education & Resources: Guidance for individuals, families, and communities

Available virtually and in-person in Los Angeles

Service Areas

We provide virtual therapy services to clients located in California and Colorado due to licensing requirements.

Why Choose NEST?

Accessible Care

We're committed to making quality mental health care available to everyone:

  • Insurance accepted (Aetna, Optum, and others)

  • Superbills provided for out-of-network reimbursement

  • Sliding scale options for economic hardship

  • Transparent "good faith" estimates provided upfront

Specialized Expertise

NEST clinicians bring specialized training in:

  • Somatic Experiencing

  • EMDR

  • Ketamine-Assisted Psychotherapy (KAP)

  • Psychedelic prep & integration

  • LGBTQIA+ affirming practices

  • Non-monogamy and alternative relationships

  • Trauma-informed care

  • Mindfulness-based interventions

Modern, Flexible Approach

  • HIPAA-compliant telehealth platform

  • In-Person & Walk & Talk available in Los Angeles Area

  • Flexible scheduling options

  • Person-centered treatment planning

  • Evidence-based practices adapted to your unique needs

What to Expect

Initial Consultation

We will discuss your goals, background, and determine the best treatment approach for your unique needs.

Several of our clinicians provide insurance and superbills is available for all clients.

We offer coverage in California and Colorado.

First Sessions

Comprehensive intake and assessment help us understand your story and create a personalized treatment plan.

Make sure you have reliable internet and a private, comfortable space.

50-min sessions with HIPAA-compliant video platform

Ongoing Work

Person-centered therapy tailored to your pace, preferences, and evolving goals.

Meet Our Founder

Erica Siegal, LCSW
CEO & Founder

Erica brings over 20 years of experience in mental health, harm reduction, and community wellness. As a licensed clinical social worker (CA 86622), she combines clinical expertise with a passion for creating safer, more inclusive spaces for healing.

Background:

  • Master's in Social Work, USC

  • B.A. in Hospitality Administration, Cornell University

  • Psychedelic-assisted psychotherapy researcher (2014-2019)

  • Harm reduction educator and crisis responder at major events worldwide

Specializations:

  • Psychedelic integration and ketamine-assisted psychotherapy

  • Harm reduction education and policy

  • Community organizing and consulting

  • Trauma-informed care

  • Relationship and couples therapy

Accepting new clients - Insurance: Aetna, Anthem, Optum, Oscar, Oxford, United Healthcare

Meet Our Clinical Team

Ready to Begin?

Take the first step toward the life you deserve.

Schedule your consultation today and discover how NEST can support your journey toward healing, growth, and authentic living.

Harm Reduction & Psychedelic Integration

We honor the long history of plant medicine and altered states in human healing while acknowledging current legal realities. NEST provides non-judgmental support for those who choose to explore consciousness through various means.

Our Philosophy

  • Cognitive liberty is a fundamental right

  • Indigenous wisdom traditions deserve respect and recognition

  • Harm reduction saves lives and promotes wellness

  • Integration is key to lasting transformation

Services Include

  • Pre-experience preparation and intention setting

  • Integration therapy for psychedelic experiences

  • Support for challenging or difficult experiences

  • Education on safer use practices

  • Family support for loved ones

Frequently Asked Questions

  • All of our services are offered virtually and we do not currently have office space. Depending on your needs, we do offer in-home services for ketamine-assisted psychotherapy patients in the greater Los Angeles area.

  • Yes! Research shows telehealth therapy is equally effective for most concerns. Many clients prefer the comfort and convenience of therapy from home.

  • Several clinicians are in-network with major insurers including Aetna and Optum. We provide superbills for out-of-network reimbursement for all clients.

  • We offer sliding scale options for clients experiencing financial hardship. Contact us to discuss your situation—we're committed to making care accessible.

  • Yes! Several of our clinicians offer Ketamine-Assisted Psychotheraoy (KAP) through Journey Clinical & Dr. Wesley Ryan, MD. If you’re interested in KAP, let us know and we would be happy to assist in getting you evaluated to see if KAP is right for you.

  • Spiritual experiences, extreme altered states of consciousness and psychedelics all have the potential to provide profound insight into the human experience. Whether intentional or not, these experiences can have lasting effects on the person and the way they experience the world. NEST’s providers are all well-informed, psychedelic-friendly practitioners who will help to discuss, process and integrate your experience.

  • Our sessions are 50 minutes long and are conducted on a HIPAA-compliant video conferencing service through TheraNest. You’ll need a good internet connection and a quiet place where you feel comfortable to speak freely about the things happening in your life.

    We’re a person-centered psychotherapy practice, so we try our best to tailor our sessions to your specific needs and goals. During the first few sessions, you’ll be asked a series of intake and assessment questions that will help us get to know you better and help to determine what therapy will look like for you.

  • Yes! We can provide a superbill to you that you will supply to your insurance company for benefit reimbursement.

  • We can only see psychotherapy clients in California and Colorado. NEST does provide public trainings, peer support and workshops that are open to everyone, anywhere.

  • Absolutely. Our entire clinical team is trained in LGBTQIA+ affirmative practices and understands the unique aspects of non-traditional relationships. You won't need to explain or defend your identity or lifestyle—we get it.