My work reflects my extensive knowledge and experience with non-normative lifestyles and sexual minorities (including the LGBTQIA++ communities, kink/BDSM, sex worker and ethical /consensual non-monogamy), as well as extensive and ongoing education, in psychology, sex therapy, and sexology.
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My group practice is Los Angeles Sex Therapy (LAST)
LAST has a team of therapists and coaches with diverse experiences, specialities, scheduling options and fees. All LAST practitioners work virtually.
The therapists and coaches at LAST offer virtual and online psychotherapy/sex therapy/coaching
We currently work "out-of-network" with insurance companies, which means, we may provide a superbill if you want to seek reimbursement from your insurance company. We do not bill insurance companies directly. You must let us know if you need a superbill.
At LAST, we believe that everyone should have access to mental health and tools to access pleasure and authenticity in a way that is accessible for your individual needs and style. If our style, fees and services are not be a perfect fit for you, we will give you referrals.
Click here to work with a LAST Therapist or Coach
At Los Angeles Sex Therapy or LAST, we prioritize sexuality and pleasure, while centering the experiences of BIPOC, LGBTQIA, gender variant, kink, non-monogamous, polyamorous, BDSM, sex worker and and the intersectionality of all or any. We work to emphasize and celebrate our differences, find real solutions, focus on empowerment, and healthier attitudes around sexuality, race and gender.
How long does sex therapy last?
Sex Therapy is often a more goal oriented style of counseling as folx crave more action-oriented results. And, everyone is different! While we may have an ongoing long-term relationship, we believe the best work focuses on goals. I will discuss length of treatment with you, and revisit your goals with you every 3-6 months.
LAST's psychotherapy, sex therapy and partner therapy services are meant to support you in personal, relational, sexual and/or professional growth and development. While ongoing attendance in these can lead to substantial improvement, the process itself may not always be comfortable. You may gain awareness in your experience in psychotherapy, coaching or consulting which may help you decide to make changes in your life as a result. Changes which could in turn affect your relationships, your work, etc. When you consent to participate in our sessions you should take into consideration its potential benefits, risks and nature of the services. It is also important to recognize that while there are no guarantees, commitment and effort both during and in-between sessions will increase your chances for the most beneficial of outcomes.
Coaching vs. Sex Therapy/Psychotherapy
LAST's psychotherapy, sex therapy and partner therapy services draw on the team's extensive clinical work with individuals, families and couples. Your work may delve much deeper into longer standing issues, where you and your therapist will spend more time processing and understanding, developing insight, bridging gaps and defining the tools needed to work through more challenging issues, and road blocks while realizing and developing needs and goals.
Coaching and consulting differ from psychotherapy in that it does not address serious mental health issues. However, we do believe that working with a coach can significantly reduce distress and indireclty reduce the effects of lonstanding issues and truama. Coaching focuses on the present, and forward movement through positive thinking and discipline.
Please note: Coaching should not replace psychotherapy or other medical interventions, and are not billable via insurance. Your therapist or coach will refer you out if they feel our services are not a good fit for you.
Learn more about the LAST therapists and coaches here.
Contacting Your Therapist/Coach
You are free to contact your therapist between sessions. There is a fee based on the session fee for all calls lasting longer than 5 minutes. If they are not available to take your call, you can leave a message and our intake coordinator will return your call as soon as possible. If you need to speak with your therapist immediately, please leave a message indicating that your call is urgent and our intake coordinator will make every effort to return the call within 24 hours. PLEASE do not text regarding personal matters. Texting is reserved for scheduling and rescheduling appointments only. If you need to discuss personal matters please try to reach your therapist via voice.
If you are experiencing an emergency, please call 911.
Session Framework and Payment
Sessions are 45-50 minutes in length depending on the focus of the work, while the frequency varies depending upon your needs. 75 minute or bi-weekly sessions are occasionally recommended for people working through acute issues. Generally, services will continue until you and your therapist decide together that the work is complete. Payment is due at the time of service. If you have not taken care of your financial obligation within ninety days, LAST reserve's the right to proceed with formal collection activity.
Appointments/Missed Appointments/Rescheduling/Booking Online
When you reserve a spot you will be asked for your credit card information.
In order to make our business sustainable we need all our time slots filled.
48 hours for cancel or reschedule is REQUIRED. There are no exceptions to this policy. All first sessions shall be reserved with a credit card.
The credit card will be charged only if the first session is missed. Should you cancel or reschedule the session within 48 hours your credit card will not be charged. Also, your card will not be charged until your first session, after you and your therapist have discussed the fee. Appointment times are reserved for you in advance. Once you book a day and time we can no longer give that time to someone else. Before making an appointment please consider how serious you are about showing up. You may call and leave a message, e-mail or text to cancel or reschedule any day of the week or weekend.
I am under legal and ethical obligation not to let a balance accumulate substantially. This is one of the reasons I require all sessions to be paid for at the time of service. If the balance rises substantially this can create a debtor-creditor relationship, which, together with the therapist-patient relationship, can constitute a dual relationship.
Refunds are not provided for services rendered.
At LAST we take confidentiality very seriously. Everything you disclose in our sessions is confidential with the exception of what is required by law to disclose it (e.g., where there is reasonable suspicion of child, dependent adult or elder abuse, when you pose a danger to others or when you pose a danger to yourself unless protective measures are taken). Should the necessity of releasing confidential information arise, every reasonable effort will be made to discuss this matter with you first; it is my preference to make any such disclosures together with you in person. If you have any questions about the exceptions mentioned above, or if you need any further clarification, I encourage you to discuss them with your therapist directly.
LAST will work out-of-network with most insurance companies, which means we require payment by credit card at the time of your visit. You may then submit our invoice to your insurance company so that they can reimburse you. The amount you will be reimbursed depends on your insurance policy and out-of-network mental health benefits. *This is only available for psychotherapy clients within CA only.
A growing number of insurance companies reimburse for psychotherapy. To confirm that your insurance company will reimburse for our services, I recommend calling them by phone and asking: "Does my policy cover mental health visits with out-of-network providers?" and “What is my deductible for these visits and how much will I be reimbursed?”
To simplify the reimbursement process, we may email you an invoice at the end of every month with insurance billing codes, which is a receipt for your visit. You can submit this invoice directly to your insurance company. If the process is unclear, our practice manager will be happy to guide you through it.
Payment for services is payable directly to Los Angeles Sex Therapy or Moushumi Ghose, MFT. Your insurance policy is a contract between you and your insurance company. Even when we have such a contract with your insurance company, if they do not cover services, you are responsible for the payment. A separate contract exists between you and me regarding services.
We do not place calls to insurance companies. The client must handle all communications related to insurance companies.
Please note that insurance companies vary widely in their policies regarding reimbursement for psychological treatment and therapy. If you cancel or reschedule a session less than 48 hours in advance or miss an appointment you will be billed for this session and insurance cannot be billed for the cancelled/missed session. The client is responsible for verifying and understanding the limits of his/her coverage, as well as his/her co-payments and deductibles. PLEASE KNOW AND UNDERSTAND YOUR INSURANCE COVERAGE PRIOR TO ATTENDING YOUR FIRST THERAPEUTIC SESSION.
All sessions are VIRTUAL