Concerns Treated

  • Personal / Intrapersonal Growth
  • Identity Exploration (e.g. self, social, gender, sexual orientation)
  • Relationship Transitions (e.g. Monogamy to Polyamory, infidelity, divorce)
  • Relationships and Social Dynamics (e.g. family, friends, romantic/sexual, dating)
  • Depression, Anxiety, and Stress
  • Grief and Loss
  • Wealth, Wealth Shame, and Family Money
  • Sex Therapy

Special Populations Served

  • Couples and Multiple Partners*
  • LGBTQQA and Non-binary folx
  • Subcultural Participants (e.g. Burners, Festivals, Artists)
  • Poly-knowledgeable, Kink-knowledgable, Trans-friendly
  • Public Figures (e.g. high-profile individuals, musicians)
  • Women/NB in Tech
  • People of Color
  • Childfree-by-Choice
  • GSRD (Gender, Sexual, and Relationship Diversity)

*Dr. Gadomski has received advanced postgraduate training in Emotionally-Focused Therapy and The Gottman Method, both of which are empirically-supported approaches to working with couples and partners.


Individual Rates
45-minute - $275
60-minute - $350

Couples / Multiple Partners
60-minute - $390
75-minute - $475
90-minute - $550

Please note that three 75-minute or 90-minute sessions are required for the initial couples/partners assessment.
I do not currently accept insurance. I am able to provide a monthly invoice for counseling sessions, which you may submit to your insurance company for reimbursement, if covered. Please contact your insurance company to confirm your out-of-network benefits prior to your first session.

Reduced Fees
Reduced fees are reserved for current clients whom may be experiencing financial distress.

Automatic payments are offered via credit card.

Full payment is due at the time of the session. Any adjustments to this payment schedule must be made in advance. If full payment is not provided during the session, a grace period will be extended to 6:00 pm the next business day. After 6 pm on the next business day, there will be a $20 charge for late payments made within the same week and a $30 charge for late payments made the following business week.

Cancellation Policy
Should you need to cancel a session, please inform me as early as possible. Full payment will be due for cancellations made less than 48 hours in advance.

Standard Notice
You have a right to receive a Good Faith Estimate of expected charges under the No Surprises Act, explaining how much your medical care will cost. Under the law, health care providers need to give patients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. Make sure your health care provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your health care provider, and any other provider you choose for a Good Faith Estimate before you schedule an item or service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit or call Dr. Beth Gadomski at (415) 890-3995.


If you would like to schedule a complimentary 15-minute phone consultation, you are welcome to contact me by phone or email – or book directly online.
San Francisco Bay Area, including Oakland, Berkeley, San Francisco, Marin County, and California residents

Phone: (415) 890-3995
Fax: (415) 901-6581