Psychotherapist in Nevada City

Specializing in Ketamine Assisted Psychotherapy

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Are you someone that has done a lot of therapy - but still feel unable to reach your goals?

Or someone new to talk therapy and looking to better understand your internal world and build better habits and stronger relationships?

I offer an approach that integrates a holistic perspective that blends psychological work with attention to the nervous system and relationships.

I incorporate psychedelic assisted therapy when appropriate, as well as a focus on nutrition, movement and sleep - the foundations that support mental health and healing. I also bring an attachment-based lens, helping you make sense of how your earliest relationships continue to shape your life today. Lastly, I draw from the science of habit formation.


Josh Lepore with a beard and short dark hair, wearing a white button-up shirt, standing outdoors with green trees in the background.

Meet Josh Lepore

Hi - I’m Josh Lepore (Psychologist), a therapist in Nevada City, CA. I have worked with adolescents and adults in Residential Treatment and Health Care setting for the last 20 years. I enjoy working with a broad range of people from different age groups and walks of life. I specialize in supporting people who have experienced trauma, difficulties in relationships, challenges with chronic medical conditions, and difficulties with motivation.

I incorporate psychedelic assisted therapy when appropriate, as well as a focus on nutrition, movement and sleep - the foundations that support mental health and healing. I also bring an attachment-based lens, helping you make sense of how your earliest relationships continue to shape your life today. Lastly, I draw from the science of habit formation.

How I Can Help

  • Healing attachment wounds & relational patterns

  • Exploring & integrating protective and wounded parts (Internal Family Systems)

  • Processing trauma in a safe, structured environment

  • Enhancing self-awareness, self-compassion, and personal growth

  • Strengthen sense of purpose

  • Developing habits more aligned with long-term goals

 Frequently Asked Questions

  • My fee for Individual Therapy is $150 for a 50-minute session.

    My fee for 2 hour ketamine sessions is $300

  • Like many other therapists in private practice, I do not bill commercial insurance directly. If you have an insurance plan that includes coverage for out-of-network providers, I am happy to supply you with monthly invoices (superbills) that you can submit for reimbursement (typically this covers a good percentage of my fee). Check with your plan directly to verify your coverage. You may be asked for the CPT code in order to verify reimbursement rate; the CPT code for 50-minute individual sessions is 90834 and the CPT code for 60-minute individual sessions is 90837.

  • I typically see individual clients once per week. Seeing each other weekly allows for the work to move along at a good pace.

  • At this time I do NOT see children. I would be happy to share some referrals with you for local child therapists that I know and trust, if that would be helpful.

  • This is a very important question. You are dedicating time and resources and want to be sure you are picking the right person. You should consider logistical factors (office location, availability) as well as personal factors (my training and expertise, personality, and 'the feel' you get). An initial phone conversation should be able answer some of these questions - I suggest that you think about the questions that will inform your decision. Sometimes you have to be in a room with someone before you truly have a feel for the person. The first couple of face-to-face sessions can continue to inform your decision and we can talk about any ongoing reservations or concerns you might have.

Therapy Specialities

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