Online Therapy and Virtual Outpatient Care for Marin County Clients

Blackburn Clinical Services offers Marin County adults private-pay therapy and the Concierge Outpatient Program, a one-on-one alternative to IOP, by secure video for clients located in California. Our only office is in Los Angeles, so Mill Valley, San Rafael and West Marin clients meet us online. Call (888) 870 7405.

What does Blackburn offer Marin clients?

• Video only, here: we do not have an office in Marin County; care is by secure video. Our Los Angeles office is about 357 miles from San Rafael in a straight line.
• One-on-one therapy for anxiety, depression, grief, relationships and substance use.
• The Concierge Outpatient Program: roughly 3 to 5 focused hours a week, all individual, with therapy, psychoeducation, coaching and case management by video.
• Psychiatric care can be arranged when it is needed.
• Office-only services such as Brainspotting stay in Los Angeles.

What is changing in Marin, and how does it show up in therapy?

Marin is small and getting smaller. The county had about 250,823 residents on January 1, 2026, down 0.9 percent in a year, according to the California Department of Finance. San Rafael, the county seat, had about 59,890 and Mill Valley about 13,694. Grown children moving away, friends leaving for cheaper states and parents aging in place all come up in session.

The people who call us from Marin tend to fall into a few groups. Commuters who cross the Golden Gate Bridge or take the Larkspur or Sausalito ferry into San Francisco and feel the day bookended by traffic. Retirees and empty nesters working through grief, a late divorce or a drinking habit that grew once the schedule went away. Parents worried about a teen or a twenty-something who came home and has not launched. Families with wealth who want discretion; with written permission we can give a trustee attendance and general progress updates, as described on our page for trustees.

North Marin has its own commute. Novato households often drive the 101 toward Santa Rosa or San Francisco, and the SMART train now links Larkspur, San Rafael and Novato with Sonoma County. Long days on either line leave little room for a midweek appointment, so many Novato clients prefer an early video session before they leave home, or one from a quiet corner at work.

Fire season is part of life here too. Red flag days, evacuation warnings and planned power shutoffs strain sleep and nerves, especially in the hills above Mill Valley, Fairfax and San Anselmo.

Where does Marin County’s public Access Line fit?

Marin County Behavioral Health and Recovery Services runs an Access Line at 888-818-1115, 24 hours a day, 7 days a week, for information, screening, assessment and referrals for mental health or substance use services (Marin County HHS). County services focus mainly on Medi-Cal members. If you are paying privately and want individual attention without a waitlist, that is where we usually fit.

How do you choose between weekly therapy and the program?

Question	Weekly therapy	Concierge Outpatient Program
Hours a week	About one	Typically 3 to 5
Groups	None	None
Who it suits in Marin	Steady life, specific goals	Drinking, relapse risk, step down from residential
Coaching and case management	Not included	Included
Psychiatric care	Can be arranged	Can be arranged

Both are covered in more depth on our virtual outpatient program page and our California telehealth therapy overview.

Will video work from West Marin?

Connectivity can be patchy past Fairfax and along Highway 1 toward Stinson, Bolinas and Point Reyes Station. Test your connection from the exact room you plan to use, sit close to the router, and keep a phone handy in case a call drops. If a vacation or a visit to family takes you out of state, we reschedule, because sessions require that you are in California at the time.

How does private pay work?

We do not bill insurance. If your plan has out-of-network benefits, the superbills we provide for reimbursable services can be submitted for possible reimbursement. See the private pay FAQ and fees and insurance.

Questions from Marin County clients

Do you have an office in Marin County?

No. We do not have an office in Marin; care is by secure video. Our only office is in Mar Vista, Los Angeles.

Can I start the Concierge Outpatient Program from Mill Valley or San Rafael?

Yes. Clients located in California join by secure video for therapy, psychoeducation, coaching and case management, usually 3 to 5 hours a week with no groups.

Do you help retirees and empty nesters?

Yes. Grief, loneliness, marriage strain and drinking that increased after retirement are common reasons Marin adults call us.

Can a trustee receive updates?

With your written permission we can update a trustee. Updates cover attendance and general progress only.

Is psychiatric care available?

Psychiatric care can be arranged and coordinated with your therapist. Ask about it when you call.

What if my internet in West Marin is unreliable?

Test the room before your first session and keep your phone nearby. If a session drops, we reconnect or reschedule.

How do I get started?

Call (888) 870 7405 or email info@blackburnclinical.com. Neighboring pages: San Francisco and Napa and Sonoma, plus our Northern California hub.

Crisis: call or text 988, or 911 in an emergency.

Sources

• California Department of Finance, E-1 estimates, January 2026
• Marin County HHS: Get mental health or substance use services
• 988 Suicide and Crisis Lifeline (988lifeline.org)