Live a new experience

Sage River Psychotherapy

Shift patterns that are keeping you stuck, build deeper connections, & rediscover the love you have for life. Supporting individuals, couples, & families in Sacramento and virtually across California.


In-person and online appointments available


Daytime, evening, and weekend sessions

Trauma Informed

Blending the art and science of human growth

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Connection matters

Hi, I’m Sean. At Sage River, we believe relationships are the foundation on which all our lives are lived. We crave connections that give us love and allow us to show love.

When you’re struggling to find a connection to yourself, your partner, your friends, colleagues, or family – your whole world can feel unbalanced.

Therapy can help you enjoy safe, compassionate, and authentic relationships with yourself & others

You may be experiencing:

We provide virtual and in-person therapy in order to calm your mind, ease your body, and gain control of your life.

Psychotherapy in Sacramento

Our Therapy Services

Individual Therapy

Couples Therapy

Child Therapy

Teen Counseling

Family Counseling

Men's Mental Health

Additional Areas of Focus

Trauma Therapy

Anxiety Treatment

Depression Therapy

Relationship Counseling

Emotionally-Focused Therapy

Somatic Therapy

Our team of psychotherapists are trained to gently guide you through the process of healing your relationship with yourself and others.

About Us

Why Work With Sage River Psychotherapy?

Sean and Luana Cook

Drs. Sean & Luana Cook

Psychologists, Certified EFT Therapists and Supervisors, Co-Founders of Sage River Psychotherapy

Come as you are...

We believe therapy is about making connections that heal. It doesn’t feel good to be alone, to be marginalized, hurt, disbelieved, or punished for using your voice. As people, we are designed to depend on each other. Just as the tree needs connection with the soil to spread its roots, and the sun and the water to nourish its leaves and branches; we need connection to the elements in life that nourish our essence. We all need to love and be loved, to experience freedom within who we are, and to feel the empowerment that comes from living authentically as ourselves.

Whatever has happened to you, know that we see you. Your feelings are real.

We can help you understand your feelings (they’re here for a reason), and learn what you need when you’re feeling them. When you can listen to what is inside you without fear, you feel more alive; and your relationships—your connections—become safer, more compassionate, and more authentic. When you experience a new way to handle what is breaking you apart, you rewire the connection within yourself, and this is where healing begins.

Therapy will help you hold and process what has happened to you (is happening to you) and build the connections you need to heal.

Stay as long as you need.

Drs. Sean & Luana Cook

Psychologists, Certified EFT Therapists and Supervisors, Co-Founders of Sage River Psychotherapy

Our Therapy Principles


Why try to work with some other moment, when this one is the door to experience – and experience is the only thing that truly heals, grows, and changes us?


We belong to ourselves, to each other, and to the natural world. Every last bit of suffering is birthed in our disconnection from true, deep belonging in one or all of those domains.


We can be interested, present, and spacious–good qualities, all–but healing requires another ingredient–warmth. No flower can bloom without the sun.

Meet Our Team

Your Sage River Psychotherapy Guides

Our Approach to Counseling

How Our Therapy Works

Sage River Psychotherapy note

We start by listening to your story.

We focus on what made you want to pick up the phone and call us, getting to know your history, your challenges, and where you would like to be. Our goal is to create a safe environment where you can experience something different.

Sage River Psychotherapy heart

We are here with you.

As you tell your story, we focus on the feelings that are coming up right now, equipping you with the tools to identify and process your experience. Together, we walk the steps towards understanding and managing your situation.

Sage River Psychotherapy

We work alongside you.

We don't rush through the process. Instead, we slow things down to make space for new experiences that can pave the way for transformative growth, shifting the map of possibility.

The only requirement is a willingness to begin.

Frequently Asked Questions

We are out-of-network providers. As such, we do not directly bill insurance companies for the services we provide. As a courtesy to our clients with PPO insurance plans, we provide statements which can often be used to seek reimbursement. Clients have the right to receive a Good Faith Estimate, read more here.

We have partnered with Mentaya to help our clients save money on therapy. Click here to use the calculator and see if you qualify for reimbursement for our services.

The number of sessions varies depending on your unique goals and background. Because we work in a deep, relational way, it is unusual that clients would spend less than 6 months in therapy (20-24 sessions). Many clients find the therapy experience rewarding in an ongoing way, and may stay with their therapist much longer. For therapy to support lasting ease and connection, it is important that you keep enough momentum such that older patterns of survival can be shifted and transformational changes can be truly integrated. We usually recommend starting with weekly sessions and have found that this “dosage” usually saves time and money in the long run.

Good question. Mindfulness is embedded in the therapy that we offer. When you work with a therapist at Sage River Psychotherapy, you will build a more easeful, connected life. In each session, your therapist will help you practice a particular skill–knowing what you are experiencing as you are experiencing it…that’s mindfulness! (Click here for a great children’s book for humans of all ages). Sometimes, though, folks are looking for direct support for building a mindfulness practice into their lives. The best place to start is with self-compassion. We regularly teach the 8-week Mindful Self-Compassion program. Click here for more information.

Our fees vary depending on the therapist and the kind of therapy you are seeking (e.g. individual, couples, family…). Couple and family sessions are typically 75-minutes in length (i.e. one-and-a-half of the standard 50-minute session), and are billed accordingly. We have found that shorter sessions can do more harm than good since therapeutic shifts in the relationship(s) often begin at the 45-50 minute mark. Increasing access to high quality, experiential, trauma-informed, attachment-based therapy is at the core of our mission at Sage River Psychotherapy. Somewhat like a research hospital, we are both a training site and a therapy clinic. Our pre-licensed therapists offer the benefit of lower fees and a team behind your therapy. When you work with a pre-licensed therapist you are also being supported by their supervisor, a senior therapist with 10+ years of experience in the field. For specifics about our therapists and fees, please visit our booking page here.

At Sage River Psychotherapy, creating safe spaces for folks in marginalized communities is incredibly important to us. We believe your experience as a person of color should be listened to, believed, and given space to exist. Racial trauma is real, it is exhausting, and it continues to be something that wears on folks of color daily. Therapy should be a space where you can share these experiences freely with someone who either also knows what it is like to exist as a person of color, or is deeply committed to antiracism.
At Sage River Psychotherapy, we welcome you exactly as you are. It is deeply woven into the roots of our practice to create a safe space for folks to embody, explore, and to be recognized in their sexual and gender identity in individual therapy, family therapy, couples therapy, and/or as a child/teen in therapy.

How To Get Started

If you’re ready to get started, please get in touch via our contact form, call/text, or by emailing us directly. Calls and emails will be responded to as soon as possible (within 24 hours).

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Live a new experience

Sage River Psychotherapy

Build rich, lasting connections with yourself and others
man in hooded jacket with eyes closed

Live a new experience

Sage River Psychotherapy

Build rich, lasting connections with yourself and others