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.
Convenient
In-person and online appointments available
Flexible
Daytime, evening, and weekend sessions
Trauma Informed
Blending the art and science of human growth
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:
- Loneliness, alienation, or feeling like you’re broken or don’t fit
- Difficulty making peace with things that have happened to you
- Anxiety, worry, or panic
- Parenting challenges
- Overwhelm or burnout
- Chronic conflict or distance with your partner
- A sense of imposter syndrome or lack of support for your voice
- Lack of meaning or like you lost yourself along the way
- Inability to feel anything or constant fatigue
- Chronic anger or irritability
We provide virtual therapy in California and in-person psychotherapy in Sacramento to calm your mind, ease your body, and gain control of your life.
Psychotherapy in Sacramento
Our Sacramento Therapy Services
Additional Areas of Focus
Trauma Therapy
Anxiety Treatment
Depression Therapy
Relationship Counseling
Emotionally-Focused Therapy
Somatic Therapy
Our team of psychotherapists in Sacramento 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 in Sacramento?
Dr. Sean Cook
Sacramento Psychologist, Certified EFT Therapist and Supervisor, Founder of Sage River Psychotherapy
We start by listening to your story.
Before Sage River Psychotherapy was a practice, it was a promise—to meet people in their pain without rushing to fix it. That promise lives at the heart of everything we do.
We believe therapy begins when you feel truly seen. When someone sits with you—not to analyze, diagnose, or correct—but to listen deeply. Whether you’re feeling overwhelmed, shut down, disconnected, or just tired of pretending you’re okay, we start exactly where you are.
We help you make sense of your inner world—your nervous system’s signals, your learned patterns, your emotional landscape—so you can begin to move through life with more ease, more self-trust, and more honest connection.
Our team uses the science of relational neurobiology alongside a deep respect for your pace. Together, we help you rediscover the strength, clarity, and aliveness that’s already within you.
Come as you are. Stay as long as you need. We’ll be here.
Dr. Sean Cook
Our Therapy Principles
Presence
Belonging
Kindness
Meet Our Team | Therapists in Sacramento
Your Sage River Psychotherapy Guides
Nina Cherington, LMFT
Couples Issues, Mixed-Race Couples, Neurodiverse Couples, Self-Esteem, Anxiety,
Childhood Trauma, Complex PTSD, Relational Trauma, Grief
Sean Cook, Psy.D.
Couples Issues, Men’s Issues
Childhood Trauma, Complex PTSD, Identity, Transition, Collective Trauma,
Healing Shame
Ellen Durst, LMFT
Couples Issues, Relational Challenges, Depression, Grief, Suicide Loss, Attachment Issues, Life Transitions
Our Approach to Counseling
How Our Therapy Works

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.

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.

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
Do you accept insurance?
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.
How many psychotherapy sessions will it take to feel better?
Someone recommended I get mindfulness training and referred me to you.
I’m confused if I should book a therapy session, or...?
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.
What are your fees?
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.
I identify as black, indigenous, multiracial, or as a person of color,
is this space safe for me?
Are you LGBTQI+ friendly?
At Sage River Psychotherapy in Sacramento, 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 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 with Sage River Psychotherapy in Sacramento, 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).
Call Or Text
916-234-0456
info@sagerivertherapy.com
Live a new experience
Sage River Psychotherapy