© 2013 by BKO Counseling Services                    AFFORDABLE SAN DIEGO THERAPIST - Brian K. Oltman Psy.D., LMFT

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ALL APPOINTMENTS can be made by calling: 619-804-2914 by the person(s) planning to attend counseling.   It is also very rare to schedule same-day appointments, but sometimes they are available due to cancellations.  I also work with SHARP Health-Care in addition to my private practice, so my appointments fill quickly, often with a waiting list, reserve your appointment soon.


Office Hours: Tuesday Afternoon/evening & Thursday 8 am to 6 pm.

Initial Session

An initial session is the first meeting where we meet each other to discuss the possibility of working together. It is a 50-minute session and I charge the same fee for that as I do for an individual therapy session which is set during the first session, typically $85.00. 

Please bring all your questions and concerns as well as your goals and intentions to that meeting. Also, please download, read and fill out the Intake Form from the “Forms” section and bring it with you to your first appointment.

24 Hour Cancellation Policy

If you do not show up for your scheduled therapy appointment, and you have not notified me at least 24 hours in advance, you will be required to pay the full cost of the session.  


Most Insurance Companies DO NOT cover the cost of a missed appointment, so it becomes your responsibility to pay for the missed appointment with less than 24-hour cancellation notice. This is a standard practice of most therapists and counseling centers, some exceptions do apply.


Each person needs to complete an Initial Intake Form to be used during the first appointment. This form can be downloaded from this site and brought with you to the initial appointment.


Because it is difficult for me to respond to email during the day, it is best to leave a voice message for me at 619.804.2914.  It is also very rare to schedule a same day appointment, but sometimes they are available due to cancellations.  

Confidentiality & Privacy Policy

The law protects the relationship between a client and a psychotherapist, and information cannot be disclosed without written permission. 

Exceptions include:


  • Suspected child abuse or dependent adult or elder abuse, for which I am required by law to report this to the appropriate authorities immediately. 

  • If a client is threatening serious bodily harm to another person/s, I must notify the police and inform the intended victim.

  • If a client intends to harm him or herself, I will make every effort to enlist their cooperation in ensuring their safety. If they do not cooperate, I will take further measures without their permission that are provided to me by law in order to ensure their safety.


Credit Cards, Pay-Pal & FSA Cards can be used to pay for Counseling & Therapy Sessions.  Click on the Buy Now Button for Pay Pal and all other credit card companies.  Add $4.00 Service Charge to your bill for this service.  Thank you.