Individual sessions are 50 minutes and the fee is based on sliding scale $110-$220.

Couples therapy sessions are 60 minutes and the sliding scale is $120-$240. Extended sessions are 75 minutes and the fee is up to $260. 


Clients who work on two- or more- sessions per week schedule are offered the discount of 25% of the fee.

New clients are welcome to use Yelp's coupon on Elena Makarova's Yelp page. The coupon can be used for every third session.

New clients are eligible to buy five-session nonrefundable fee package - only $140 per session. Sessions can be used within six month period.


I work as an out-of-network provider with patients, covered by PPO insurance. In this case, I provide an itemized statement of services, so that you can seek reimbursement. In case if your insurance does not fully cover my services, call me to discuss a fee.


The payment methods are via PayPal -preferable, to elena_makarova@yahoo.com, checks or cash.

Counseling session

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Recent Blog Posts

  • "I have known Mrs. Makarova since September 2008 and I have had many opportunities to observe her psychodynamically and psychoanalytically-oriented clinical work. Mrs. Makarova's intellectual curiosity and ability to process complex issues make working with her very gratifying. It is my pleasure to recommend Mrs. Makarova to physicians on Peninsula and South Bay most strongly and without any reservations.”
    — Adjunct Clinical Faculty Member at Stanford School of Medicine, 2011
  • "I worked with Mrs. Makarova for several years as a colleague at the intensive outpatient clinic in San Francisco and was so impressed with her professionalism, incisive intellect, emotional honesty, and advanced clinical skills in in-depth psychodynamic treatment. She is the most empathic clinician I have ever worked with!"
    — Amrita Narayanan Psy.D. Staff Psychologist, Napa Hospital, 2010
  • "I have known Mrs. Makarova's working on a clinical team at RAMS, and I can say that she is a warm, thoughtful, and insightful clinician. Mrs. Makarova takes a determined and focused approach to every case she treats and has helped many patients improve greatly."
    — Postdoctoral fellow, Stanford University, 2009.
  • "Mrs. Makarova is unique in her ability to attend to people; their feelings, their longings and their experiences. She is a true professional and an open-hearted individual. Over the years she has had great success counseling high conflict couples and families. I truly believe that working with her will tilt the scales away from divorce and toward ongoing loving exchanges. For many years I have referred many of my students and their family members to Mrs. Makarova and always got stellar feedback. She combines science-based approaches, having trained in relational patterns at Stanford University, with a unique humanistic style of intervening. As a psychodynamic therapist Mrs. Makarova helps couples see beyond their entrenched relational dynamics and encourages new, functional ways of interchange. I am convinced that Mrs. Makarova's strategic and warm approach is an ideal choice for couples and families in the Peninsula, Bay Area."
    — Alberto Varona, Psy.D. Core Faculty, Doctor of Psychology in Clinical Psychology Program at the Adler School of Professional Psychology, 2012.