For Professionals

Careers at Sagebrush Psychotherapy

Primary Therapist

Job description:

Responsibilities

Clinical Work

  • Provide individual, couples, and family therapy

  • Lead DBT skills groups and provide comprehensive DBT treatment

  • Deliver care in alignment with practice standards, including DBT-informed and other clinically appropriate approaches 

  • Minimum caseload of 15 client hours per week of attended sessions

Admin Responsibilities

  • Admin work includes notes, client inquiries, and trainings

  • Follow through on all assigned tasks and responsibilities without reminders

  • Respond to client and practice communication in a timely and consistent manner

  • Manage and respond to client inquiries, including intake calls and follow-up

  • Approx. 3- 7 hours per week depending on inquiry volume

Marketing

  • Contribute to shared, ongoing marketing efforts, like blog writing, directory profiles, outreach, and networking

  • 4 hours per month on average

Supervision and Team Engagement

  • Attend and actively participate in weekly supervision and consultation

  • Engage in case discussion, feedback, and problem-solving

  • Seek support when needed and communicate openly about challenges

  • Work collaboratively and contribute to a shared approach to clinical care

Qualifications

Required

  • Active California BBS license or Associate registration

Preferred

  • Training or experience in Dialectical Behavior Therapy

  • Training in EMDR

Compensation

Clinical Hours

  • $50–$90 per client session to start, depending on session rate

  • Pay increases as your monthly caseload grows (tiered structure based on total monthly income)

Additional Pay

  • Administrative, supervision, and marketing hours paid at $20/hour

Benefits & Support

  • Autonomy over your calendar

  • Paid training in DBT

  • Occasional consultation and trainings with outside specialists

  • Paid sick time

  • Hands-on support in building and maintaining your caseload

  • Consistent, reliable supervision that is active, direct, and focused on real clinical growth (not just check-ins). You won’t be left figuring things out on your own

Why Sagebrush Psychotherapy?
Our work is grounded in our motto: Fearlessly Compassionate.

Learn about this below

Get to Know Our Group

Get to know Ciara

Ciara is the owner of Sagebrush Psychotherapy and is actively involved in the practice and clinical work. Her style is direct, thoughtful, grounded, and deeply engaged. 

She has expertise with high-acuity clients and is committed to helping clinicians become more confident and more effective in their work. She approaches her work with humility and an awareness of her own fallibility, and looks for clinicians who bring that same level of self-reflection, accountability, and willingness to grow.

She has a genuine love of learning and is continually working to bring a high level of care and excellence to both her clinical work and the practice.

Practice Culture

We care deeply about the work we do and about each other. The team is warm, friendly, and genuinely supportive. There’s a real sense that we’re in this together.

We have each other’s backs, and want to see each other do well. Supervision and team meetings are spaces without judgment, where you can bring in what’s hard, be honest about what you’re unsure about, and work through it openly.

You’re not just maintaining a caseload here. You’re building your clinical judgment and developing confidence, with a team to bounce things off of so you’re not in it alone.

An added bonus is our lovely office, equipped with snacks, fidgets, and a well-decorated, comfortable space. There is also easy parking, which makes coming in and out of the day much smoother.

Before You Apply: Expectations for This Role

What is required to succeed in this role

  • Interest in DBT and working with higher-acuity clients, including Borderline Personality Disorder, significant emotion dysregulation, and suicidality

  • Willingness to lead a weekly DBT skills group (training provided)

  • Follow-through on tasks and responsibilities without reminders

  • Clear, timely communication with clients and the practice

  • Active participation in administrative and marketing responsibilities

  • Openness to feedback and continued development

  • Availability to see clients in person at least one day per week (two days highly preferred) in East LA

  • Evening and weekend availability

This role is not a fit if

  • You are not interested in running groups

  • You want a fully remote position

  • You are not willing to participate in administrative or marketing responsibilities

  • You have difficulty with consistency, follow-through, or communication

Clarity on Private Practice

Private practice works differently than agency and treatment center settings. While it offers a great deal of flexibility, it also requires a level of initiative that may not be the right fit for everyone. (Of course every private practice has its own unique set up.)

Things to consider:

​​Private practice requires an active role in building your caseload. 

Referrals come in as inquiries, and clinicians are responsible for engaging in the consultation and intake process. 

Sagebrush Psychotherapy provides a strong flow of inquiries, but referral volume can vary. There may be periods with many inquiries and periods with fewer, and rare but possible there may be lulls in referrals entirely. Caseloads take time to build up. 

Clinicians who build and maintain a caseload tend to be very responsive and active. This includes following up with inquiries, staying on top of communication, and consistently reaching out rather than waiting. It also often involves putting effort into networking, engaging in marketing efforts, and responding to referral opportunities (for example, community groups or Facebook posts).

You are not expected to figure this out on your own. I actively support this process and am available to help you through this process.

Client demand is highest during evenings and weekends. In order to build and maintain a caseload, clinicians must offer some availability during these times.

What this set up allows for:

  • Long-term, meaningful work with clients

  • Developing your own clinical voice and judgment, with the support of deep, engaged supervision

  • Less burnout than high-volume, quota-driven settings

The Application