Welcome to “Living in Balance," a private counseling practice that specializes in providing integrative, holistic psychotherapy to individuals, couples and families from diverse social and cultural backgrounds. 


I am skilled in treating a wide range of mental health conditions, including depression, anxiety, trauma, substance abuse, grief, career/life transitions and many more.  I draw upon a variety of therapeutic modalities and provide a combination of support, best practices and practical feedback to help clients resolve current problems.

Your new life can start right now!  Call today for a free 20-minute telephone consultation.  


Late evenings and Saturday appointment are available.


About Debrah

Debrah Deloney-Deans


I am a Licensed Marriage and Family Therapist with a private practice in downtown Sacramento.  I have been a therapist for 11 years and specialize in holistic psychotherapy, which treats the whole person—mind, body, soul.


I have experience working with individuals, couples and families of all ages and cultures.  I work well with individuals, couples and adolescents ages (14-17).  I also have success working with women of color on discrimination, assimilation, and complex trauma issues resulting from childhood abuse. Prior to private practice, I was a Parole Agent and Parole Unit Supervisor with the California Department of Corrections for 23 years.  From that side of the fence, I saw firsthand how a person’s life can take drastic twists and turns when their mental health or substance abuse issues were not properly attended to.  The results were often devastating.  But the strength and resilience I witnessed in my clients encouraged me to walk away from law enforcement to pursue a career as a mental health professional.

In 2008, I graduated from the University of San Francisco with a Master’s Degree in Counseling Psychology, emphasis in Marriage and Family Therapy.  I gained clinical experience in a variety of settings, including Community Based and Non-Profit Organizations, juvenile detention facilities, medical clinics, residential and outpatient drug treatment facilities, government agencies and locked psychiatric milieus.  In these settings, I treated people dealing with a number of concerns, including, but not limited to Bipolar Disorder, psychosis, PTSD, personality disorders, incarceration, financial problems, eating disorders, relationship conflicts and many more.


My clinical experience also includes facilitating Domestic Violence, Life Skills, Substance Abuse and Anger Management groups for self-referred and court-ordered adults and providing advocacy and case management services for Veterans and older adults.  I have performed mediation services for parents dealing with child custody issues and advocacy services for children and adults with developmental disabilities around housing and fair access to social services.



I enjoy being creative, as I do not believe in a “cookie cutter” approach to treatment.  Each client is unique and by integrating different modalities and techniques into treatment, together, we are able to customize a treatment plan that fits their personality, meets their goals and specifically targets the issues that brought them to therapy.

I believe that being a therapist is my “calling” and I thoroughly enjoy helping my clients find paths that lead to growth and healing that they never knew existed.



I treat a wide range of emotional and behavioral conditions in a warm and supportive atmosphere.  I am practical in my approach and I integrate various theoretical modalities into my work with clients.  I take pride in tailoring my approach to each client's individual strengths and needs to help them achieve the personal growth and change they desire.


Areas of specialization include:

  • Depression

  • Anxiety

  • Abuse or Trauma

  • Coping Skills/Decision Making

  • Co-Dependence

  • Couples/Relationship Counseling

  • Gender Identity/LGBTQ

  • Chronic Health Conditions

  • Impulsivity

  • Blended Family issues

  • Self-Esteem

  • Work and Career issues

  • Grief and Loss

  • Life transitions (Retirement/Divorce/Marriage)

  • Anger Management

  • Stress Management

  • Conflict Resolution

  • Eating Disorders/Body Image


Individual therapy is designed to help reconnect you with the most important person in your life...YOU!  This is a space for you to explore your identity, confront life's challenges, resolve inner conflict and reconnect with your authentic self.


Group therapy is often designed to target a specific problem, such as obesity or depression and can be an ideal choice for people who want to make positive changes in life. This form of therapy allows people to receive support and encouragement from other group members, which can be helpful when feeling isolated or alone. Regularly talking and listening to others also helps members put their problems in perspective and gives them the opportunity to see that others are experiencing similar situations.


Family therapy is  often used to treat a wide range of conditions, including marital problems, in-law issues, parent-child conflict, problems between siblings or the effects of illness on the family. Family therapy is based on the belief that the family is a unique social system with its own structure and patterns of communication.  Family therapy is generally a very active type of therapy, and family members are often given assignments to complete outside of sessions.

Helping Professionals

Are you a social worker, a psychotherapist, a doctor, nurse, life coach, educator or minister? Are you finding it difficult to care for yourself when your profession places such high demands on you to care for others?  Are you feeling burned out in your work?  Self-care & support is essential for you to be effective in your work with others!  In our work together, I will help you understand the impact of secondary trauma and compassion fatigue, explore where you are getting “stuck” and help you to create a self-care plan that comfortably fits into your life and your schedule.  You can create balance and return to feeling passionate and excited by your work!


Relationship counseling, aka couples counseling, helps couples of all types recognize and resolve conflicts and improve their relationships.  Sessions are used to explore problems existing in the relationship, and teaches couples how to communicate more effectively, and how to listen more intently.  

Clinical Supervision

Clinical supervision and consultation services are available for graduate students and pre-licensed clinicians who are working towards licensure. I employ a developmental model for clinical supervision, and incorporate core professional ethics and values into sessions.  Trauma informed approaches are also incorporated to enhance the professional growth and clinical skills of supervisees.


Fees, Payments & Insurance


Individual Session = $110  

Couples Session = $135

Family Session    = $150

per 50 minute session. 

Initial assessment = $160

90 minute session 


Cash, checks, and most major credit cards are accepted as payment for services.


Payment is due at time of service


Insurance is currently not accepted.


However, if you would like to utilize your insurance plan, I can provide you with documentation to submit to your insurance company for “out of network” reimbursement.


Please contact your insurance company first to find out exactly what your out of network benefits are and how much they cover and/or are willing to reimburse for services.

Cancellation Policy 
A 24 hour advance notice of cancellation is required. If advance notification is not provided, you will be required to pay the full cost of the session. Refer to cancellation policy for more details.


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Frequently Asked Questions

How can therapy help me?

A number of benefits are available from participating in therapy. Therapists can provide support, problem-solving skills, and enhanced coping strategies for issues such as depression, anxiety, relationship troubles, unresolved childhood issues, grief, stress management, body image issues and creative blocks. Many people also find that counselors can be a tremendous asset to managing personal growth, interpersonal relationships, family concerns, marriage issues, and the hassles of daily life. Therapists can provide a fresh perspective on a difficult problem or point you in the direction of a solution. The benefits you obtain from therapy depend on how well you use the process and put into practice what you learn. Some of the benefits available from therapy include:


  • Attaining a better understanding of yourself, your goals and values

  • Developing skills for improving your relationships

  • Finding resolution to the issues or concerns that led you to seek therapy

  • Learning new ways to cope with stress and anxiety

  • Managing anger, grief, depression, and other emotional pressures

  • Improving communications and listening skills

  • Changing old behavior patterns and developing new ones

  • Discovering new ways to solve problems in your family or marriage

  • Improving your self-esteem and boosting self-confidence

Do I really need therapy?  I can usually handle my problems.

Everyone goes through challenging situations in life, and while you may have successfully navigated through other difficulties you've faced, there's nothing wrong with seeking out extra support when you need it. In fact, therapy is for people who have enough self-awareness to realize they need a helping hand, and that is something to be admired. You are taking responsibility by accepting where you're at in life and making a commitment to change the situation by seeking therapy. Therapy provides long-lasting benefits and support, giving you the tools you need to avoid triggers, re-direct damaging patterns, and overcome whatever challenges you face. 

Why do people go to therapy and how do I know if it is right for me?

People have many different motivations for coming to psychotherapy.   Some may be going through a major life transition (unemployment, divorce, new job, etc.), or are not handling stressful circumstances well.  Some people need assistance managing a range of other issues such as low self-esteem, depression, anxiety, addictions, relationship problems, spiritual conflicts and creative blocks.  Therapy can help provide some much needed encouragement and help with skills to get them through these periods.  Others may be at a point where they are ready to learn more about themselves or want to be more effective with their goals in life.   In short, people seeking psychotherapy are ready to meet the challenges in their lives and ready to make changes in their lives. 

What is therapy like?

Because each person has different issues and goals for therapy, therapy will be different depending on the individual.  In general, you can expect to discuss the current events happening in your life, your personal history relevant to your issue, and report progress (or any new insights gained) from the previous therapy session.  Depending on your specific needs, therapy can be short-term, for a specific issue, or longer-term, to deal with more difficult patterns or your desire for more personal development.  Either way, it is most common to schedule regular sessions with your therapist (usually weekly).


It is important to understand that you will get more results from therapy if you actively participate in the process.  The ultimate purpose of therapy is to help you bring what you learn in session back into your life.  Therefore, beyond the work you do in therapy sessions, your therapist may suggest some things you can do outside of therapy to support your process - such as reading a pertinent book, journaling on specific topics, noting particular behaviors or taking action on your goals. People seeking psychotherapy are ready to make positive changes in their lives, are open to new perspectives and take responsibility for their lives.   

What about medication vs. psychotherapy?

It is well established that the long-term solution to mental and emotional problems and the pain they cause cannot be solved solely by medication. Instead of just treating the symptoms, therapy addresses the cause of our distress and the behavior patterns that interrupt our progress. You can best achieve sustainable growth and a greater sense of well being with an integrative approach to wellness.  Working with your medical doctor you can determine what's best for you, and in some cases a combination of medication and therapy is the right course of action. 

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We haven’t been together that long, is it too soon to be doing couples therapy?

Couples often think that their relationships must be close to destruction before they start couple’s therapy, but this simply isn’t true.  It’s never too early to start couples therapy, as it can be a great tool to help you build your relationship, and work through differences as they arise. Many couples like to utilize couples therapy as they enter new phases of their relationship (moving in together, getting married, starting a family) to process how the new phase might shift their relationship dynamic.  Couples therapy can also be used as a relationship check-up when things are going well and you want to make sure they continue to head in that direction. 

I’m having personal problems but they’re affecting my relationship.  Should I do individual or couples therapy?

This depends on the nature of the personal problem and how it is affecting your relationship.  Give me a call.  We’ll talk about what’s been going on for you, and which type of therapy would best meet your needs.

How long are therapy sessions?

A typical therapy session last 50 minutes.  However, longer sessions can be arranged to accommodate specific needs and therapeutic goals. 

Do you take insurance, and how does that work?

To determine if you have mental health coverage through your insurance carrier, the first thing you should do is call them.  Check your coverage carefully and make sure you understand their answers.  Some helpful questions you can ask them:


  • What are my mental health benefits?

  • What is the coverage amount per therapy session?

  • How many therapy sessions does my plan cover?

  • How much does my insurance pay for an out-of-network provider?

  • Is approval required from my primary care physician? 

Does what we talk about in therapy remain confidential?

Confidentiality is one of the most important components between a client and psychotherapist. Successful therapy requires a high degree of trust with highly sensitive subject matter that is usually not discussed anywhere but the therapist's office.   Every therapist should provide a written copy of their confidential disclosure agreement, and you can expect that what you discuss in session will not be shared with anyone. This is called “Informed Consent”.  Sometimes, however, you may want your therapist to share information or give an update to someone on your healthcare team (your Physician, Naturopath, Attorney), but by law your therapist cannot release this information without obtaining your written permission.


However, state law and professional ethics require therapists to maintain confidentiality except for the following situations:


* Suspected past or present abuse or neglect of children, adults, and elders to the authorities, including Child Protection and law enforcement, based on information provided by the client or collateral sources.

* If the therapist has reason to suspect the client is seriously in danger of harming him/herself or has threated to harm another person.

Does therapy actually work?

The short answer is yes therapy does work!  The long answer is that how well it works depends on a couple of factors including:  How open and patient you feel you can be to the process, as not every problem has a “quick fix” solution.


How comfortable you feel with your therapist- problems can’t be resolved if you don’t feel comfortable and safe to share them, so making sure your therapist is the good fit for you is crucial for therapy to work. 

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Debrah, you are wise, patient, humble, thoughtful and transparent, all great qualities of a good therapist.  As a client, I run to your couch anytime I need to talk and need the support of someone with the ability to help me reframe my faulty thinking about the challenges I’m facing.  You have encouraged me so many times and helped me remove the doubts that I had about being successful.  I had a huge endeavor pending and the pressure of doing well was so overwhelming.  You told me I could do it and you believed in me.  I wanted to believe, but had doubts that I could actually pull it off.  With your consistent, patient encouragement, I did it!   You helped me see it for what it was and with your guidance, I was able to maintain my composure and achieve my goal.  God blesses us all with different gifs and He has definitely blessed you with the gift to uplift, encourage and support people.  Not everyone has the ability to do what you do.  I am so thankful that I found my way to you because you have helped me get to the place I could never have imagined I would be.  Thank you!  

When I began counseling I was newly divorced, depressed and just wanted someone to listen to my problems.  I was literally stuck in my own head.  Each week I looked forward to meeting with Debrah because I started to feel better about my life.  I realized that my problems were nonexistent and it was my perspective that needed the most work.  Week by week, she gave me specific goals and worked with me on each issue until it was resolved.  During this process I took more time for myself and learned that there were far more blessings in my life than problems.   Debrah gave me a different outlook of the life that I was living and I learned how to appreciate the encouraging things that were already there.  Her counseling style interrupted my negative chatter and challenged me to overcome the obstacles.  For every goal that I reached, she made me celebrate myself.  Today I am positive, happy and experiencing a life that I barely recognize. Debrah helped me change the course of my life.

- Anonymous, Former Client

- Anonymous, Current Client


Contact Us

Book an Appointment by phone or email Today!
Debrah Deans Therapy

1023 H Street, Suite B4, Sacramento, CA  95814

Tel: 916-399-3710


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