
Proven Treatments, Expert Care
Therapy Grounded in Science
If you are looking for a therapist in the San Francisco Bay Area, look no further. Dr. Fleck is an expert in evidence-based therapies. She bases her healthcare decisions on the latest scientific research and tailors her treatment plans around the dynamic lives of her clients.
Couples
Parents
Teens
Borderline personality disorder
Obsessive-compulsive disorder
Relationships
Parenting
Panic disorder
Phobias
Mood disorders
Post-traumatic stress disorder



Many studies have found cognitive behavior therapy to be an effective treatment for mood and anxiety disorders. However, few patients actually receive evidence-based treatments.
Tom Insel, MD
Former Director of the National Institutes of Mental Health
Evidence-based treatment
Less than 20% of mental health treatments have proven through research to be effective. Caroline only uses these proven methods in her practice.
For more information on evidence-based therapy, click here. Dr. Linehan’s video also explains why these first line treatments are often not provided.

First Appointment
After scheduling your first appointment, you’ll receive an intake packet with consent forms and info on Dr. Fleck’s practice. You can opt to sign all forms electronically.

What to expect
You’ll meet exclusively with Dr. Fleck for the entire appointment. No trainees. No fellows.
You’ll discuss your reasons for coming, and what you hope to work on in therapy.
Dr. Fleck will conduct a comprehensive diagnostic assessment to determine any diagnoses.
Towards the end of session, you and Dr. Fleck will discuss treatment planning.

Dr. Fleck is not contracted with insurance companies and is considered an “out-of-network” provider. If your policy includes out-of-network benefits, a portion of your fees will usually be covered. Please contact your carrier before your first appointment to determine your benefits.
Therapist In Los Gatos & the San Francisco Bay Area, CA
Ongoing therapy with Dr. Fleck typically consists of weekly 50 or 90-minute sessions in person or via video conferencing.
Customized Healthcare, Concierge Conveniences
Available
Dr. Fleck is available to clients between sessions because that’s when life tends to happen.
On Time
Appointments are staggered because if you arrange to be on time, she should too.
Tech Friendly
We use email, text messaging, apps, e-forms, telehealth, & more because this is 2025.

