Psychotherapy · West Los Angeles

Therapy for people
who want to understand.

Understanding is where change begins. Together we uncover the patterns that keep showing up and build something different. In-person sessions in West Los Angeles. Telehealth throughout California.

Get in touch
Macy Ragole Toomey, LCSW

Let's figure it
out together.

I'm a naturally curious person, and that curiosity is at the center of how I work. As an avid traveler, I think about therapy a bit like travel: the heart of a good trip isn't having the perfect itinerary and checking things off a list. It's being present to what you do and see along the way, sitting with the unfamiliar, and letting yourself be genuinely impacted by the experience.

In therapy, I try to create that same kind of space. One where you can get curious about yourself. Your patterns, your history, your relationships, the parts of you that don't quite add up yet (and some that do. Those are worth talking about too). We move at the pace the work calls for, always with an eye toward lasting change.

I work psychodynamically, which means I'm genuinely curious about why things are the way they are. Not as an end in itself, but because understanding what's driving something is usually what makes it possible to change. Early experiences, unconscious patterns, the feelings that are hardest to sit with anywhere else. These are the things worth making room for, and the things that, when you finally get a look at them, tend to open something up.

Training & Background
Macy Ragole Toomey, LCSW Licensed Clinical Social Worker, California
Master of Social Welfare UCLA Luskin School of Public Affairs
Psychoanalytic Psychotherapy Program New Center for Psychoanalysis
Child Parent Psychotherapy (CPP) Certificate UCSF
UCLA Staff Psychotherapist & Clinical Supervisor · Social Work Field Instructor

Who I work with

People come to me for all kinds of reasons. Some arrive with a specific problem they want help with. Others come feeling more curious about themselves than anything in particular. Grief is something I work with across all ages and all kinds of loss. Either way, I'm interested in working together toward something that lasts.

01

People in Their 20s & 30s

Your 20s and 30s come with real pressure. Building a career, figuring out relationships, reckoning with who you actually are versus who you were raised to be. I work with men and women navigating this period honestly. A lot of my clients are thoughtful people who've gotten very good at functioning on the outside but haven't had much space to look at what's underneath. That's what we do here.

02

Therapists & Psychiatrists

I offer personal therapy for providers, especially those earlier in their careers. I think of this a bit like tuning an instrument: the quality of what you bring into the room with your clients is shaped, in part, by how well you know yourself. Therapists and psychiatrists are people too, and I don't treat you any differently in here. But I do offer something specific: a chance to step fully out of the helper role and just be the one being seen. Early career and training providers may be eligible for a reduced fee.

03

Teenagers

Adolescence is a time of significant identity formation, and teenagers often benefit from having a space that's genuinely theirs to think, feel, and figure things out. I work with a limited number of teens on a range of what comes up during this period, and I have a particular focus on grief and loss, which can complicate adolescence in ways that are worth real attention. If you're a parent who thinks their teenager might benefit from having somewhere to bring it, I'm happy to have a conversation about what that could look like.

Location
In-person, West Los Angeles Serving Westwood, Brentwood, Santa Monica, Beverly Hills, and surrounding areas. Telehealth available throughout California.
Session Fee
$250 per session Superbills available for out-of-network reimbursement. Reduced fee available for early career and training providers.
Getting Started
Reach out by email or phone I typically respond within one business day

Common questions

A few things people usually want to know before reaching out.

Do you offer a free consultation?
Yes. I offer a free 15-minute phone consultation for anyone considering therapy. It's a low-stakes way to ask questions, get a sense of how I work, and see whether it feels like a good fit before committing to anything.
Do you take insurance?
I don't bill insurance directly. My fee is $250 per session. I can provide a superbill (a detailed receipt) that you can submit to your insurance for potential out-of-network reimbursement, depending on your plan. A reduced fee is available for early career therapists and doctors in training.
What is psychodynamic therapy?
Psychodynamic therapy pays attention to what's beneath the surface: the patterns, histories, and feelings that shape how you think, relate, and move through the world. Rather than focusing on techniques or quick symptom relief alone, it's interested in understanding what's actually driving things, because that understanding tends to create more lasting change.
How long does therapy typically last?
It depends on the person and what we're working on. I work in an open-ended way, which means we don't set an arbitrary endpoint upfront. Some people find what they're looking for in months; others find the work valuable over years. We check in along the way and go at the pace that makes sense.
Do you see clients in person?
Yes. I see clients in person in West Los Angeles, serving Westwood, Brentwood, Santa Monica, Beverly Hills, and surrounding areas. Telehealth is also available for anyone in California.
What kinds of things do people come to you with?
Life transitions, grief and loss, identity, relationships, career pressure, anxiety, and the patterns that keep showing up in ways that don't quite make sense. I have a particular interest in people navigating high-pressure or high-achievement environments, and in the feelings that are hardest to make room for anywhere else.
What is a Good Faith Estimate?
Under the No Surprises Act, you have the right to receive a Good Faith Estimate before starting services. This is a written estimate of the expected cost of therapy, including session fees and anticipated frequency. It's not a contract or a guarantee of how long we'll work together, just a transparent breakdown of costs so you can make an informed decision. I provide this to all self-pay clients before we begin.
What if I'm experiencing a mental health crisis?
Please don't wait to hear back from me. If you or someone you know is in immediate danger, call 911 or go to your nearest emergency room. For emotional crisis support, you can call or text 988 (Suicide and Crisis Lifeline) at any time, or text HOME to 741741 to reach the Crisis Text Line. These services are free, confidential, and available 24/7.

Let's start a conversation.

I offer a free 15-minute phone consultation for anyone considering therapy. It's a chance to ask questions and get a feel for whether we might be a good fit. Reach out by email or phone. I typically respond within one business day. This contact is for new inquiries and current clients only.

If you are in crisis

This contact is not monitored for emergencies. If you or someone you know is in immediate danger or experiencing a psychiatric emergency, please call 911 or go to your nearest emergency room.