California Marriage and Family Therapist MFC 47429 Alex Guthrie runs the practice at 3101 Fourth Avenue on the Redwood Street corner in Hillcrest 92103, structuring the clinical menu around Gottman-method couples work, EMDR for trauma, and individual psychotherapy. Fees are posted at $180 per fifty-minute individual session and $240 per eighty-minute couples session with out-of-network-only billing, a cash-pay structure that routes prescription medication management to separate psychiatric prescribers including Dr. Kai MacDonald - Psychiatrist/Psychotherapist. Sessions happen in the fourth-floor office, via confidential video telemedicine, or as in-person walks and outdoor house calls to private spaces across San Diego County. EMDR protocols target single-incident and complex trauma through bilateral stimulation of stored traumatic memory, running parallel to the somatic nervous-system regulation Inner Balance Institute provides through chiropractic care for clients whose trauma manifests physically. New clients complete intake, consent, and cancellation-policy forms before scheduling, and California residency is required because MFT licensure is state-bound. The most complex casework combines Gottman couples therapy with individual EMDR processing for partners where one or both carry unresolved PTSD affecting attachment and intimacy dynamics.