Notice: I am currently on parental leave, so am not accepting new clients at present. I anticipate returning to the office in December 2026. Join Waitlist

Licensed Clinical Psychologist · San Francisco Bay Area

Dr. Raquel Osorno, D.B.S.M.

Psy.D. · Licensed Psychologist · California

Evidence-Based Treatment for Sleep, Anxiety,
Depression, & Big Life Transitions

San Francisco Bay Area, CA — Telehealth Throughout California

12+
Years of Experience
D.B.S.M.
Board Certified Sleep
Stanford
Clinical Faculty & Fellow
APA
Accredited Training
πŸŽ“ Stanford School of Medicine
Dr. Raquel Osorno, Psy.D., D.B.S.M.
Diplomat, Behavioral Sleep Medicine
Board of Behavioral Sleep Medicine

About Dr. Osorno

A Compassionate,
Collaborative Approach

I am a clinical psychologist licensed to practice in the state of California. Although the majority of my clients reside in the Bay Area, I provide telehealth services to clients throughout the state.

I take a compassionate, client-centered approach to psychotherapy. This means that treatment is a collaborative process tailored to meet your specific needs and circumstances. All treatment is goal-oriented and skills-based.

I specialize in evidence-based treatments for adjustment to big life transitions, depression, anxiety, and insomnia in adults. I developed a more recent sub-specialty helping individuals navigate challenges related to dating, family-planning, fertility, and career decisions. I strive to help my clients create a values-based, meaning-filled life.

In addition to my private practice, I am currently a Clinical Assistant Professor in the Stanford University School of Medicine. I provide care as a member of the Sleep Health and Insomnia Program (SHIP) and the Sports Medicine team in the Department of Psychiatry and Behavioral Sciences. I also serve as a research clinician in the Stanford Computational Psychiatry, Neuroimaging, and Sleep Lab (CoPsyN Sleep Lab), where I provide sleep intervention to participants in federally-funded research studies and train psychology graduate students in psychological assessment and intervention.

LicenseCA #PSY31595
FormatTelehealth Statewide
ClientsAdults (18+)
ModalitiesCBT · ACT · CBT-I
Experience12+ Years

What I Offer

Services

🧠

Anxiety & Depression

CBT · ACT · Mindfulness-Based

Whether you believe you meet criteria for a specific diagnosis or not, psychotherapy can be a great way to better understand your experience, receive support, and find opportunities for growth. I use a collaborative, evidence-based approach to treatment. Drawing from Cognitive-Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and mindfulness-based techniques, we will help you develop a set of skills to better manage your symptoms and live a meaningful life in line with your personal values.

Over the course of treatment, we will work together to identify and manage unhelpful thinking patterns, communicate your needs effectively, develop skills to act in line with your values instead of your fears, and learn new approaches to cope with overwhelming feelings.

Anxiety Depression
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Adjustment & Big Life Transitions

CBT · ACT

Over the past 13 years, I have worked successfully with many adults coping with significant life changes including transition to college or graduate school, dating, marriage, separation or divorce, fertility/family planning, and childbirth. All treatment is goal-oriented and skills-based, utilizing interventions rooted in Cognitive-Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT).

During our time together, we will identify your unique goals, work together on a treatment plan, and consistently re-evaluate your progress. My goal is to help you learn skills to effectively manage whatever life may throw at you, not to have you in therapy indefinitely!

Adjustment Disorders Life Transitions Dating, Family-Planning & Fertility
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Sleep & Athletes

Behavioral Sleep Medicine

Stanford Sports Medicine

As a member of both the Sports Medicine team and the Sleep Health and Insomnia Program in the Department of Psychiatry at Stanford, I regularly work with college athletes struggling to get the sleep they need for optimal sports performance. Attaining sufficient good-quality sleep each night contributes to optimal physical condition, improved mental health, and increased athletic performance. Unfortunately, many elite athletes struggle to get the high-quality sleep they need due to the unique set of constraints they often face:

  1. Training schedules can be variable and time intensive.
  2. Practice times may eat into an athlete’s natural or preferred sleep schedule.
  3. Lengthy travel to competitions may impact sleep time and sleep quality.
  4. Jet lag results in the athlete needing to perform optimally during a time when the body would prefer to be asleep or is preparing for sleep.
  5. Pre-competition anxiety can increase alertness and make sleep more difficult to achieve or maintain.
  6. A culture of “sleep when you’re dead” pervades some teams or sports.

Together, we can create a comprehensive plan to help you identify and address the barriers to optimal sleep you currently face. Treatment plans will be uniquely tailored to you and will adapt as dynamically as your schedule does. All treatment is evidence-based and well-supported by research.

College Athletes Sports Performance Travel & Jet Lag
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CBT for Insomnia

CBT-I · Behavioral Sleep Medicine

Although many people experience an occasional night of poor sleep, frequent sleep difficulty can significantly impact your quality of life. Maybe you can sleep well, but during a period of time that is not convenient for your lifestyle or daytime responsibilities. Nighttime challenges are accompanied by daytime symptoms including difficulty concentrating or making decisions, sleepiness, fatigue, and irritability.

Cognitive Behavioral Therapy for Insomnia (CBT-I) is the gold-standard, first-line treatment for insomnia recommended by the American Academy of Sleep Medicine and the American College of Physicians. CBT-I goes beyond simple sleep hygiene. It is a multi-modal therapy backed by decades of research that is safe and effective. Accommodations can easily be made for those with co-occurring medical conditions or during pregnancy and postpartum.

We will work together to tailor treatment to your specific needs. You will learn how sleep is regulated, how to recognize factors that may inadvertently lead to sleep challenges, and how to optimize your sleep schedule. Many people begin to see improvement in a few weeks. As your sleep quality and quantity improve, you will learn skills to prevent setbacks or relapse of insomnia. If needed, I can also work with your prescribing physician to help you taper off sleep medications. We can also engage in chronotherapy to shift your circadian rhythm if your sleep issues are due to a circadian rhythm disorder.

Chronic Insomnia, Sleep Anxiety, & Circadian Rhythm Disorders
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Insurance & Fees

I am not credentialed on any insurance panels in my private practice, which means I am an out-of-network provider and cannot bill your insurance directly. (The only exception is if you are a Stanford medical resident referred through the WellMD program.) However, I provide a monthly superbill for potential out-of-network reimbursement — the relevant CPT code is 90834.

Training & Background

Credentials & Education

Education & Training

Board of Behavioral Sleep Medicine
Diplomat of Behavioral Sleep Medicine (D.B.S.M.)
Credentialed — Behavioral Sleep Medicine
Stanford University School of Medicine
Clinical Psychology Postdoctoral Fellowship
APA Accredited · Dept. of Psychiatry & Behavioral Sciences
PGSP–Stanford Psy.D. Consortium
Doctorate in Clinical Psychology (Psy.D.)
APA Accredited
Jesse Brown VA Medical Center
Psychology Predoctoral Internship
APA Accredited
Brown University
B.S. in Cognitive Neuroscience
Bachelor of Science

Professional Associations

APA SBSM AASM

“I feel so much less anxious about sleep, more rested, and I am sticking with all my healthy new habits.”

— Former Client

Publications

2026  Krause, A.J, Osorno, R., Solomon, N., Ahmadi, M., Lam, P., Magana, O., Blozyte, E., Harris, L., Izabel, S., Bernert, R.A., Williams, L.M., Gross, J., Ma, J., Lazzeroni, L.C., Yesavage, J.A., Manber, R., Saletin, J.M., & Goldstein-Piekarski, A.N. (2026). Examining fronto-limbic brain and sleep mechanisms of antidepressant effects in cognitive-behavioral therapy for insomnia. Neuropsychopharmacology, 1–12.
2025  Osorno, R., Ahmadi, M., Solomon, N., O’Hora, K., Lopez, M., Morehouse, A., Kim, J., Manber, R., & Goldstein-Piekarski, A. (2025). An Early Sleep Intervention Mitigated Poor Sleep and Improved Well-being in the COVID-19 Pandemic. Journal of Psychiatric Research.
2024  Arnow, B.A., Osorno, R., Wroolie, T.E., & Zack, S. (2024). Depressive Disorders. In L. W. Roberts & L. K. Louie (Eds.), Study Guide to DSM-5-TR. American Psychiatric Association Publishing.
2022  O’Hora, K. P., Osorno, R. A., Sadeghi-Bahmani, D., Lopez, M., Morehouse, A., Kim, J. P., … & Goldstein-Piekarski, A. N. (2022). Viability of an Early Sleep Intervention to Mitigate Poor Sleep and Improve Well-being in the COVID-19 Pandemic: Protocol for a Feasibility Randomized Controlled Trial. JMIR Research Protocols, 11(3), e34409.
2017  Haug, N. A., Osorno, R., Yanovitch, M. A., & Svikis, D. S. (2017). Biopsychosocial approach to the management of drug and alcohol use in pregnancy. In L. Edozien & S. O’Brien (Eds.), Biopsychosocial Factors in Obstetrics and Gynecology. Cambridge University Press.

National Presentations

2026  Osorno, R., Gumport, N., Simpson, N., & Manber, R. (2026, June). Frequency of Hypnotic Medication Use At Baseline Differentially Impacts Mean ISI Reduction Following dCBT-I. Presented at the SLEEP Conference, Baltimore, MD.
2025  Moderator. (2025, November). How to Do CBT-I with Neurodegenerative Patients. Society of Behavioral Sleep Medicine (SBSM) Clinical Practice Webinar Series.
2025  Moderator. (2025, October). Transitions in Providing CBT-I in Spanish. Presented at the Society of Behavioral Sleep Medicine (SBSM) Clinical Practice Webinar Series.
2025  Panelist. (2025, October). Incorporating Culture and Spiritual Belief in Sleep Treatment. Presented at the Society of Behavioral Sleep Medicine (SBSM) Clinical Practice Webinar Series.
2023  Osorno, R., Solomon, N., Ahmadi, M., O’Hora, K.P., Lopez, M., Morehouse, A., Kim, J.P., Manber, R., & Goldstein-Piekarski, A.N. (2023, November). Long-Term Insomnia and Depression Symptoms Improved by Brief Telehealth CBT-I For Acute Pandemic-Onset Insomnia. Presented at the Society of Behavioral Sleep Medicine Conference, San Diego, CA.
2023  Osorno, R., Ahmadi, M., Solomon, N., O’Hora, K., Lopez, M., Morehouse, A., Kim, J., Manber, R., & Goldstein-Piekarski, A. (2023, June). Brief Telehealth CBT-I For Acute Pandemic-Onset Insomnia Improves Long-Term Sleep and Mood Symptoms. Presented at the SLEEP Conference, Indianapolis, IN.

Dissertation

Predictors of Anhedonia in Patients with Comorbid Major Depressive Disorder and Insomnia Disorder. Committee: Rachel Manber, Ph.D. (Chair), Jamie Kent, Ph.D., Kate Kaplan, Ph.D.

Get in Touch

Schedule a Consultation

Contact Information

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βœ‰οΈ
πŸ“
Location
San Francisco Bay Area, CA
Telehealth Throughout California
πŸ—“
Availability
By Appointment

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Common Questions

Frequently Asked Questions

Our first session is an opportunity to get to know each other and discuss what brings you to therapy. We’ll review your background, current concerns, and goals so that I can develop a personalized treatment plan tailored to your needs. I will also answer questions you may have about the therapy process. Prior to our first meeting, you will be provided with information about consent for treatment, office policies and procedures, payment, and privacy practices.
I am not credentialed on any insurance panels in my private practice. This means that I am an out-of-network provider and cannot bill your insurance directly. (The only exception is if you are a Stanford medical resident referred through the WellMD program.) However, I provide a monthly superbill for potential out-of-network reimbursement through your insurer. Please contact your insurance company directly to better understand what out-of-network benefits may be covered. The relevant CPT code is 90834.
I set rates in accordance with colleagues of similar advanced clinical training and specialized experience. The session fee covers your appointment, as well as the time spent outside of sessions coordinating care with prescribing physicians or other members of your care team (e.g., a couples’ counselor), continuing education and training, consultation with mentors and colleagues, treatment planning, and documentation.
Yes, all sessions are conducted via secure telehealth. I am licensed in California and can see clients located anywhere in the state. The COVID-19 pandemic forced a reevaluation of office practices and procedures. I have found that clients are less likely to cancel or miss appointments when they don’t have to sit in traffic before and after session or find parking. The flexibility allows for sessions to be scheduled more easily between work meetings, during lunch breaks, or around childcare. I have seen as much or more benefit in clients who receive care through telemedicine as those who received care in person.
I ask that you provide at least 24 hours’ notice if you need to cancel or reschedule a session. Late cancellations and no-shows are subject to the full session fee.
No, I do not provide emergency services. If you are having a medical or psychiatric emergency, please go to your nearest emergency room.