Therapy sessions are 45-50 minutes. Longer sessions are available upon request. During the initial session I will spend that time reviewing your history and assessing your mental health for any risk factors requiring a higher level of care than I can provide in my office.
Treatment is an interactive process between the client and the psychotherapist and focuses quite a bit of attention to unconscious motivation. Therefore, the initial information gathering and evaluation session(s), clients normally attend therapy once per week for 50-minute sessions.
The length of treatment is widely variable, of course, depending on many factors specific to each individual client. Generally speaking, the longer the time you spend in psychotherapy, the better results you will have. Most people will experience significant relief in symptoms after three to six months of therapy. However, to address the underlying emotional roots of most problems and addictions, long term psychotherapy is an even better option. Ultimately, the length of treatment is always under the control of you, the client.
Fees for therapy sessions range from $150 to $200 for each 50 minute session.
Cash and Check are the preferred forms of payment and due at the close of each session. Credit card and HSA payments available upon request.
When you make an appointment for therapy, I reserve that time slot for you. Therefore, if you cannot make a session, I need 24 hours notice so that I can make that time available to another client. Otherwise, you will be charged for the session at the regular rate. Emergencies do arise, of course, so please discuss this with me.
Out of interest for my clients and practice, I have intentionally chosen not to participate as an in-network provider for any health insurance company. In my view, achieving the full benefits of psychotherapy can be undermined when insurance providers dictate or limit the type of treatment intervention that is best suited for the client. Additionally, to claim insurance reimbursement, information must be disclosed and a "diagnosis" must be filed by the practitioner. Your information is used by the insurance company to determine benefits, which they allocate at their discretion. This impacts your confidentiality; as your information is stored in ways that allow access by other case managers that are employed by the managed care company.
Although there are legitimate cases in which a diagnosis is appropriate and necessary, such as for depression and other disorders, there are many times in which professional help is needed to overcome situational and short-term problems resulting from adjustment difficulties and life challenges. I don’t believe a client should be given a mental illness diagnosis that is not correct or is more serious than what is true simply to get treatment paid for by the managed care company. For this reason, it is my goal to provide reasonable and affordable fees for therapy treatment so that my client and I can manage their case, and not the managed care company.
Thus, while I am not currently registered as "in-network", depending on your provider my services can qualify as "out-of-network" mental health services. It is important to note that I do not personally submit insurance claims for payment. However, I can provide you with a receipt of payment which you can submit to your respective provider for reimbursement. It is up to the insurance company as to whether they pay for mental health services and your responsibility to know the type of mental health coverage you can carry, as well as the limits of that coverage. Keep in mind, insurance companies pay a higher percentage for services rendered by those therapists enrolled on their panel (referred to as "in-network" providers). For therapists not participating ("out-of-network" providers), usually a lesser percentage of payment is reimbursed.