What is your cancellation policy?
Sessions must be cancelled with at least 24 hours’ advance notice or the client is charged the full session fee. This is because I’m typically unable to fill a session with such short notice and I have scheduled others around our designated time. Insurance does not cover no-shows, so you will be responsible for the full price of a missed session out of pocket regardless of your regular payment methods.
How do I pay for sessions?
Do you take my insurance?
No. I am an out-of-network provider, so I am not in insurance networks and I do not accept insurance. I am able to provide you with superbills that you can provide your insurance company if you are eligible for reimbursement.
Why don’t you take insurance?
Unfortunately, it is very difficult to work with insurance companies as a private practice psychologist, and especially as a therapist that often works with relationship issues. First, insurance usually does not cover couple therapy, family therapy, sex therapy, or relationship therapy for individuals. Second, if services are covered, insurance companies pay psychologists rates that are far below the market value of our work and expertise. Finally, taking insurance takes up a lot of time related to documentation and paperwork, answering questions, scheduling phone calls, etc... and it is not feasible for me to devote hours of time to paperwork rather than my clients.
Will my insurance company reimburse me for your services after the fact?
They may. If your insurance plan provides out-of-network coverage, you may be able to submit a claim for reimbursement for part (not all, usually) of your session fee. Please note I cannot guarantee you will get reimbursed from your insurance. Coverage and reimbursement rates vary significantly depending on the insurance company and plan, and you may need to meet your deductible first.
I also work with Advekit, a company that can help you use your out-of-network benefits. Advekit is a service that helps people use their out-of-network coverage. After you provide your insurance plan information to Advekit, they work with your insurance company to determine your reimbursement rate, and then you pay your portion of the session fee. Advekit then submits for insurance reimbursement on your behalf.
If you wish to use Advekit, please make this clear prior to the date of your intake appointment so documentation can be prepared for you and you have time to complete it. Your status in their system must be ‘insurance information uploaded’ prior to our first session (this may take several business days).
If you are interested in using your PPO insurance, it is suggested that you call your provider and ask about their policy on out-of-network behavioral health care. You will want to know (1) the amount of your deductible and (2) what percentage of behavioral health services they will reimburse you.
What is Advekit?
Advekit is a company that can help you use your out-of-network benefits. If you choose to work with them, they will submit claims for reimbursement of my services as an out-of-network provider on your behalf. (Informational PDF found Here. Feel free to email them with questions.)
Do you have a sliding scale?
Sliding-scale refers to short and long term discounts for sessions, based on financial need. I occasionally offer sliding-scale fees for my services on a limited basis. Sliding-scale therapy fees and qualification requirements must be discussed and agreed upon during consultation and/or the initial intake. This agreement will then be documented in writing. Initial intake fees are rarely adjusted for any reason, as I conduct a valuable diagnostic intake interview that would be beneficial for most future/other mental health services.
How long does treatment last?
Therapy with me typically lasts for 12 to 20 weekly sessions. The length of time will vary based on whether we both feel you’ve made significant progress towards the goals we outlined at the start of treatment. Towards the end of treatment, some clients choose to have occasional monthly sessions to check in on how well they’re independently maintaining progress. Treatment length may need to be reevaluated over time if we uncover/discuss new areas you’d like to work on.
Sometimes, individuals benefit from a longer treatment course — especially if we are addressing more than one concern or goal. I will be able to offer you a better idea of the course of treatment after the initial assessment period.
Do I have to have weekly sessions?
I am ethically bound to engage in treatment that is beneficial to you. I have often found that a bi-monthly structure prevents accurate self-monitoring, and often prevents me from understanding what is most helpful for clients at the onset of therapy. For individual therapy, I may require that we meet weekly for 6-8 weeks, after which we can discuss the benefits or concerns of a bi-monthly format. For couples therapy, I require 10-12 weekly sessions at the onset of therapy. For evidence based trauma-focused therapy, weekly sessions are required for the duration of the 12 week evidence-based modality.
Do you treat children?
I treat Adolescents (13+) in individual, group, and family/relational contexts. I do not treat children younger than 13.
Do you offer home appointments?
Yes, concierge services (house calls) are currently provided. I empathize with clients who have busy schedules and discreet privacy concerns. Additional fees apply to in-home services and are based on location and other additional costs/accommodations. I have been fully vaccinated since early January 2021 and received my booster shot in October 2021. At this time, COVID precautions must be discussed prior to the appointment. Concierge services have a 72 hour cancellation policy (rather than 24 hours).
How are you providing services during the pandemic?
(The following response has been updated as of October 2021. Pandemic changes and concerns will influence the following schedule.) All services are provided through a secure telehealth platform at this time. I will likely begin limited Walk & Talk sessions in December 2021. Face-to-Face in-office sessions may return early 2022, depending on the pandemic. Currently, I am willing to take a handful of face-to-face concierge clients at this time. Pandemic concerns for both myself and the client will be discussed prior to concierge arrangements. I do not make exceptions to best practices.
What is minority stress theory and how does it impact mental health?
Minority stress is experienced by members of any stigmatized minority (as opposed to majority) group where members are marginalized through interpersonal prejudice, stigma, and/or discriminations. Minority stress process is a mechanism through which societal bias adversely impacts the thoughts, feelings, and behaviors of minority people. The minority stress model, particularly as it relates to processes that disproportionately impact the LGBTQIA+ community, is based on factors associated with various stressors and coping mechanisms, and their positive or negative impact on mental health outcomes. Experiences of minority stress, or becoming aware of one’s stigmatized sexual orientation or gender identity, can further isolate individuals and highlight already difficult deficits in family or peer support. These experiences can be disruptive or even traumatic, and create an atmosphere of uncontrollability and unpredictability that often occurs with feelings of anxiety and depression. Often, attempting to control these emotional experiences lead to the very feelings one is trying to regulate. LGBTQIA+ affirming therapy can disrupt this cycle.
What are your fees?
A 80-minute individual diagnostic assessment session is $280.
A 50-minute individual therapy session is $190.
A 80-minute couples/family/or other multiple-person therapy consultation session is $300.
A 50-minute couple/family/multi-person session is $225.