We want you to get the care you need, yet within your means. We offer reasonable prices for premium care.
“You pay for QUALITY & QUALITY stands the test of time.”
~ Old proverb
Fees & How does payment work?
Talk therapy
ONLINE: This time is designated for individuals to tell their story, explore their main issues along with associated thoughts, feelings, and behaviors, developing adaptive skills and views to overcome limitations and reach their goals. Usually, between session tasks are required to learn new perspectives, test core beliefs, develop alternative behaviors, and practice skills. Typically, meetings are weekly or bi-weekly. For motivated clients, therapist-assisted bibliotherapy is used to facilitate progress, making therapy more affordable.
Talk Therapy only visits (50 min.): $200
Therapy visits for regular WEEKLY or BI-Weekly clients (50 min): $180
Psychiatric session
ONLINE / Video: Time will be spent assessing and evaluating your “whole person’ (both physical and mental health as well as other domains), needs, wants, and desires to provide psychotherapy +/- medication, reviewing your life history, values, preferences, goals, side-effects, and developing an individualized plan to target your issues. The goal is to not just get better, but rather to get completely well, improving your quality of life. Often, medication is combined with talk therapy to enhance responses and prevent relapses.
INITIAL Intake Evaluation for beginning treatment (~ 90 min.) $345
2nd Opinion & Evaluation Only Consultations ( 2 vists of 50 min.) $440
Combined Medication & Talk Therapy visits (50 min.) $220
Medication Management Follow-up Visits (30 min.): $170
Medication Refills: Established, stable clients only (15 min.): $100
Coaching session
Online sessions variously focus on issues of concern, ranging from Sport / Performance Psychology, Resilience and Coping, Career & Vocational choice, major life transitions, career derailments, and executive coaching. These sessions help you leverage strengths, reflect on obstacles, and develop an actionable plan to achieve personal and professional goals. In this role, I serve as a thought partner and coach, exploring values, obstacles, challenges, and goals, making the most of your best.
Sessions (50 min.): $220
How does payment work?
I do not accept health insurance (= “Out of Network Provider”) , including Medicare and Medicaid. Clients are solely responsible for payment. If you have private insurance (e.g. PPO or PSO), we provide you with a billing invoice for services. Most clients are able to use their insurance for partial reimbursement (~40 - 80%) of visits and then fully for their medication, depending upon your policy’s specifics with varying co-pays and deductibles. For further information on insurance, check the website of your insurance company or call the 800 number on the back of your card, inquiring about their “out of network” mental health benefits for psychiatric providers. Also, see the section below for the Good Faith Estimate of expected charges and these websites for fuller explanations and general reimbursement info:
How to Know If Your Insurance Covers Therapy
How to Pay for Therapy & get reimbursed
What is the “No Surprise Act” and Your rights for a “Good Faith Estimate” (GFE) of expected charges?
As of January 1, 2022, under Section 2799B-6 of the Public Health Service Act / 45 C.F.R. § 149.610 health care providers are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling services, to receive a “Good Faith Estimate” of expected charges.
You have the right to receive a “Good Faith Estimate” (GFE) explaining how much your medical care will cost. An estimated total cost of services depends on a number of factors including your preferences for treatment modality (medication +/- talk therapy), severity of illness and co-existing conditions, frequency of visits, medication costs, my fees, unexpected complications (poor adherence to taking the medication, stressors, life events, treatment resistance, intolerance to generic medications, substance misuse, need for hospitalization, & new onset medical illness), and duration of treatment. On average, as a brief therapist, clients come for ~ 6-20 visits based on their preferences and needs. While an estimate is inherently imprecise, it provides a rough guide rather than a contractual agreement. In general, “medication only” strategies, IF it works for you, will be cheaper in the short run. For one year with 9 visits, if all goes smoothly, treatment will cost ~ $1700 [initial visit, then every 2-6 wks. 30 min. follow-up visits X 4, then every 8-12 week 30 min. refills and check-up visits x 4 ]. In contrast, for more complicated situations with greater severity and co-existing illness, often a combined medication and talk therapy approach is preferred , which often is more effective with greater durability. This strategy would consisting of up to 20 sixty min. visits over one year with appointments every 2 weeks costing up to ~ $4,700. Often these visits start once every week for the initial 8-10 visits and then are increasingly “spaced out” to monthly visits, leading to more like 10 - 12 visits. Being mindful of many with constrained financial resources, I offer two possible strategies to lower your overall cost.
1) We can do our initial work to get you better over ~ 3 months & then when you’re stable, we can transition you to an “In Network” provider of your choice or your primary care provider.
2) YOU can take on more of the “work, practice, and responsibility” by doing “therapist-assisted” bibliotherapy = using self-help books with less frequent or fewer visits.
For further information see: https://www.cms.gov/nosurprises/consumers