A standard session is 45-50 minutes long. Extended sessions, while rare, are occasionally warranted. We can certainly discuss if you would like an extended session or if I feel you would benefit from an extended session.

To start, I always recommend weekly sessions with the overarching goal of “graduating” to bi-weekly, then monthly to finally just calling me as you need it. The early part of the therapeutic relationship helps to set the foundation of the ongoing work we will be doing together and it has been my experience that the greatest impact comes from “hitting the ground running,” so to speak.

An individual session is $200 a session.

Couples therapy is $250 a session.

Currently I utilize a HIPAA compliant system that allows you to upload a major credit or debit card. I do not collect or store your credit card information anywhere outside of Ivy Pay.

Cancellations or reschedules must be made 48 hours in advance or you will be subject to the full session fee. That being said, I do understand that emergencies do happen and it is up to my discretion to allow one late cancel within a rolling six month period.

If you choose to move forward in our work together the cancellation policy will be one of my practice documents that you will have the opportunity to review in full detail.

I do not accept insurance for sessions. However, I can provide you with a detailed invoice or superbill that you can submit to your insurance company for potential reimbursement.

Be sure to check with your insurance if you are planning on submitting a claim on your own through your out of network coverage. You may want to ask the following:

• Will I be reimbursed for seeing a licensed professional counselor/licensed mental health counselor (LPC/LMHC) as an out-of-network provider?

• How much of the fee is reimbursed for out-of-network providers?

• What is my deductible for out-of-network benefits? Have I met this deductible?

• What paperwork do I need to complete to receive out-of-network benefits?

• How long will it take to be reimbursed for sessions after I have submitted my claims out-of-network benefits?

• Is approval required from my primary care physician for out-of-network providers?

For couples counseling, ask if Z Code “Z63.0, Relationship Distress With Spouse or Intimate Partner”, will be reimbursed.

While I understand the importance of insurance coverage, not accepting insurance allows me to prioritize your confidentiality and provide you with a more personalized and flexible approach to therapy. Each insurance company forces us to assign a diagnosis to a “primary client” in order to establish medical necessity. In doing so, this ensures reimbursement to the therapist. Oftentimes, this diagnosis doesn't really fit what you are going through and it becomes a part of your medical record. Not taking insurance enables me to focus solely on your needs without these constraints and limitations. Additionally, most insurance companies do not actually reimburse for couples therapy.

• Issues such as: improving communication, intimacy, premarital issues, betrayal, infidelity and conflict are not covered by insurance.

There are certainly therapists that do walk the line of bending their diagnoses a bit in order to “make the diagnosis fit” for insurance purposes but that almost always becomes sticky. Typically the insurance company will end up limiting the sessions severely or forcing a premature end to the therapy. This often comes at a time when you are making the most progress and will end up impacting your work in the long run.

I understand that this is an investment that comes at a cost so please, if you have any other questions feel free to reach out.

Making the decision to engage in therapy is deeply personal. Our initial consultation allows us to discuss your concerns, assess your needs, and determine if therapy is the right choice for you. With that being said one of the choices you will have to make is if we are the right fit for one another. Our relationship is equally as important as your decision to start therapy. Occasionally there are times where I choose not to work with a client simply because I feel my style would not benefit them in the long run. I believe in transparent and collaborative decision-making, ensuring that you feel comfortable and confident in your choice.