How are sessions conducted?

I exclusively offer telemedicine based services.  Essentially, we meet through a secured video platform that is encrypted and HIPAA compliant.  There is no software to be downloaded.  Prior to your appointment, I send you a special secure link that connects you via internet to our virtual meeting space  You may utilize any electronic device and you get to choose your personal environment for our important work. Telemedicine offers greater flexibility in scheduling, as you can meet anywhere and all of our time is dedicated to meeting.  No commutes, no waiting room waits. 

What is the investment?  

My standard fee is $175 for a 60 minute session.

Do you accept insurance?

I am a bulldog when it comes to your information and confidentiality.  As such, I do NOT accept insurance.  The main reasons being that as part of agreeing to take insurance, they retain the rights to dictate that you be assigned a clinical diagnosis, they regulate how often we can meet and for how long, they can access your most sensitive information at their request and for their company use, and dictate the costs of our sessions. 

As a fee-for-service provider, you and I have the freedom to develop a plan that is solely focused on you and your unique needs.  The focus remains on providing the highest quality of services.  Unless you choose to disclose it, no one needs to know of our work together.

Upon request, I am able to provide to you, directly, a superbill for paid visits that you attended.  You can then, in turn, submit this yourself to your insurance plan to determine and seek Out of Network (OON) benefits.  I am unable to verify or determine what that might be and that question is best posed to your member services department listed on the back of your insurance card.

How is payment processed?

All session fees are due by the beginning of each meeting. Payment may be made by debit, credit or HSA card. All changes incurred are the responsibility of the client. Prior to our first session, I send you a secure link to an encrypted app which prompts you to enter you card information and safeguards it.  All sessions will be charged to that card unless otherwise agreed upon. It is super convenient and provides a medical receipt for all expenses paid at each visit.

Why do people seek out counseling  services?

People pursue services for a multitude of reasons. Individuals, couples, and families frequently seek out therapy when they are facing significant life transitions or difficulties, and their attempts at resolving concerns have proven unsuccessful.  This may include battling long-term struggles with mental health, addiction, interpersonal conflict, and/or debilitating distress in one or more areas of life.  When first starting counseling, some people may believe they are at a point of crisis, may express feelings of being overwhelmed, and their identified concerns prove to be barriers to their desired growth and happiness.

Who do you work with?

I work with individuals of all ages, couples, and families. 

I provide individual, couple, and family counseling services. Even when an individual presents for therapy, our work often addresses family of origin topics, learned patterns of relating, and the impact of that person’s most significant interpersonal relationships on his/her well being.  Therapeutic goals are developed based upon the preferences and desired changes of a single person.

When working with couples, our work first discerns the status and direction of the relationship (eg. reconciliation, separation/divorce). We then address the goals and skills needed to help navigate the relationship towards the partner chosen direction.  This could include a focus on strengthening communication and emotional rapport, addressing past hurts and violations of trust, as well as learn and practice strategies to manage stressors on the relationship. The focus could include aiding the couple in uncoupling from their relationship in a manner that preserves their co-parenting relationship and mutual positive regard. Couples counseling most commonly involves a joint effort in which both partners typically attend the session together; however, there are occasions in which only one partner is agreeable to attend therapy.  The process of change within a relationship can start with a single person though the most effective strategy is for both partners to commit to the process.

In the context of family therapy, the presenting concerns are seen as a function of the system—meaning, there is no single person identified as ‘causing’ the perceived problem. Rather, presented issues are seen as resulting from the collective behaviors and interactions of all involved family members.  For growth to occur, the counselor works with the family and engages members in a collaborative process of accommodation and adjustment. Thus, family therapy views the entire family unit as the client, taking into account every member’s personal view, hopes, fears, and stated needs.

Are services confidential?

Confidentiality in counseling is protected and regulated by both professional ethics and state law. I follow both HIPAA and the AAMFT code of ethics.

In general, all communications between you and me are confidential.  Information is not disclosed unless requested by you and only with your written permission. However, there are exceptions to this rule. For example, when working with couples, I maintain a policy of “no secrets” between partners, unless safety needs require it.

Additional exceptions, especially those pertaining to release of information to outside parties, will be outlined during our initial meeting and are provided in written form for you to review. I am willing to discuss and review possible limits of confidentiality on an on-going basis during the course of our relationship.

What does ‘holistic’ mean? 

I pride myself in offering services that are client centered and directed.  People consist of many ‘selves’ (e.g. parent, sibling, spouse, etc) and their unique differences are celebrated. I endorse freedom of choice and encourage you, the client, to engage in goal directed behavior.  You define your life plans and prioritize objectives based on your individual needs and preferences. There is no ‘one size fits all’ approach. I also recognize the benefit of both mainstream and homeopathic modalities that promote health, but provide recommendations based upon your personal preferences. Lastly, I view you as an integrated whole and thus, we examine the importance and level of satisfaction in all areas of your life.

What is your Cancellation Policy?

If needing to cancel or reschedule an appointment, please do so more than 24 hours in advance. Cancellations or missed appointments under 24 hours will be billed at full rate.

Have a question not addressed here?  Feel free to ask me directly and I will happily answer.