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Pricing, Discounts, & Policies
Frequently Asked Questions
Carifying how my policies fit your needs.
My standard fee for service is $150 per therapy session. Sessions are one hour and I avoid scheduling back-to-back in case of emergencies and so that I can give you my full attention.
Fees are payable at the time that services are rendered.
- Minimum fee: $75.00 (the lowest I’m able to offer while sustaining practice costs)
- Maximum fee: $150.00 (for clients who pay the full rate)
I do not accept insurance or Medicare, however, I can provide you with a superbill (a receipt for services) which you can submit to your insurance for reimbursement.
Depending on the terms of your health coverage, your plan may or may not reimburse for out-of-network services or services provided from out of country (my location is in Mexico, which, by the way, is one reason I am able to have such flexible fees). Some plans exclude international providers altogether, and some may have a requirement such as medical necessity or a lack of local specialists.
PPO and POS plans are more likely to offer out-of-network coverage. These plans may reimburse a portion (often 50–80%) of the “allowed amount” after the out-of-network deductible is met. You can contact them for details. The mental health number is probably on the back of your card.
Credit or Debit Cards
I accept payment through credit or debit cards.
Other Online Methods
Since the other online payment platforms change from time to time, ask about current alternatives such as PayPal, Zelle, and Venmo if needed.
1. Our work will be flexible, based on your needs, so it’s a safe choice.
If your needs turn out to be different from the package you select will adapt. I promise to offer you a cost-conscious alternative.
2. Therapy (for many of us) takes less time.
Therapy has become far more efficient. I use modern methods to help clients achieve meaningful results in shorter timeframes.
3. Motivation and consistency.
Committing to a set of sessions with objectives in mind can help ensure that more of my clients keep up their progress. Of course, there are many factors that help clients stay motivated. This is one of them.
4. People’s expectations are changing.
Not only are people concerned about costs, but they have come to see therapy in very practical terms, often as a tool to meet specific objectives. Open-ended therapy is not attractive to as many people. It is a thing of the past for therapists to be vague about what progress will be achieved for months on end.
5. Committing to sets of sessions has a long, successful history.
Committing to groups of sessions goes back over a century in the form of employee assistance programs (before they were called that). Now, there is a whole collection of ethical guidelines, laws, and practices that support this model. I am trained in this approach and have been a nationally certified Employee Assistance Professional.
6. There is a special set of skills to go with this approach.
My extensive experience in EAPs and various other settings with similar requirements helps me provide these choices. Working within a set of sessions means I must help us get a clear picture of your needs and strengths right away. Then, I must make sure that we develop a plan that you feel confident about. That means we decide which objectives we can work toward within the sessions you have chosen for this set, and if I should recommend any referrals.
7. There is some predictability.
It isn’t a science, but we know that we are likely to achieve certain objectives within a given number of sessions. Each of the sets has a brief description of that. Therapy has milestones or steps that therapists attempt to achieve, and tend to be met at certain points in treatment.
8. Structure that helps me offer cost savings.
Starting work with a new client involves significant time and emotional investment. Offering sets of sessions helps me provide cost savings while maintaining quality care.
Notify in Advance
To cancel or reschedule an appointment, please notify me at least 24 hours in advance, otherwise, there is a charge of 50% unless it was for an emergency such as sickness. This fee is necessary as it compensates for the time reserved exclusively for you and allows me to maintain the availability of my services for other clients. Insurance companies don't pay for missed or cancelled sessions.
Using my online calendar as needed
For your convenience, you can cancel or reschedule without contacting me by going to my calendar.
I conduct a thoughtful assessment with all new clients to ensure you’re receiving care that aligns with your needs. If I conclude that you would benefit more from a referral—such as to a specialist or intensive treatment program—I will gladly provide one. In these cases, you’ll only be charged only for the assessment, and any remaining prepaid sessions will be fully refunded.
It’s okay, but remember that I may not be available at that time. If you feel you may have emergency needs, we will work to make arrangements for you. Brief contacts by phone or text are not charged, but I charge for time beyond one or two brief contacts at a rate of 10% each for approximately ten minutes of cumulative time per week. It’s best to bring questions and other issues that come up to our sessions as scheduled whenever possible.
Referrals and other basic communications
Of course, when I, with your permission, need to communicate about your needs with another provider (such as a psychiatrist) or agency, or to help with a referral, I do not charge a fee for this basic type of service.
Letters, forms
While I occasionally write letters or complete forms (such as for workplace accommodations or public benefits), be aware that letters from medical doctors, such as psychiatrists, may carry more weight. Letters have to be individualized, so I charge at the same rate as a percentage of a session (for example, 20 minutes is 33%).
Extensive case management
Coordinating and monitoring treatment between providers and organizations (case management) can be a vital part of recovery. It can help with transition to different types of care, engaging social services, gaining employment, and other needs. Many communities offer these services through local agencies staffed with dedicated case managers.
I do have experience navigating complicated situations, but this level of involvement is usually best managed through community-based supports due to the significant time and cost involved when performed by a private clinician.
Session packages are discounted based on the commitment to a set of sessions. Because of this, unused sessions are not refundable. However, if you find that my approach isn’t the right fit for you and communicate this before your second session, I’m happy to issue a full refund.
By the way, I provide sets of sessions to honor the mutual commitment that makes therapy valuable. Committing to a series of sessions secures a discount while supporting a focused, outcome-driven approach to your goals.
Direction Two
Two sessions: Evaluation of your situation and recommendations for your ideal directions plus follow up call to discuss progress.
Gain clarity as to your situation and get a sense of direction and perspective.
Milestone Package
Four sessions: Direction Package PLUS core process work and recorded process based on your needs to use at home for continued progress.
Gain a valuable skill for a lifetime of use.
Goals Package
Ten sessions: All the previous PLUS a full round of work on your situation based on goals that we set.
Provides time for extended work on key goals, including targeted "de-triggering" for enhanced emotional stability.
Contact Me or Select a Session Option
Set of Sessions
- Click to the set choices and select the most appropriate one for you.
- Check out and receive a link to complete the basic forms and select a time for your first session.
- …and you’re scheduled.
Free initial consultation
- Just click the button and complete a few (very few) questions
- Select a time for your session and I’ll see you then.
