The credit, debit, or HSA card on file will be charged following each session. A statement that can be submitted to your insurance company will be created for you on the first day of each month, and will be available from the secure client portal.
Health savings accounts (HSA) and flexible spending accounts (FSA) may be used to pay for therapy. Please feel free to use either of these as your means of payment.
Medical expenses such as out-of-pocket costs for psychotherapy may often be deducted on your income taxes. You should speak with an accounting professional to determine whether you would be eligible for such a deduction.
If you decide to seek reimbursement from your insurance company, we will provide you with a detailed invoice each month. Your insurance company’s claims person can walk you through what steps to take if you have any questions.
Like many psychologists, I choose not to be under contract with insurers. Being under contract, or “in-network”, would mean much lower reimbursement rates and many hours of unpaid paperwork. This would also greatly diminish my ability to provide adequate confidentiality, because I would have to hand over each client’s confidential treatment information to the insurer.
Keep in mind that it is your responsibility to learn about your particular insurance plan and about what portion of services they will cover. The number for your insurance company should be listed on your insurance card. My services are usually covered as part of the “out-of-network” portion of healthcare plans. Typically, insurance plans reimburse anywhere from 40 – 70% of the total fee.
Because your appointment involves the reservation of time specifically for you, a minimum of 48 hours notice is required to reschedule or cancel an appointment. The full fee will be required for sessions missed without advance notice.
Tele-therapy (via the phone), and e-therapy (via electronic messaging and video chat) are made available on a case by case basis (at the same standard rate). Not all phone calls and emails are billed, only those that are considered therapy. Home and office visits are also made available on a case by case basis. If you are interested in home or office visits, please contact me to discuss additional fees associated with transit.
How long will I have to wait for an appointment?
I aim to offer you an initial appointment within two weeks.
Can I see you outside of office hours?
I offer Friday and Saturday appointments, as well as occasional evening appointments.
What can I expect during the first appointment or assessment?
The first session is a chance for you and me to see if we could work together. I know that meeting for the first time can be anxiety provoking and I am experienced with helping people manage these feelings. During this session I seek to gain a deeper understanding of your current difficulties and your hopes for therapy sessions. It is also an opportunity for you to get a feel for how I work and to see if you feel comfortable talking to me. At the end of our first session, I will make some recommendations and we will think about a way forward. Please note that attending an initial assessment does not commit you to ongoing therapy sessions.
What happens if we agree to work together?
We discuss your goals for therapy and how we will work together to help you achieve them. We will set a regular time and day each week for sessions. I strongly believe that coming less frequently (particularly during the first few weeks of therapy) can slow down progress, and may extend the time that you need to attend before you achieve your therapy goals. However, I am also happy to work in a flexible way to accommodate your requirements if appropriate.
Does therapy work?
There is extensive research evidence about the effectiveness of therapy for a wide variety of difficulties. I deliver evidence based psychological treatments when making recommendations for the approach we will use and the possible length of treatment.
Are sessions confidential?
Yes. I do not inform your doctor about our therapy sessions, but for ethical and professional reasons I ask for your doctor’s details as part of the practice registration process. The only instances where I would extend the limits of confidentiality are if I became seriously concerned about harm coming to you or others around you, if you were involved in serious crime, or if your records were requested by a court. In these cases I would endeavour to first discuss this with you.
What if there is a serious emergency between sessions?
We will make a plan together about what to do to keep yourself safe. I do not operate a crisis service, and therefore cannot guarantee my availability outside your session times. Thus, if you are in need of urgent support you can visit your doctor, local ER, or call 911.
What if something bothers me during therapy?
It is not uncommon for people to sometimes struggle with difficult thoughts and feelings in therapy. I encourage clients to give me regular feedback about anything that concerns them or that they are unsure about.
Are you able to provide me with reports?
Reports for your Doctor, Psychiatrist or other Healthcare Providers will incur additional fees. I will discuss the fees with you prior to the report being written and these will be determined by the amount of time it will take to prepare the reports. Please note that there are some types of reports I am not able to provide as part of our therapy sessions (e.g. capacity assessments).