Payments may be made by cash, check, or credit card. Receipts are provided. As we’ll discuss during your first visit, there is a fee for missed appointments unless you have provided us with 24 hours notice.

Session length and frequency is determined between you and your therapist and is based on multiple factors.  It is common for sessions to last 45 to 60 minutes, and while many clients engage in weekly therapy, the frequency and duration will be determined by you and your therapist.  

Your privacy is important to us and confidentiality is an important piece of the therapeutic process.  What you share in therapy is kept confidential with a few exceptions.  With your signed permission, we may collaborate with another provider such as your primary care physician or psychiatrist.  By law, we are required to break confidentiality and report to the appropriate authorities if we learn that you are a danger to yourself or others or if we learn of actual or threatened harm to those who are vulnerable such as children, elderly, or those with special needs.  We'll discuss all of this in greater detail during our first appointment.  

As a parent, you are your child’s biggest support.  Only you can understand your child’s needs and deepest desires, their biggest fears, and most untapped talents.  There may be moments in life when parents no longer have all the answers to their child’s challenges, and need to seek extra support from a therapist or counselor.

Everyone’s experience is different, and there are a variety of reasons to consider therapy for your child. Some of them are as follows:

• Your child has shown a sudden behavioral change

• Your child seems angry, scared, sad, irritable, and/or hopeless more than usual

• Your child is using/abusing alcohol, food, shopping, sex …to cope

• Your child has experienced a significant loss or change in the family structure

• Your child has experienced a traumatic event

• Your child is having a hard time adjusting to a life transition

• Your child has regressed or is having difficulties in their daily functioning and habits (sleeping, eating, toilet training)

• Your child has many fears or thoughts of death and dying

Regardless of whether you have been to therapy before or if this is your first session, it is common for clients to feel nervous about meeting with their therapist for the first time.  We recommend you carefully complete your paperwork packet and bring the completed packet to your first session.  If you are using health insurance, we recommend you verify and understand your health insurance benefits.  We encourage you to be detailed and honest.  If there are questions that you are unsure about or that make you uncomfortable, it is ok to leave them blank and discuss them with your therapist.  We encourage you to arrive 10 minutes early for your session so you can relax in our waiting area.  We have tea for you to enjoy while you wait for your appointment.

You'll want to know who the provider is (e.g., Blue Cross Blue Shield, Cigna, Optum, Aetna, etc....) as well as whether your plan is a PPO, HMO, or some other variety.  If the plan is an HMO, you'll want to know through which health organization the plan operates..

HMO stands for Heath Maintenance Organization. These plans assign members to a medical group and encourage members to receive services through this group rather than from providers outside the organization.  The benefit of these plans is that they typically have a lower monthly premium.  Potential downsides are that members are limited to a specific group of providers from whom they may receive services, members require referrals from their primary care physicians to see specialists, and, depending on the plan, insurance benefits may not apply to providers who are out-of-network, or who work outside of the medical group assigned to the HMO. 

PPO stands for Preferred Provider Organization. These plans allow members to see a greater number of providers as they are not restricted to specific medical groups.  The flexibility to do so often comes at a cost, however, as premiums are likely higher than HMO plans.  Members are not required to meet with their primary care physician or obtain a referral when meeting with a provider under a PPO plan. 

If a provider says that they are "in-network" it means that they have a contract with the insurance company.  What this means for you is that you are able to utilize your health insurance benefits.  There are many types of insurance plans within a network so it is always wise to contact the number on the back of your insurance card to learn what your out-of-pocket responsibility for sessions will be.  For example, some providers may be in-network with Blue Cross Blue Shield PPO but not in-network with Blue Cross Blue Shield Choice PPO. 

A deductible is typically the amount of money you will pay out-of-pocket for services before insurance will begin to reimburse.  This often, but not always, includes mental health coverage.

A co-pay is a set amount of money you will owe per session.  Co-insurance is a percentage of the fee.  This is the amount you will owe for each session after your deductible is met.

Typically, the money to pay toward your yearly deductible, and any co-pay or co-insurance fees for health services, all contribute toward this out-of-pocket maximum.  Once you spend this amount on health-related services covered by your plan, the remaining services covered by your plan are usually free of charge.  This number differs based on services that are in-network with your insurance policy, or out-of-network.

Some plans include these limitations, and some do not.

We encourage you to verify your outpatient mental health benefits prior to our first session.  Claims will be submitted as individual psychotherapy sessions conducted in an outpatient setting.