ADDRESS: Carlsbad, CA
PHONE: (949) 422-7185
Call for a free phone consultation. I will do my best to return your call within two business days.
APPOINTMENTS/HOURS: ***I am no longer taking clients at this time.***
***Internet is not a secure or confidential medium and therefore e-mail communication will have to be restricted to matters related to scheduling. All other communication regarding clinical matters should be done over the telephone or in person.***
EMERGENCY PROCEDURES: If you have a medical or psychiatric emergency, please call 911 or your local hospital emergency room instead of my phone service. As a rule, I do not keep emergency hours. I understand that some clients may need more availability than I can offer, so please consider this limitation when searching for a therapist that best meets your needs.
OFFICE POLICIES AND INFORMATION
FEES: Each 45-minute session is $150. Given my degree and qualifications, my fees are consistent with the customary charge for similar psychotherapy services in the area that I practice. I will be working in between sessions to prepare materials and content to try and help facilitate treatment and reduce the number of necessary sessions.
Some sessions may require additional time, especially if we are working through situations that elicit anxiety. In these cases, additional time will be charged at a rate of $50 for each additional 0-45 minute increment.
There are time slots reserved for those in need of financial assistance. If you are suffering from an anxiety disorder and would benefit from specialized treatment of anxiety, we can discuss a reduced fee on a sliding scale.
Any other professional services you need, including report writing, telephone conversations lasting longer than 10 minutes, preparation of treatment summaries, or time spent performing any other service you may request are charged $40 for each 15-minute increment, similar to the fee for therapy. Lectures and speaking engagements also operate on a similar fee schedule. However, I do offer many lectures free of cost. Contact me for more details.
INSURANCE: I do not serve on the panels of managed care companies. With self-pay, you can be assured that you are getting the best available treatment without restrictions and based on your needs and desires. See bottom of page for a more thorough explanation of self-pay vs. insurance.
If you prefer to use your insurance benefits, I will provide you with a standard receipt and form that can be submitted to your insurance company. If you choose this option, know that your insurance company will determine whether to reimburse you or not and will likely request personal information about our therapy sessions to determine your reimbursement. If this occurs, know that I will maintain as much discretion and confidentiality as is possible.
If you are going to use your health insurance, call them and ask (there may be a separate phone number for mental health or behavioral health):
Do they pay for mental health services? Do they pay for the services of a clinical psychologist?
Do they cover out-of-network providers? And if so, what is the reimbursement rate (amount insurance pays per visit) for an out-of-network provider (vs in-network)? What is the co-pay?
Is the coverage for parity and non-parity diagnoses the same, if not, how do they differ (OCD, Panic,
and Major Depression are considered parity diagnoses and are covered similarly to medical illnesses
whereas other anxiety disorders may not be covered in the same way)?
What is the deductible and of the out-of-pocket maximum? How much has already been met?
What is the maximum number of visits per calendar year? Maximum amount paid per calendar year?
Is authorizaiton required? Are there any other limitations or exclusions for my coverage?
Negotiating payment and insurance can be a confusing process, especially for someone in the middle of a crisis, so if at any time this information becomes too overwhelming, do not worry, just give me a call as I have helped many previous clients through this process.
CANCELLATION POLICIES: Appointments are made to reserve a specific time slot for you, and therefore, a minimum of 24 hours notice is required for rescheduling or canceling an appointment. A cancellation fee of $50 will be charged for sessions missed or rescheduled without sufficient notification. Most insurance companies will not reimburse for missed sessions.
Reasons to not be on a managed care panel:
|Limitations on length of treatment and type of treatment||Treatment is only authorized by insurance companies if a reviewer determines that the treatment conforms to the policies set by the company. This reviewer assesses the severity of your problem, your motivation for treatment, and whether treatment is necessary, and then determines whether you will be reimbursed. This reviewer need not have any mental health experience despite being responsible for making these very important decisions about your treatment. In addition, managed care companies encourage very brief treatment and favor the use of medication over psychotherapy.|
Choosing your own therapist
|Self-pay and out-of-network benefits allow you to choose a therapist that has the qualities and qualifications you are looking for.|
|Managed care is a business||
Exceptions to confidentiality where disclosure is required by law:
- if there is threat of serious bodily harm others, I am required to take protective actions, which may include notifying the potential victim, notifying the police, or seeking appropriate hospitalization.
- If there is threat to harm yourself, I am required to seek hospitalization for you, or to contact family members or others who can help provide protection.
- If there is an indication of abuse to a child, an elderly person, or a disabled person, even if it is about a party other than yourself, I must file a report with the appropriate state agency.
- If you are involved in judicial proceedings, you have the right to prevent me from providing any information about your treatment. However, in some circumstances in which your emotional condition is an important element, a judge may require my testimony.
- If due to mental illness, you are unable to meet your basic needs, such as clothing, food, and shelter, I may have to disclose information in order to access services to provide for your basic needs.