When you first call, we will spend time on the phone where I will gain a basic understanding of what has led you to call and answer your questions about me. From there, if it sounds like I am able to help you, we will schedule an extended appointment for me to expand my understanding of you and the context of your life. At that time, I will explain my impression of what may be causing your distress and make recommendations regarding further treatment or needed assessment. You may need to see your primary care doctor, have blood tests taken, or complete paper-and-pencil assessments. Medication, if indicated, is prescribed only if you are comfortable with it.
I work with you as partners, joining my expertise in psychiatry with your knowledge of yourself to identify treatment goals. We will utilize a variety of treatment types to achieve those goals. I also welcome the inclusion of supportive friends or family. I have opted not to accept insurance plans in order to avoid external limitations on what I believe to be the best treatment for my patients. This means I do not have to rush through your visits, nor limit the number of sessions if we feel more are needed. You will find my rates comparable to other experienced psychiatrists in the area, and many insurance plans will reimburse a portion of this as an out of network benefit.
Initial Visit: Initial visits are consultative in nature. This consists of an extended visit with collection of comprehensive health information, a preliminary assessment of the nature of the problem, and recommendation for further testing or treatment. In some circumstances, I may recommend a different treatment setting as more able to meet your needs. After you and I have agreed to work together, you will become an active patient.
Emergencies: For medical or psychiatric emergencies, please call 911 or go to your nearest emergency room. If it is urgent but not an emergency, please call my cell phone.
Cancellation: To cancel an appointment, please call me at least 48 hours ahead of time. Given the limited availability of appointment times and that last minute cancellations are generally unable to be rescheduled with another patient, cancellations made less than 24 hours prior to the scheduled appointment may be charged at the regular rate. Patients arriving late for an appointment will be seen until the end of the scheduled appointment time, and charged for a full appointment. While text message reminders are offered as a courtesy, it is your responsibility to keep track of your appointments. If you do not receive a reminder, you are still responsible for the fee. Missing three appointments in 6 months without notice will prevent me from continuing to treat you.
Phone calls: Most concerns, including medication refills, should be addressed during regularly scheduled appointments. For urgent matters that are not emergencies, I am available to my current patients outside of office hours, unless otherwise discussed. If I am unable to answer the phone when you call, I will return your call as soon as I am able for urgent matters. For routine matters, I will return your call during regular business hours as soon as it is convenient and definitely within two business days. If a phone call lasts more than 10 minutes, it will be billed at the regular follow up visit rate.
Emails and texting: Please know that neither emails or texts are secure forms of communication. I encourage you to limit private or confidential information to phone calls or visits. If you choose to communicate via text or email, you are acknowledging and accepting the risk, however small, that it may be intercepted and seen by an outside party.
Prescription refills: At each visit, please know what medications you need refills of. Prescriptions will primarily be completed during regular office visits, and last until the next scheduled visit. If you have to reschedule, please also let me know if you need a refill. Similarly, if you miss a visit without calling to reschedule, it is your responsibility to notify me if you need a medication refill. Allow two business days for this refill to be completed. I can only provide one refill without attending an appointment. Patients must be seen at least every three months for me to provide medication refills. New medications will only be considered at an office visit, not over the phone.
Reports/Forms/Letters/Correspondence: Due to the time involved, reports, letters and extended phone calls to other providers may be billed at the usual follow up rate.
Cancellations: If I have to cancel due to illness or inclement weather, I will call you and change the outgoing message on my voicemail. If you do not hear from me, I will be in the office.
Payment: Payment is due at the time of service via cash or check. If your check is returned for insufficient funds, I will only be able to accept cash after that.
- Initial visit, 75 minutes: $350
- Follow up 45 minute therapy/complicated med sessions: $200; therapy at least every two weeks: $175
- Medication management, 20-30 minutes: $125
- Extended phone calls/forms: $3/minute