The following information is intended to help families understand how the practice operates and what to expect throughout treatment.

My practice is 100% telehealth and private pay. I do not offer in-person appointments and I do not participate with insurance companies. Superbills are available for patients who wish to seek possible out-of-network reimbursement from their insurance plan.

At a Glance

Are appointments in person or virtual?
All appointments are provided exclusively by telehealth. I do not offer in-person appointments.

Do you accept insurance?
No. My practice is private pay only, and I do not participate with or bill insurance companies directly.

Can I use out-of-network insurance benefits?
I can provide a superbill that you may submit to your insurance company for possible out-of-network reimbursement. Reimbursement is not guaranteed and depends on the terms of your individual insurance plan.

Where can patients be located?
Patients must be physically located in a state where I am authorized to practice at the time of each appointment. I am currently able to provide telehealth services to patients located in Washington and numerous other states through PSYPACT and other applicable authorization pathways.

Office Hours

Appointments are available Monday through Friday.

Sessions are typically scheduled in advance and reserved specifically for each patient. Same-day appointments for established patients may occasionally be available when scheduling permits.

Telehealth Appointments

All services are provided virtually through telehealth. I do not offer in-person appointments.

Patients must be physically located in a state where I am authorized to practice at the time of the appointment. Please review the list of eligible states before scheduling.

For telehealth sessions, patients should participate from a private location with a reliable internet connection whenever possible.

Insurance and Payment

My practice is private pay only. I do not participate with insurance companies or bill insurance directly. Payment is due at the time of the appointment, and all fees are paid by credit card. A valid credit card must be maintained on file.

Upon request, I can provide a superbill containing information that patients may submit to their insurance company for possible out-of-network reimbursement. Whether services are reimbursed, and at what amount, is determined entirely by the patient's individual insurance plan.

Patients who intend to seek reimbursement are encouraged to contact their insurance company directly to ask about out-of-network mental health benefits, deductibles, reimbursement rates, and any requirements that may apply.

By remaining outside of insurance networks, treatment planning can be guided by clinical recommendations and patient preferences rather than managed-care requirements. This also allows more time to be devoted to direct patient care rather than insurance-related administrative processes.

Late Cancellations and Missed Appointments

Appointments are reserved specifically for each patient. If you need to cancel or reschedule an appointment, please provide at least 3 business days' notice.

Business days are Monday through Friday and do not include federal holidays.

Cancellations made with 3 or more business days' notice: No fee will be charged.

Cancellations made with less than 3 business days' notice or missed appointments: The full session fee will be charged to the credit card on file.

Examples:

• A Monday 3:00 PM appointment must be cancelled by 3:00 PM the previous Wednesday.

• A Wednesday 10:00 AM appointment must be cancelled by 10:00 AM the previous Friday.

This policy helps preserve appointment availability and allows sufficient time to offer cancelled appointments to other patients.

Late Arrivals

Appointments begin and end at their scheduled times.

Less than 15 minutes late: The session may continue for the remaining scheduled time, and the full session fee will apply. The appointment cannot be extended because of late arrival.

15 minutes or more late: The appointment may need to be rescheduled in order to avoid disrupting appointments scheduled afterward. If the appointment cannot proceed, the full session fee will apply.

Ending a Session Early

If a patient or parent chooses to end a session before the scheduled appointment time, the full session fee will still apply.

Treatment Length

Cognitive Behavioral Therapy (CBT) is a structured, goal-oriented approach that focuses on helping patients develop practical skills to address current concerns and reduce distressing symptoms. Treatment is collaborative and active and often includes strategies or exercises to practice between appointments.

The length and frequency of treatment vary depending on the nature and complexity of the concerns being addressed, the patient's goals, their starting level of functioning, and their response to treatment.

While outcomes cannot be guaranteed, many patients begin to notice meaningful improvement within the first several months of consistent participation in treatment. Some concerns may respond to a relatively focused course of therapy, while others may require longer-term treatment.

Treatment recommendations are individualized and reviewed throughout the course of care. As patients make progress toward their goals, appointments may become less frequent. Some patients later choose to schedule periodic follow-up sessions to reinforce skills, address new concerns, or support maintenance of treatment gains.

I recognize that therapy represents both an emotional and financial investment. My goal is to use treatment time thoughtfully and efficiently while providing care that is responsive to each patient's individual needs.

Communication Between Sessions

Email is appropriate for scheduling questions, paperwork, and brief administrative matters.

Clinical concerns are generally addressed during scheduled appointments so that sufficient time and attention can be devoted to thoughtful, individualized care.

If additional clinical consultation, record review, care coordination, or other professional services are requested outside of scheduled appointments, those services may be billed according to the practice's fee schedule.

Email should not be used for urgent or emergency clinical concerns.