I am currently in the process of becoming in-network with various health insurance providers.

For in-network clients, I will bill your insurance payer using the following Current Procedural Terminology (CPT) codes, as appropriate:

• 90791: Psychiatric diagnostic evaluation (i.e., the intake)

• 90832: Psychotherapy, 16–37 minutes

• 90834: Psychotherapy, 38–52 minutes

• 90837: Psychotherapy, 53 minutes or longer

• 90839: Psychotherapy for crisis, first 60 minutes

• 90840: Psychotherapy for crisis, each additional 30 minutes

• -GT: Modifier indicating that the service was provided via telehealth

If you are out-of-network, I can provide a superbill—an itemized receipt documenting each session and the amount paid out-of-pocket. You are responsible for submitting the superbill to your insurance company for potential reimbursement. A standard 55-minute individual therapy session is $225.

Typically, a Health Maintenance Organization (HMO) plan does not reimburse out-of-network care, except in certain circumstances, such as emergencies. If you have a Preferred Provider Organization (PPO) plan, you may be required to meet your out-of-network deductible before your insurance begins reimbursing eligible services.

I recommend contacting your insurance company directly to verify your mental health benefits, including your deductible, copay or coinsurance, out-of-network coverage, and reimbursement rates.

No. In California, psychologists cannot prescribe medication. However, I can refer you to a physician (MD or DO) or nurse practitioner for a psychiatric consultation. When appropriate, I can also collaborate with your psychiatrist or other medical provider to facilitate continuity of care.

An active credit card on file is required to reserve an appointment time. Payment is due at the time of the session, and you may choose to enroll in automatic payments.

Clients may cancel by phone, text, email, or online up to 24 hours before their scheduled appointment without incurring a fee.

With the exception of new clients who booked an intake, the full session rate of $225 will be charged for no-shows or cancellations made less than 24 hours before the scheduled appointment.

A no-show is defined as failing to attend the session within the first 15 minutes of the scheduled appointment time.

If you are delayed but notify me within the first 15 minutes of your scheduled appointment time, I will wait for you. If you arrive late, your session will still end at the scheduled time.

Please note that insurance companies generally do not reimburse for canceled, late-canceled, or missed therapy sessions. Therefore, you will be responsible for the applicable fee described above.

Yes. I use cognitive-behavioral approaches that emphasize practicing skills between sessions. Homework helps clients generalize the skills learned in therapy to real-life situations.

Homework may include thought records, behavioral experiments, exposure exercises, activity planning, or relaxation techniques.

DIALECTICAL BEHAVIOR THERAPY (DBT)

Standard or comprehensive DBT is a structured, evidence-based treatment that adheres to a specific treatment model and typically requires a commitment of at least 6–12 months.

Comprehensive DBT includes four major modes of treatment:

1. Individual therapy

2. Skills training group

3. Phone coaching

4. A therapist consultation team

Comprehensive DBT is considered the gold-standard treatment for borderline personality disorder and is particularly appropriate for clients experiencing severe emotion dysregulation, suicidal ideation, and/or chronic self-harm.

INDIVIDUAL DBT SKILLS TRAINING

Skills training is a component of comprehensive DBT but may also be delivered as a standalone intervention. It can be provided individually rather than in a group setting. Rather than traditional talk therapy, skills training is a structured, educational intervention in which clients learn and practice four core modules:

1. Mindfulness

2. Distress tolerance

3. Emotion regulation

4. Interpersonal effectiveness

Individual DBT skills training may be particularly beneficial for clients with mild-to-moderate difficulties with emotion regulation who would benefit from learning practical coping skills.

DBT-INFORMED THERAPY

DBT-informed therapy incorporates DBT concepts, principles, and techniques into traditional psychotherapy. Clients may learn and practice DBT skills without participating in a comprehensive DBT program or a formal DBT skills-training program.

Because I am the sole practitioner at my practice, I offer DBT skills training and DBT-informed therapy rather than comprehensive DBT. If you are unsure which approach may be right for you or have additional questions about DBT, I will gladly answer them during a free 15-minute phone consultation.

A “Good Faith Estimate” explains how much your medical care will cost.

Under the law, healthcare providers must give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

Make sure your healthcare provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1 (800) 985-3059.