Communication between patient and therapist in Washington State is held to be confidential and protected by law. To better understand your rights as a recipient of mental health services, go to: www.doh.wa.gov.
Fees, Appointments, and Getting Started
To inquire about any of the services I provide, individuals are invited to contact me by telephone or email. There is no charge for requesting information prior to scheduling the initial appointment for mental health services or clinical consultation.
Psychoanalysis and Psychoanalytic Psychotherapy
To begin treatment, we will meet for an assessment period which typically extends for a few sessions. I will gather information about your situation and the help you are seeking, as well as answering questions you may have about my approach to treatment. At the conclusion of the assessment I will provide a recommendation regarding services. If I am not able to offer the most appropriate service I will make a referral, if desired, to another provider.
Part of the assessment will include a discussion of fees, payment, and a regular appointment schedule. Many health insurance policies have a mental health benefit and will reimburse for some portion of treatment. However, you are responsible for your bill whether or not your insurer ultimately pays for services. If you have health insurance, I encourage you to review your mental health benefit prior to scheduling an initial appointment. Generally, I set up a monthly billing for you, payable upon receipt. Once we have decided to work together, we will establish a mutually agreed upon treatment schedule. The frequency of sessions varies depending on the type of treatment you are receiving. Typically, psychoanalytic psychotherapy involves meeting once to three times weekly. Psychoanalysis requires more frequent contact ranging from four to five sessions per week.
Clinical consultation services are provided to mental health colleagues on an individual or small group basis. Individual consultation generally involves meeting once weekly. Consultation groups typically meet on a weekly or twice monthly basis for a longer period of time (90 minutes) depending on the needs and interests of the individual members. Both individual and group consultations usually occur face-to-face in the office setting. In some cases consultation may be arranged by telephone or Skype when distance prohibits regular office consultation.
Although not covered by insurance, consultation may be a deductible business expense if you file an itemized tax return. Payment for consultation is generally made on a monthly basis.