Regular Office Hours:
When are you closed for holidays?
My office is closed on all federal holidays, Christmas Eve, Easter Monday and one Monday each month (if no Monday federal holiday).
Spring break is usually one week in March.
Summer sabbatical is usually around July 16 – August 15.
Fall break is generally the week of Labor Day.
Winter break is around Dec 23 – Jan 16.
How long does treatment take?
Your individual treatment plan will be tailored to your specific needs, but generally the longer the duration of the problem, the longer it takes to completely work through it. Psychotherapy patients might be seen weekly sessions over 6 – 12 months, longer term therapies might require 2 – 4 sessions per week for 18 months to 3 years. Stable patients not in psychotherapy are usually seen every three months.
What is the fee?
Initial psychiatric evaluation is $385.
The fee is $275 for 40 – 45 minute psychotherapy (with or without medication).
Medication follow up sessions (25 minutes) for patients not in regular psychotherapy is $220.
I accept CIGNA insurance – CIGNA patients are only responsible for deductibles and copays.
Do you do tele-medicine?
Yes. All telemedicine patients must attest that they are within the boundaries of the state of Texas (the only state I am licensed in.) I encourage the first session to be in person – this is required by law if any controlled substances might be prescribed.
Do I have to lay on a couch?
No, it is not required. Freud started using the couch, in part, because he didn’t like people looking at him! But he soon discovered that, for some patients, it loosened up the process of talking freely.
Is what I say confidential?
Absolutely! Communication between a psychiatrist and the patient is privileged, meaning no one can demand access to your records. There are exceptions, of course, but they are very rare.
If for any reason you need absolute protection and security, I can maintain your records so that no identifying information is kept in any way. Your identity will be encrypted with a pseudonym and there will be no traceable record of your visits. Most people don’t need this level of security, but certain sensitive positions and subjects may require it. Call me with a “burner phone” or an email from an anonymous computer if you need to stay “black.”
Do you prescribe medication?
Yes – for most conditions, medications are more effective when combined with psychotherapy, so my patients on medications are usually also in some form of regular psychotherapy. Although long term treatment with medication is sometimes needed, we will work toward the gradual elimination of psychiatric medications and help you learn to live a full, joyful and medication free life.
Is there a private waiting area?
The waiting area is private but small. In order to maintain privacy, family and friends are not permitted in the waiting area at any time. There is a separate exit, so you should never cross paths with anyone else.
Do you accept insurance?
Yes, I’ll take (some of) the hassle out of using your insurance. I can electronically file your claim to most insurance plans for you and bill you only for your portion. I’m out of network for insurance plans (except CIGNA), so check your out of network deductible to see how much you’ll owe out of pocket before insurance kicks in. If you have an FSA or HSA, you can set up an autopay for your balances due.
Can I come every week at the same time?
Yes – in fact, that’s the best way to make progress in psychotherapy. A “concierge standing appointment” is a regular, reserved time for a psychotherapy appointment that is held for the patient throughout the course of treatment. That is, the time is reserved until the treatment is discontinued and the patient gives notice that the time is no longer to be reserved. No refunds will be given for missed or broken appointments, but patients may reschedule to another available time in the same week at no additional charge. (See the FAQ for concierge appointments.)
Will I be seeing a PA or Nurse Practitioner?
You will always only be seeing me. I am in solo private practice and I will personally handle every aspect of your care.
Do you do disability evaluations?
Do you do fitness for duty evaluations?
Do you do (other legal or workplace) evaluations?
Do you do (fill in the blank) evaluations?
No, I’m afraid not. My practice is limited to clinical treatment only, so I don’t produce disability or other legal reports. The records I produce are quite limited in order to protect your confidentiality, and would not support an application for disability or other legal requirements.
How do I get started?
Navigate to the Contact and Scheduling page and follow the simple steps to get registered. I’ll want to have a brief telephone chat with you to be sure your treatment goals align with my practice.