New Patient FAQs

Practice limited to psychotherapy for adults 26 and older


Regular Office Hours:

M – W 10:00 AM – 5:00 PM
Th 10:00 AM – 1:00 PM
Appointments outside of regular office hours are available (at an additional charge.)

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 one week at the end of March.

Summer break is the first two full weeks of June.

Fall break is the week of Labor Day.

Winter break is Dec 23 – Jan 1.

How long does therapy 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. Short term therapy might be 20 weekly sessions over 6 – 12 months, longer term therapies might require 2 – 4 sessions per week for 18 months to 3 years.

How often do I come in for sessions?

Optimally – twice weekly; minimally, once weekly. 

What is the fee?

The fee for once weekly concierge psychotherapy is $300 per week, payable in advance, whether or not you attend. Sessions may be rescheduled to any other available time in the same week at no additional charge with at least 48 hours notice.  Fees will not be charged for any days Dr. Grugle is not in the office, or if Dallas, Richardson or the patient’s public schools are closed due to winter weather.

Your progress in treatment may be enhanced by attending up to a total of 4 sessions per week which may be reserved in the same week on a recurring basis.

The fee for a medication consultation is $500; follow up visits are $100 – $200. Patients seen for medication consultation must be referred by their current psychotherapist.

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 small but private. 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?

I have a limited number of non-concierge appointment slots available for patients wishing to utilize their CIGNA insurance (no Medicare plans). I will electronically file your claim to most insurance  plans for you and any benefits I receive on your behalf will be credited to your account. Your insurance company may instead send the benefit payment directly to you.

 Can I come every week at the same time?

Yes – in fact, that’s the best way to make progress in psychotherapy. A “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.

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.

Someone is always available to help you sort out the details – just call or email.