- My hourly fee is $180
- I accept all major credit cards, personal checks, cash, and paypal.
- Sessions may be conducted via web or phone, including Facetime and Skype*
- I currently do not accept insurance. *Please read: IMPORTANT
I currently see clients in :
-my home-office in SOHO (downtown Manhattan), New York City
*Important note: As of August 1, 2014 I am in New York City. (Los Angeles dates coming soon.)
California residents: Good news! Since I am licensed in CA I can continue to provide counseling services to you via Skype or Facetime or Breakthrough - A HIPAA Compliant online service
New York residents: Good news! I have begun the New York State licensing process. In the meantime book me for your life, relationship, and dating coach needs. In some cases I will even make home visits. Please inquire about this.
About SKYPE Sessions and Online Therapy
I offer SKYPE online therapy (also called telemedicine). Skype is a videoconferencing program that is free to download and works well on most computers and operating systems. Installing and using Skype is very easy. To enhance the efficiency of Skype, a high-speed Internet connection is recommended. Most computers have a built-in web camera and microphone. If your computer doesn’t have them, no problem. Cameras, mics and speakers are affordable and easily ordered through online stores like AMAZON.COM
Mac users - we can also use Facetime, if you prefer.
- Distance is a non-issue
- Sessions fit easily into a busy schedule
- Sessions are possible while traveling
- Therapy is accessible if you are homebound
*It is important to note that I am a licensed Marriage and Family Therapist in the state of California. Therefore, I may only conduct online therapy with clients who reside in California.
While online therapy offers many advantages, there are also some drawbacks to online therapy. These may include, but are not limited to; the possible disruption of therapy due to technical difficulties, as well as, the transmission of medical information could be interrupted by and/or accessed by unauthorized persons.
Please express your interest for online therapy via email or phone. An initial free 15 minute phone consultation will be scheduled. Before online therapy can begin, it is necessary to complete and email the Informed Consent to Treatment Form, Telemedicine Consent Form, HIPAA and the Registration Form. These will be emailed to you after the 1st session has been scheduled. Please sign and email back.
Skype Isn't Right for Everyone
Clients who are experiencing suicidal ideation, or have attempted suicide in the past, may not be the ideal candidate for online therapy due the fact that more complete care is necessary to manage the presenting symptoms.
What You Should Know About Billing Insurance
Please note: I do not believe in labeling individuals who just want a little advice or guidance, or who may be mentally stuck as having a ”psychological or mental illness," which involves the diagnosis and treatment of psychological illness, and is required when billing through your insurance company. If you believe you may be suffering from mental or nervous illness or disorder, this may be fine, as you will benefit from working with a licensed psychotherapist (clinical psychologist, psychiatrist, clinical social worker) with solid experience in diagnosis and treatment of your illness, long term. However, in my experience, the vast majority of people who seek psychological help are not mentally ‘sick’, and might be better suited to a different kind of psychological work.
Before looking for an in-network clinician, here are some things to consider before billing your insurance for psychotherapy.
Pre-Existing Conditions: Insurance companies require clinicians to give a diagnosis, this means the client is now under the law of insurance reimbursement which considers them “sick” or “mentally ill,” that is, suffering from a diagnosable mental disease or condition. This label will follow you. Prior to ObamaCare these labels were considered “pre-existing conditions.” If you were seeing a therapist and billing insurance- they had to give you a diagnosis. If you had even mild depression symptoms you may now be labeled with “Major Depression,” and this becomes a part of your permanent medical record.
Lack of, or Loss of Confidentiality: By law, the therapist must now report progress, diagnosis, and potentially very sensitive details which are divulged as a part of the therapy session, such as secrets, worries and fears, to the insurance company. Once this is done, the client nor the therapist have any control of what happens to the information whilst in the hands of managed care insurance companies.
Shorter sessions: As of January 2014, Obama Care went into effect. Most insurance companies now pay the one rate for a 45 minute session. It does not matter if you see a couple, family (CPT code 90847) or do a 60-minute session (90837) the insurance company has one rate for all sessions. (Except the Intake session which is the first session and is generally billed at another, usually higher rate.)
Medical Necessity: You may or may not be aware of this term, but this is what determines if you are medically eligible to bill for psychotherapy services under insurance. In other words are you have a psychological illness, are “sick”, or “mentally ill” enough to qualify for psychotherapy. If, after our intake, the first session, I do not feel you meet “medical necessity,” I cannot give you a diagnosis, and therefor I cannot bill your insurance company.
So while other therapists may go ahead a bill your insurance anyway, I will be honest with you. I won’t bill insurance unless I absolutely believe it is appropriate.