Initial Evaluation
90 minutes - $350
This comprehensive first appointment includes an in-depth diagnostic assessment covering past and present symptoms, medical and psychiatric history, family history, previous medication trials, and a collaborative discussion of treatment planning. When relevant, I can also review prior records or documentation (if provided).
Follow-Up Appointments
60 minutes – $250
30 minutes – $150
Sessions are a full 30 or 60 minutes, start to finish. I reserve time outside of the appointment for notes or behind-the-scenes tasks, so our session time is protected. That said, if there’s something administrative you’d like to work on together (like forms for work or school), we can absolutely use session time for that when it’s helpful.
How often do we meet? And for how long?
The short answer: It depends!
The longer answer: My approach is flexible, and we will tailor our work together based on your needs, goals, and preferences. I value your input immensely when it comes to how often we meet and how we structure our sessions.
While some providers may insist on a fixed frequency, I take a different view. I don't believe in forcing patients to fit a specific model. Instead, we work together to find what’s most effective and sustainable.
If once a month feels right and you’re making progress—great! If you feel like you need more support, we can meet more often. And if it ever feels like too much, we can scale back.
Therapy has a “dose,” just like medication. Too much, too fast can sometimes feel overwhelming. Too little may make it harder to see results or maintain momentum. Just like with medication, finding the right therapeutic “dose” is an ongoing, collaborative process. We’ll adjust as your needs evolve.
Payment, Insurance & Reimbursement
I am currently out-of-network with all health insurance plans.This means I do not participate directly with any insurance company. However, if your plan offers out-of-network benefits, you may be able to receive reimbursement directly from your insurer for a portion of the cost of your visits.
To help with this, I provide a “superbill” after each session—a detailed receipt that includes the necessary billing codes (called CPT codes). You can submit this superbill to your insurance company to request reimbursement. Since coverage varies widely between insurance providers and plans, I encourage you to contact your insurance company beforehand to understand your specific benefits.
Here is a helpful link explaining superbills: What is a Superbill?
When you speak with your insurance company, here are some questions you might ask:
Do I have out-of-network benefits?
Are there differences in coverage for medical visits versus mental health visits?
If I pay a provider directly, can I get reimbursed? What percentage?
How does my deductible affect reimbursement?
Are there specific CPT codes required for reimbursement?
You may also be able to use your HSA or FSA card to pay for visits with out-of-network providers.
If you use an HSA or FSA card to pay for your visit, you may not be able to also submit for out-of-network reimbursement. Please check your plan details carefully to avoid unexpected costs.
For your convenience, my electronic medical record system securely stores a credit or debit card on file, which I can charge for sessions with your authorization. I also accept payment by check.
If you have any questions about payment, insurance reimbursement, or using your HSA/FSA, please don’t hesitate to reach out. I’m here to help guide you through the process.
Why Many Psychiatrists Don’t Take Insurance
I want to begin by acknowledging something important: choosing to work outside of insurance means that you’ll be paying out of pocket for your care. I don’t make this decision lightly. I know that many people pay expensive monthly premiums and expect their insurance to help cover the cost of medical care—including mental health services. It can feel frustrating and confusing when that support doesn’t extend to finding a psychiatrist who takes your plan. Paying out of pocket can feel like a significant financial commitment—that is a real and valid concern, and I understand the weight of this decision.
Ultimately, I’ve chosen to work outside of insurance because it allows me to provide you with the highest quality of care—without compromises.
The current healthcare system—especially in psychiatry—is under growing pressure from large organizations and private equity groups. These systems often prioritize volume over value, pushing doctors to see more patients in less time. Investors profit at the expense of doctors and patients alike. Many psychiatrists in insurance networks are expected to manage appointments in 15 or 20 minutes. In my view, this is simply not enough time provide the thoughtful, individualized care that supports meaningful healing.
Insurance companies may also limit the number of sessions you’re allowed to have or restrict the types of treatments that are covered. Sometimes the care a doctor recommends simply isn’t reimbursed. This can create an uncomfortable situation where your doctor has to choose between what they believe is best for you and what the insurance company is willing to pay for.
By not participating in insurance networks, I avoid these limitations. I’m not required to justify your treatment to someone who’s never met you. There are no delays or denials based on arbitrary coverage rules—just you and me, working together to create a treatment plan that fits your goals and your needs.
Another reason many independent psychiatrists step away from insurance is the administrative burden. Large medical offices often have full-time staff to handle the complicated, time-consuming process of dealing with insurance companies. In solo practice, that responsibility would fall entirely on me—taking away time and energy that I believe is better spent caring for my patients directly.
By staying out of insurance networks, I’m able to spend more time with each person. This means greater continuity, more thoughtful care, and the ability to respond when life gets complicated. Having worked within the insurance system before, I can say with confidence that this model allows me to practice psychiatry the way I was trained—to treat the whole person, with empathy, patience, and thoroughness.
I truly believe it leads to better care, better relationships, and better outcomes.
If you have questions or concerns about this approach, I’m always happy to discuss them openly.