My fees for a 50 minute session (in-person or remote), are as follows:
Individual session - $220
Couples session - $220
My Value Proposition to You:
I do not accept insurance of any kind, which I know makes the weekly out-of-pocket cost my clients must bear higher than those working with an in-network provider. Here’s what my clients get in return for that premium:
Client-Focused Care: Neither of us has to deal with diagnostic requirements, credentialing, network status, audits, clawbacks, annual benefits enrollment, or any of the other bureaucratic gatekeeping measures insurance companies impose. With my clients, we do about 10 minutes of admin discussion in the first session and from that moment forward all we talk about is what matters to you.
Privacy: No insurance company or employer will ever need to see your session notes.
Attention and Availability: You will not be dealing with someone trying to squeeze a living out of low insurance company reimbursement rates by taking on as many clients as they can while trying not to drown in paperwork. You will be scheduling sessions directly with a provider who loves his job and values his clients. I’m not always available, but I’ve scheduled same-day sessions, I’ve squeezed in clients while traveling, and I’ve scheduled early morning, late night, and weekend sessions when appropriate. I have had numerous clients remark that I maintain continuity between sessions and remember past discussions and details much more thoroughly than their previous therapists.
Focus: With insurance-paid therapy, because the weekly out-of-pocket costs are so low, any one unproductive session doesn’t feel like a big deal. As such, insurance-paid therapy often falls into a pattern of unambitious, unfocused, repetitious therapy comprised largely of self-reflections and intellectualized analysis that is not firmly anchored to a measurable clinical goal, where the therapist’s main contribution is often little more than validation. I’ve met more clients than I can count who, with their previous therapist(s), fell into that pattern for years or even decades. (And I long ago experienced this as a therapy client myself.) These clients are often unable to say for sure how they benefited from that previous work, despite sometimes having completed hundreds of sessions. The tremendous costs of such an approach are obvious. I have no interest in doing therapy that way, and I tell clients that three to six sessions (and often just one or two) is enough to know if therapy with me is going to work. If we’re not seeing at least the beginnings of change by then, we need to make sure we’re a good fit, and if we’re not, find a next step for you that will be more effective. I am constantly working with clients to figure out how we get to “done,” and to make sure that every minute in session is dedicated to that goal. I am keenly aware that I must earn every dollar of their session fee every single week. I will also note that if minimally structured, weekly, conversational check-ins is what you want out of therapy, that’s a reasonable choice (if chosen thoughtfully), but I’m probably not the right therapist for you.
Exclusions
If you have health coverage through Kaiser Permanente (regardless of region), I am unable to work with you at this time due to contractual obligations, even if you wish to pay out of pocket. I apologize for the inconvenience.