Goal: To relieve your symptoms and improve your life with the judicious use of medication management and/or solution-focused psychotherapy.

Good for you if:

✓ You are new to seeing a psychiatrist or therapist, or your experience with psychiatry has generally been positive, neutral, or “good enough” (although you may be looking for something better)

✓ You haven’t yet tried “traditional” psychiatric approaches, or haven’t tried many medications or therapists

✓ You are looking for treatment for symptoms of Anxiety, Depression, Bipolar Spectrum, or PTSD, or looking for general support to cope with life changes or stress

✓ You are looking for treatment for symptoms or you have one, or maybe two main problems/diagnoses you are looking for help for

✓ Your general physical health is good

✓ You are open to the use of psychiatric medications if appropriate

Includes:

✓ Comprehensive pre-session questionnaire to assess psychiatric history, medical history, lifestyle habits, and goals for treatment

✓ 75 minute initial consultation

✓ Follow up appointments scheduled as needed (25 or 50 minutes)

✓ Treatment can include medication management and/or psychotherapy

✓ Can include ordering and interpretation of follow up labs (basic lab work only)

✓ Can include genomic testing to optimize medications (separate fee charged for test & lab review)

Goal: The Integrative/Functional Psychiatric Assessment & Treatment Track includes everything in the Essential Track, and more. The goal in our work together will be to relieve your symptoms, improve your life, and optimize your mental and emotional health with a combination of judicious medication use (where applicable), solution-focused psychotherapy and holistic/functional medicine approaches.

Good for you if:

✓ You have a complicated medical and/or psychiatric history

✓ You are looking to reduce medication use and take advantage of all holistic approaches available

✓ You have tried “traditional” psychiatric treatment and it hasn’t worked

✓ You have tried multiple psychiatric medications and they haven’t worked, or you have a tendency to be very medication sensitive

✓ Your psychiatric diagnosis is unclear, you have multiple diagnoses, or don’t think you’ve been diagnosed properly in the past

✓ You suffer from chronic medical issues, such as chronic fatigue, hormone dysfunction, gut issues, autoimmune or inflammatory conditions, etc.

✓ While you would like the focus to be on holistic treatments, you are OPEN to considering the judicious use of psychiatric medication where appropriate

Includes:

✓ Comprehensive pre-session questionnaire to assess psychiatric history, medical history, lifestyle habits, and goals for treatment

✓ Additional pre-session questionnaires to assess symptoms of inflammation, thyroid dysfunction, and adrenal dysfunction, and GI/gut dysfunction (common contributors to psychiatric issues)

✓ 2 hour initial consultation

✓ Follow up appointments scheduled as needed (25 or 50 minutes)

✓ Review of past medical records and lab work if applicable

✓ Ordering and interpretation of follow-up labs, including both basic lab work (done at Quest) and Advanced Functional Testing

✓ Treatment can include medication management, psychotherapy, and functional psychiatric assessment and treatment

✓ Creation of customized treatment plans based on results of functional lab testing

✓ Review and optimization of supplements currently taken

Please be aware of the following billing practices:

• I do not accept insurance or work directly with insurance companies. I can provide an itemized receipt or superbill that may allow you to get partial reimbursement if you have out-of-network benefits.

• In the Telehealth Practice, I do not offer a sliding scale or discounted rates. I do offer several student scholarships a year (currently at capacity Dec 2022) and ongoing free educational seminars for the general public (Please sign up for my newsletter if this is of interest). The fees outlined below are the same for all clients.

• Please be aware there may be a waitlist for services.

Track #1 — Essential Assessment & Treatment

Initial Consultation (75 minutes): $975

Follow Up Appointment (25 minutes): $345*

Follow Up Appointment (45 minutes): $475

*Please note that for the Essential Treatment Track, follow-up appointments for medication management only are typically 25 minutes, and appointments for medication management and/or psychotherapy are 45 minutes. In some cases, I might recommend scheduling a 45-minute appointment even if we are not doing psychotherapy to have more time to discuss complex issues regarding medications or lab results, but this is less common.

*No Surprises: Expect an investment of $2500-$4000 (without psychotherapy) or $3500-$11,000 (with weekly or biweekly psychotherapy) for the first 3-6 months of treatment.

Track #2 — Integrative/Functional Assessment & Treatment

Initial Consultation (2 hours): $1500

Follow-up appointments (length of time based on complexity)

Follow Up (25 minutes): $345

Follow Up (45 minutes): $475

*Please note that depending on the complexity of your case, a follow-up appointment or two may be needed to complete your assessment

*No Surprises: Expect an investment of $4500-$9000 (without psychotherapy) or $5500-$13,000 (with weekly or biweekly psychotherapy) over the first 3-6 months of treatment (including functional lab work, if indicated).

For both treatment tracks:

Clinical services provided between appointments (e.g. phone calls with family members or other providers, prior authorizations, letters or forms, transfer of records) are billed at the rate of $75 per 10-minute increment.

Specific lab testing is discussed during our sessions and ordered as clinically indicated based on your symptoms and goals.

• Basic lab work: Cost of lab testing — billed to insurance (copay may apply), Lab Review Fee — $75

• Genomic Testing: Cost of lab test — billed to insurance (copay may apply), Lab Review Fee — $150