Coaching and Psychoherapy clients are billed and pay for each session in advance.
While I do not bill your insurance company directly, for psychotherapy clients who reside in Texas, I can help you submit claims and get reimbursed for your psychotherapy sessions provided that you are covered for out-of-network behavioral health care.
Coaching sessions are not covered by insurance. Insurance companies require mental health services to be associated with a mental health diagnosis to be covered. Coaching does not provide mental health treatment or diagnosis.
Therapists are healthcare providers, while coaches are not. While every state requires therapists to be licensed, no state regulates or licenses coaches.
A coach is not a healthcare professional and cannot do work that infringes on a therapist’s legal scope of practice. Under the law, coaches cannot do any of the following:
While coaching can work with issues such as identifying and reaching goals, boundary setting, dealing with and managing stress, and depressive and self-defeating thoughts, cognitive dissonance, navigating divorce and breakups, and changing the behaviors that aren’t working well for you and keeping you stuck, coaching cannot deal with issues such as PTSD, depression, and anxiety. For issues such as these, you must see a Physician or Licensed Mental Health Professional in the state you reside in. Although you as a client may have a diagnosis, such as PTSD or Anxiety, coaching is not intended as a treatment or cure for these conditions.
Some practices have a 48-hour policy. Some even have a 72-hour policy. Mine is 24-hours because I reserve for you a full hour or thirty minutes of time for the session and notes. If a client cancels with less than a full 24-hour notice it is unlikely that I will be able to fill that time slot, and I lose an entire hour from my work schedule.
It is likely, if you are in counseling/coaching long enough, at some point you might forget about an appointment, or something will come up in your schedule that will result in you missing an appointment. Maybe you’ll need to work late. Maybe you’ll get a sudden onset of the flu. Maybe your kids will have doctor appointments, or your car will break down, or something unavoidable will come up.
I completely understand when cleints miss an appointment. I know that’s life. In return, my clients understand that scheduling an appointment with me is like buying tickets to an event. If you miss the event, it doesn’t matter why you missed it, or even if it was your first time, you can’t turn in your tickets for a refund
For 50-minute sessions, a fee of $150 will be charged and for 30-minute sessions, a fee of $80 will be charged when you miss or cancel an appointment without giving 24-hours advanced notice. This means that if an appointment is scheduled for 3:00 pm on a Tuesday, notice must be given by 3:00 pm on Monday at the absolute latest.
You can cancel your appointment by emailing me at email@example.com. If you are more than 15 minutes late to your appointment time, it will be treated like a late cancellation.
The only time I will waive this fee is in the event of serious or contagious illness or other unavoidable circumstance. If you are unsure, please contact me for further guidance.
I only offer virtual Coaching/Psychotherapy appointments via Zoom.
Most of the parameters of a traditional psychotherapy meeting remain the same. I will ask you to fill out an additional telemedicine consent form.
The major advantages are that you can use my services without living close by, and you save on travel time to and from my office. In some ways, teletherapy gives you greater privacy.
Innovation and New Choices come with some Risks. That will mean that there may be new or increased risks for you. Here are some areas you should think about:
The most predictable issues would be the poor quality of the connection or becoming disconnected altogether. In such instances, the frustration is compounded if you are having an important conversation with your therapist!
The likely remedy would be that we could continue for the rest of the session by telephone. Because of sound quality, we may also elect at some points to have a phone conversation at the same time as the video conversation. By eliminating the audio that comes over the internet, we can improve the quality of the communication.
I have found several services that will provide encrypted video conferencing. I think this is critical for privacy. The video conferencing that I will provide will be HIPAA compliant. Although there are always risks to your confidentiality, not coming to my office in person is probably a net improvement in your privacy.
Availability for emergencies:
Video conferencing is not reliable enough yet to count on being able to "meet" with me in an emergency. This is actually a constraint of ordinary face-to-face meetings too, but the technology of video conferencing may make it seem like I will be able to be more available. It should be agreed that if we anticipate needing to meet on an emergency basis frequently, then E-therapy is not a good treatment modality for you.
If you anticipate needing to call a crisis hotline, you may want to write down those numbers now somewhere where you will be able to find them when you are upset. I do not have these numbers on my recorded message on my answering machine when you call me.
Current law explicitly allows for both telephone and online therapy, and further mandates that all telephone and online therapy clients receive and sign an "E-therapy Informed Consent" agreement prior to treatment. I provide all telephone and online therapy clients with a copy of this agreement, and its parameters are fully discussed with clients prior to initiating therapy.
The issue of providing telephone and online therapy to clients in other US states and in other countries is more complicated. I am licensed to practice in Texas and California, but I can only provide psychotherapy to clients in the state I reside in---Texas.
In terms of providing therapy to residents of other US states, the key issue is the law of the state in which the client lives. While there are currently no applicable federal or state laws explicitly regulating or prohibiting teletherapy across state lines, every state in the US has its own specific laws regulating the practice of psychotherapy.
In every US state, those laws limit the practice of psychotherapy to clinicians licensed and/or registered in that specific state. Due to these state legal issues, I only provide teletherapy to clients residing in Texas.
If you reside in another US state or internationally, I can provide narcissistic abuse recovery coaching. See FAQ for an explanation about the differences between Coaching and Psychotherapy.
You can connect with your laptop (as long as it has a built-in webcam and audio device, most do) or your mobile device. If you use your mobile device, use a pair of earphones for better sound quality. If you have a desktop computer make sure it has a webcam and use compatible headphones for better sound quality.