Many people begin to feel better after scheduling the first appointment. Knowing that there is a path to feeling better, and that you chose to step onto that path introduces some hopefulness into what can feel like a bleak situation. The second time most clients notice a significant change in how they feel is after a session or two of talking about what has been going on. Why? Most of us struggle and suffer without feeling that anyone really understands what we are up against. In the first couple of sessions we will focus on really clarifying what has been going on, how you have been feeling, and we will make a plan to address it. Feeling understood, and that you are not alone in your efforts, is often the second step in the process of healing. From there the work of therapy continues for varying lengths of time, depending on your particular goals, how long you have been struggling, the complexity of your symptoms, whether you are dealing with hormonal shifts or medical issues, and whether you have additional stressors that happen in the course of treatment. Regardless of how long it takes for you, we know that therapy is effective for helping people feel better and function more effectively.
If you are feeling bad enough that you are considering seeking therapy, you have probably already waited long enough. While people do sometimes get better without therapy, it usually takes longer. If you are a mama, it is important to know that your mental health has a direct impact on your children’s well being. When mamas get better, babies have the best opportunity thrive. There are many ways to do psychotherapy and my goal is to tailor what I do to best fit you and your needs. In the initial appointment forms I will ask you some questions about your expectations and preferences for how we work together. Your answers are the beginning of our collaboration in creating a therapy that will work for you.
The initial evaluation is 50-60 minutes long. All other sessions are 45 minutes. 60 minute sessions are available if requested and 30 minute sessions may be available at certain times of the day in consultation with Dr. Cohen-Archer.
The fee for the first session is $185. All subsequent 45 minute sessions are $140. Under the law, health care providers must give clients who don’t have insurance or who are not using insurance an estimate of the bill for medical services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services. Dr. Cohen-Archer will provide a Good Faith Estimate in writing at least one business day before your appointment. You can also ask for a Good Faith Estimate before you schedule an appointment. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call Dr. Cohen-Archer at 859-327-6459.
I am not an In Network provider for insurance, which means that fees must be payed by you in full at the start of each session. If your insurance plan includes Out of Network benefits you may be eligible to have a portion of the fee reimbursed to you directly from the insurance company. I will give you a detailed receipt so you can file a claim with your insurance for this reimbursement. Depending on your insurance I may be able to electronically file the claim for you. If you have a health savings accounts (HSA) or a flexible spending account (FSA) you can use these to pay for therapy.
The law protects the relationship between a client and a psychotherapist. This means that by law if you seek counseling services from me I cannot share anything about you or anything you tell me without your written permission. Below are the exceptions to this law, which are situations in which I am mandated by law to disclose information you share with me with or without your permission.
- I am required to report any suspected abuse or neglect of a child, dependent adult, or elder.
- If you threaten serious bodily harm to another person, I must notify the police and inform the person you are threatening to harm.
- If you intend to harm yourself and will not cooperate with a safety plan, I will disclose information to others as needed to ensure your safety.
- If there is a court order for records or testimony, and efforts to block the subpoena have failed, I must provide the requested information.
- If the government believes you to be a terrorist and requests access to your records I must comply.
There may be times when you want me to share information about you (to your physician, employer, spouse, etc.). I must have your written permission (a completed Authorization to Release/Exchange Confidential Information form) to do this, including what information you wish to be shared and with whom you wish me to share it..
Scheduling a therapy session means time is reserved specifically for you. Therefore, we ask that if you must miss your scheduled appointment you contact the office by phone or text at least 48 hours prior to your appointment. You will be charged the full session fee for any cancellations given with less than 48 hours notice or any missed appointments. This fee is waived if you cancel because you are ill, you must stay home to care for an ill child, you are in labor, or have an emergency. Being called in to work does not constitute an emergency for this purpose. With the understanding that parents of young children have much on their plates, you have the option to receive a text, email, or phone reminder of your appointment 72 hrs in advance
Babies are welcome until they are crawling. Whether you bring your baby should depend in part on whether it would be easier for you to talk about what you need to talk about with or without your baby present. You are encouraged to rock, hold, bounce, feed, change or otherwise care for your baby as need be during your session.