I offer a range of therapeutic services on a per session basis (session length: 50 minutes). My session rates are between $120.00 and $140.00 per session. The cost of a session is based on the time you’re available to meet:
- 10:00 AM to 2:00 PM: $120.00 per session
- 2:00 PM to 8:00 PM: $140.00 per session
- Evaluation and assessments: $120.00 per hour plus the cost of testing materials and scoring
- Testimony in court: $200.00 per hour. Billable time includes travel to and from the venue as well as time spent at the venue.
With each new client there is an average of five hours of work spent outside of session preparing your treatment. This time includes coordination with other professionals, building your treatment plan, communicating with other involved parties (i.e. parents, partners, probation officers, lawyers, social services, etc.), and gathering necessary background information. This out-of-session work does dwindle over time, but it never disappears completely. So, the 50 minutes you spend in session with me is not the only time I spend on your behalf. However, the primary reason I charge what I do, however, is far simpler. I’ve been doing this for 25 years and over that time have figured out what I do well. What I do well is help teens, young adults, and their families make changes and overcome difficult challenges. From day one, I bring every bit of my personal and professional experience, education, and training and put it to work on your behalf. There are no shortage of therapists in Denver and you’ll find many who charge less for a variety of reasons. I charge what I charge because the services I provide ultimately because they are worth it.
No, and here’s why: First, for the last several years most of the major insurance companies have closed their panels to therapists working in the Denver Metro area. In this sense, I couldn’t accept insurance even if I wanted to. But the primary reason I choose not to work with insurance companies has nothing to do with their panels or their ridiculously onerous paperwork requirements and everything to do with the quality of your care. Your mental health care should be determined in partnership between you and your therapist. In order to use your insurance for mental health benefits, I would have to disclose to your carrier information about your care that I believe is best kept confidential. In addition to assigning you a diagnosis for billing purposes, I have to also disclose information about your treatment progress and provide periodic updates regarding your care. And while it’s true that protection exists for how this information is supposed to be used (i.e. HIPPA), exactly how this information “follows” a person around once it’s been disclosed has not been made sufficiently clear. In order to use insurance for mental health benefits, the carrier not only requires me to disclose this sensitive and deeply personal information, the insurance company is also sets the number of session you receive. Therapy should not a game of “name that tune” where a person who knows nothing about who you are and what you’re dealing uses an actuarial table to determine how many sessions you need. I will protect your privacy and do not want your mental health information to follow you around.
If you have insurance with out-of-network benefits and I am happy to provide you with a superbill or 3rd party-billing sheet (a more detailed receipt with the basic information required for you to submit to your insurance company). However, I encourage everyone to educate yourself about exactly how your carrier utilizes your clinical information and then decide for yourself whether or not to proceed.
This is such a natural and perfectly appropriate question to ask, and yet due to the unique circumstance of each person and family, a firm answer is difficult to provide without knowing more about your situation. The length of each session is 50 minutes but the length of treatment is determined by the seriousness of the issues we’re dealing with, the kind of therapy we’re doing, and by how hard you are willing to work between sessions. I ask new clients to consider making at least a three-session investment initially. By the end of that third session, I will have a handle on what needs to be addressed and will be able to give you a more responsible estimate of how long your treatment will take. Know this, therapy should have distinct beginning and ending point. The goal is to make me irrelevant in your life as quickly as possible.
Again, much of this answer will depend of your situation and the kind of therapy required. I recommend that you consider coming at least once per week for the first three weeks. This gives us the opportunity to get to know one another and establish some momentum. Once you and I have had a chance to build a solid relationship, it may not be necessary for you to come in as frequently. People typically come to sessions more frequently in the beginning (one to two times per week) and then gradually come less frequently (once to twice per month) as things stabilize and improve. We have excellent data showing “brief” or solution-based therapy can be effective. Brief therapy is generally considered to be between eight and twenty sessions and is focused on a specific problem, challenge or desired change. For a person(s) who is both highly motivated and willing to put in the work between sessions, therapy can progress faster.
I provide cognitive behavioral therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR). CBT can be used when there is a pattern of unwanted behavior accompanied by some kind of impaired or distorted thinking. EMDR is a commonly used treatment for people who have experienced trauma but also have useful application in addictions. CBT and EMDR are not mutually exclusive, though it’s best to stick to one kind of therapy in each session.
That’s perfectly fine. I don’t expect your child to want to come to therapy and neither should you. And while not wanting to come to therapy is understandable it also shouldn’t be a reason for you to not send them. When an adolescent or young adult says they are interested in treatment, it’s a bonus and it’s generally best to strike while the iron is hot and capitalize on that interest. But if you intend to wait until your child wants to come to therapy, you might be in a for a long wait. Even if your child says the only reason they are coming to meet with me is because you are making them, that’s fine. Don’t argue with them about having a better sounding motivation or more positive attitude, just get then through my door. Your job as a parent is to get your child to my office. It’s my job to get them interested in coming back.
This might be the most important question of all. If you’re a parent looking to find a therapist for your child and family, the right fit should be your first priority. Someone you and your child can trust is essential and the only way we’ll know this for sure is to come in for a visit. I offer free in-person consultations between 10:00 AM and 2:00 PM (these can also be accomplished on the phone of via video conference). These meetings last 30 minutes and are extremely useful ways of determining the right fit. However, if a consultation isn’t an option, then your best bet is to schedule an initial session. Once we begin working together, it will quickly become apparent if it’s the right fit or if we need to find another option. There is good data to suggest that the strength of the therapeutic relationship (the “fit”) by the end of the third session is a strong indicator of successful client outcome. If we start working together and later find out that it’s not the right fit, I will help you find someone who is a better option.
No. I actually work with people of all ages and with all kinds of different issues. I specialize in teens, young adults and their parents, but I work with a variety of individuals who are trying to make difficult changes in their lives.
I answer this question differently at year 25 into my career than I did when I was a young punk just learning when it meant to help someone. The hardest part of my job is easy to identify and there really isn’t a close second. It’s sitting. I sit for hour after hour, sometimes for as much as ten hours per day. That’s too much sitting for a human being. Sitting is the new smoking in terms of damage to your body and if you’re a person who doesn’t sit for a living, here’s something you may not believe: too much sitting hurts. It’s painful, and even thought I paid a lot for the comfortable chairs in my office, sitting is easily the most difficult part of my job.