Medication Management and Psychotherapy

Following a thorough assessment, I provide evidence-based, collaborative medication management along with brief psycho-therapeutic (counseling) interventions.

Before our first visit

If you wish, we can schedule a free 15-minute conversation to answer questions about services and assess whether you want to work with me.

Forms to provide information about your concerns and health history are available online via secure portal or as paper forms to complete by hand. You will also receive privacy and financial agreement forms to sign. The first appointment can be confirmed as soon as two business days after these forms are complete.

First visit

Evaluation and assessment

Our first appointment together will usually be 50 to 55 minutes long and in person. We will go over your presenting mental health symptoms, psychiatric and medical history, life course, and life experiences. Sometimes I order laboratory testing to ensure there is no medical problem underlying your mental health symptoms. Depending on your current and potential medications, I may also request an EKG. New prescriptions for medicines during the first visit are the exception.

Second visit

Treatment planning

Our second appointment will usually be in person for 50 minutes during the week after the first visit. The focus of the second appointment is to clarify questions from the first visit and review treatment options. We will discuss available options for recommended medication treatment, and your input will be critical to our final decision.

Follow-up visits

Ongoing appointments are usually 20 to 50 minutes in length. Longer appointments include more talk therapy, in addition to medication management. The frequency of follow-up visits generally varies from weekly to every ninety days, depending on your needs. When changing your medication or starting a new prescription, we will likely meet every one to four weeks to monitor progress and any problems. If medications are working well for you, we may schedule appointments every ninety days. 

Telehealth is available and optional for most follow-up visits. Many patients find that periodic in-person visits are helpful. I write prescription refills during each appointment to last until your next scheduled appointment. It is essential to attend scheduled follow-up appointments to avoid running out of medication. 

Return visits may involve medication management, brief therapeutic interventions, health education, health coaching, or a combination of these elements. I work closely with psychotherapists and am happy to collaborate with your primary medical provider or other medical specialists to make your care as holistic and tailored as possible.

In-network Insurance Plans

I am an in-network provider with these insurance plans:

  • Aetna US Healthcare
  • Cigna
  • First Choice Health Network
  • Kaiser PPO (not in network for Kaiser Core or HMO)
  • Lifewise of Washington
  • Molina 
  • Premera Blue Cross
  • Other Blue Cross/Blue Shield Plans
  • Regence Blue Shield

Your insurance carrier can provide coverage details for outpatient mental health benefits. Costs not covered by your insurance benefits are your responsibility to pay.

Rates for in-network patients

Billed directly to your insurance provider

The charges submitted to insurance are similar to the rates listed for out-of-network patients. Your insurance company decides how much the services provided are worth. They also determine the split between what they will pay and the amount for which you are responsible.  

The standard co-pay or co-insurance for your insurance plan is due at the time of service.

Rates for for out-of-network patients

Many insurance carriers will reimburse you for healthcare payments even though I am considered an “out of network” provider. If you wish to seek reimbursement, I will provide you with a “superbill” for your use to complete insurance claims. Private-pay and out-of-network are:

  • Initial evaluation (50-60 minutes) – $275
    time beyond 60 minutes – $50 at the beginning of each 15-minute increment
  • Follow-up therapy session with medication management (45-50 minutes) – $250
  • Follow-up medication management/evaluation with brief therapy (20-25 minutes) – $130

Full payment is due at time of service.

Sliding Scale

A percentage of my practice is available to provide psychiatric care for un-insured lower-income individuals based on a sliding scale.

Fees for both insured and private paying patients

Insurance does NOT pay for these charges

  • $120 fee for cancelations with less than 24 hours’ notice.
  • $25 fee for medication refill request outside of a scheduled appointment.
  • $15 fee if co-pay or approximate portion of the bill is not paid at the time of service.