Office Policies & Confidentiality
Entering therapy is a big decision and it's important to have all of the information you need when considering a therapist. Below is a list of my office policies.
I typically see clients for 45-50 minute sessions, usually one time a week. The schedule generally remains the same each week (for example, each Tuesday evening at 7:30 p.m.) but any session may be changed or canceled with 24 hours notice.
SETTING UP A FIRST MEETING:
PLEASE NOTE: the only way I take on new clients is to have a conversation with you first. I am happy to do that, free of charge, and there is no obligation to work with me. I may even refer you to another therapist if that’s what’s best for your situation and/or if my practice is full. You are always welcome to call my office at 925.935.4000, and leave a message and I will get back to you within 24-48 hours.
Please Also Note: A number of supposed online “insurance companies” will say that an individual can meet with me, or any specific therapist of their choice, will then ask for lots of information, only to eventually say, “This person is not in-network or not taking on new clients at this time”; they will then will refer you to other therapists. In my view, these are bad actors, because they’re lying to you at the potential start of an important and (hopefully) meaningful relationship. Again, the only way I take on new clients is to have a conversation, and yes, let’s simply speak! :-) (In many ways, I’m also old-school, and have been doing this work before social media started; I still believe a conversation with a human is a nice way to meet someone, rather then looking at how they are positioning or marketing themselves online…)
CONFIDENTIALITY:
Confidentiality is a key part of the therapeutic process. In short, with a few exceptions, EVERYTHING disclosed to a therapist, including the fact that the individual is in therapy. The exceptions are:
1. When someone is a danger to their self or to others. Simply having thoughts or desires without the intention to follow through, however, will be held confidential.
2. When the therapist has a reasonable suspicion of Child Abuse, Elder Abuse (65 or older) or Dependent Adult Abuse.
3. By Court Order or in Other Limited Circumstances. (Note: we will talk about these very limited circumstances should they seem relevant; we would do this in the initial session.)
Please note that if you're concerned about confidentiality, I encourage you to call and ask questions. Also, even if you are not considering entering into therapy with me, I am willing to answer questions and offer you referrals to another qualified therapist.
OFFICE POLICIES:
1-The client may be an Individual (you or your child), a Couple (you and your partner) or a Family.
2-It's important to show up on time to each session and to end the session on time. Also, I have a 24-hour clean and sober policy, which means each client is expected to come to session sober, and to have abstained from substances for the 24 hours prior to session.
3-Payment is expected after each session. If ability to pay becomes an issue, please notify me as soon this becomes clear and we will try to make other arrangements. Payment of fees will be discussed by the end of the first session.
I encourage you to ask any questions anytime: before the first session (by phone), at the first session, or anytime during the course of therapy.
OFFICE LOCATION & HOURS:
My office is located at 3249 Mt. Diablo Court, Suite 210, Lafayette, CA 94549. This is off the Pleasant Hill Exit from Highway 24, about 200 yards from where Pleasant Hill Road intersects with Mt. Diablo Blvd. There is ample (free) parking available. While I am at the office many hours throughout the week, I am only available by appointment.
FEES & INSURANCE:
Please Note: Many insurances cover therapy, either in part or in whole. I am not affiliated with any insurance company, but upon request, I can provide clients with a Statement (or Superbill) with all billing information which you can send to your insurance company or HSA for possible reimbursement. Some companies reimburse in full, in part, or not at all. If cost is an issue, I can refer you to a lower-fee person and/or clinic. (See Referrals.)
Good Faith Estimate Notice: (this is a legal thing that therapists are supposed to post on their websites(!); please just speak with me directly if you have any questions or concerns about it; thanks!)
You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance, an estimate of the expected charges for medical services, including psychotherapy services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.
You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service. 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