Couples Therapy

Couples Therapy:

Couples therapy is a type of counseling that aims to improve communication and strengthen the emotional connection between partners. It can be helpful for couples at any stage of their relationship, whether they just got married or have been together for a long time. Many sexual issues can also be addressed through couples therapy.
Sometimes when there are sexual problems or dysfunctions, one partner may mistakenly believe that it's solely their issue. For example, men with erectile issues might think it's their own "problem" and seek individual therapy. However, in many cases, the dynamics between the couple play a role in, worsen, or are negatively affected by the problem. So even if it didn't start out as a problem for both partners, it often becomes one. Additionally, the treatment options often involve both partners participating and supporting each other. They work together as a team to heal.

To start couples therapy, I conduct a thorough assessment to fully understand the couples therapeutic needs. This includes an initial interview with both partners together, individual interviews with each partner, an online questionnaire that I will use alongside the information from the interviews, and a second meeting with both partners present to go over my impressions and treatment recommendations.

Couples Therapy

Couples Therapy sessions and fees:

I offer flexible fee structures and session options to meet the diverse needs of my clients. The assessment process, which typically takes 4 to 5 hours, can be completed in three 90-minute sessions or one intensive 4-5 hour session. Couples therapy sessions are available for 90 minutes at a cost of $400. Additionally, for shorter check-ins or as therapy nears completion, 50-minute sessions are offered at $225 per session. My goal is to provide effective and efficient therapy options to support my clients in their journey towards improved well-being. Below is an outline of assessment and ongoing therapy options and fees. We will discuss what is the best option for you during the free phone consultation, after the assessment process and continually as therapy progresses.

Assessment Process:

  • Duration: The assessment process typically takes 4 to 5 hours.

  • Cost: Each 90-minute session is priced at $400.

  • Online Inventory Fee: There is a separate fee of $75 for completing an online inventory, which is used in combination with clinical interview information, to create a personalized treatment plan.

Session Options:
1. Three 90-Minute Sessions:

  • Duration: The assessment can be completed over three separate 90-minute sessions.

  • Cost: Each 90-minute session is priced at $400, resulting in a total fee of $1200 for the assessment.

  • Online Inventory Fee: The $75 fee for completing the online inventory applies.

2. Intensive 4-5 Hour Session:

  • Duration: Alternatively, the assessment can be completed in one intensive session lasting 4 to 5 hours.

  • Cost: The total cost for the intensive session is also $1200, with each 90-minute portion priced at $400.

  • Online Inventory Fee Waiver: As an incentive for choosing the intensive option, the $75 online inventory fee is waived.

Couples Therapy Sessions:

  • Duration: Couples therapy sessions are scheduled for 90 minutes.

  • Cost: Each 90-minute session is priced at $400.

Additional Session Option:

  • Duration: 50-minute sessions are available.

  • Cost: Each 50-minute session is priced at $225.

  • Purpose: These sessions can be useful for shorter check-ins, individual sessions as part of the couples work or as therapy progresses and the number of sessions is reduced towards the end.

Individual Therapy

Individual therapy:

When I work with clients as their therapist, I will sometimes use one-on-one therapy as the main approach for those who are dealing with trauma that affects their relationships and daily life, or for those who struggle with long-standing patterns in relationships that they want to change. While it's often possible to address these issues in couples therapy, it can sometimes be important for individuals to first work through trauma, complex trauma, childhood problems, and the impact of mental health issues on relationships before involving their partner. In some cases, I also provide one-on-one therapy for clients seeking help with sex therapy and relationship concerns, especially if they are currently not in a relationship or if their partner is unable or unwilling to participate in treatment. Additionally, I support and work with LGBTQ+ clients and those in consensually non-monogamous relationships, addressing various issues within the context of their lifestyle and identity.

Individual therapy fees:

  • For a 60-minute initial session with individual clients, my fee is $225.

  • For 45-minute individual sessions, my fee is $200.

  • I also offer 90-minute sessions, which are often useful for trauma work and EMDR, for a fee of $400.

I am not in network for any insurance companies:

I don't work with insurance companies because they put too many restrictions on therapy sessions. Instead of letting therapists decide how long, how often, and what kind of treatment is needed based on clinical judgment and client preference, insurance companies try to control these aspects. I'm also concerned about the lack of confidentiality, as insurance companies often require the release of records. If you have out-of-network benefits, I can give you a superbill that you can submit to your insurance company for reimbursement. However, it's important to know that if you use these benefits, your records may be requested and if the insurance company determines that the services were unnecessary or not covered, they could require you to pay back the money they paid you. I only provide the superbill and don't participate in audits. If you have HRA, FSA, or HSA accounts, you can use those funds to pay for therapy. Before using your out-of-network benefits, make sure to check what they cover and consider the potential issues involved.

You have the right to receive a “Good Faith Estimate

MB Control Number: 0938-1433

Expiration Date: 11/2025

You have the right to receive a "Good Faith Estimate" explaining how much your medical 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 bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item.

  • You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

  • If you receive a bill that is at least $400 more than your Good FaithEstimate, 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 http: www.cms.gov/nosurprises or *I Contact: Board of Examiners of Psychology (615) 741-5735 local or 1-800- 778-4123 Nationwide. Unit1HRB.Health@tn.gov. 6615 Mainstream Drive, 2nd Floor. Nashville, TN 37243