Clinical Practice

Services

My practice is limited to psychotherapy with or without medication for adults and college students appropriate for an outpatient level of care.

Consultation

The consultation phase includes a comprehensive psychiatric evaluation and differential treatment planning. It may occur in one longer session or over the course of multiple sessions, depending on the complexity of your case and your completion of intake forms. After an assessment of your presenting difficulties, we'll review your treatment goals, and discuss treatment options, whether or not I'm able to provide them. Please carefully consider this information and your own assessment of whether you feel comfortable working with me. Mental health treatment involves a commitment of time, money and energy, so you should be very thoughtful in selecting your provider. If you have questions about my procedures, we should discuss them whenever they arise and, if your concerns or doubts persist, I will be happy to help you secure an appropriate consultation with another mental health professional. Please note, consultations are not a guarantee of treatment.

Follow-Up Treatment

If we agree to work together, each subsequent session will consist of psychotherapy with or without the use of medication. The duration, number, and frequency of sessions will depend on mutually established treatment goals. I offer both short-term, symptom-focused, and long-term therapy. My theoretical orientation is psychodynamic and my practice is evidence-based (read more here).

Telepsychiatry

Telepsychiatry services are offered through doxy.me. This is a form of live interactive video conferencing that allows you to have your psychiatric visit from through the computer. Telepsychiatry visits are only available for follow-up treatment. Please confirm with your insurance that your visit will be covered prior to making an appointment for telepsychiatry.

Billing

Fees

The following may be reassessed and adjusted each January:

  • Initial clinical consultation (60 min.) $300.
  • Subsequent consultation or follow-up treatment (60 min.) $250.
  • Follow-up treatment (30-45 min.) $200.

Additional time spent on other professional services such as preparation of formal reports, treatment summaries or records, attendance at meetings or consultations with other professionals, which you have authorized, or telephone conversations exceeding 10 minutes will be billed at an hourly rate of $300 per hour. Other miscellaneous fees include: Medical records handling/copying ($30 plus $1.15 per page for first 30 pages and $0.90/page thereafter) and bounced checks ($35 per check).

Insurance

I accept UPMC commercial plans (excluding For You and For Life products) and Blue Cross Blue Shield (e.g., Highmark).

Out of Network Benefits

When you receive care outside of your insurer’s preferred network, it does not mean you have to bear 100% of the cost of your treatment. Click here to learn more about out of network benefits.

Cancellations and No-Shows

I will bill you $150 for late cancellations and for no-shows. A late cancellation is when you cancel less than 48 hours before your appointment. The late cancellation fee may be avoided by rescheduling your appointment within 1-week; however, alternate times may be limited. I waive one late cancellation or no-show per year if there are extenuating circumstances. Please note that insurance companies do not reimburse for missed appointment charges. You may opt for a tele-session instead of a late cancellation. However, tele-sessions may not be covered by your insurer.

Contact

I monitor my messages frequently and return those of established patients by the end of my day and I also review my messages on weekends and holidays between 5 P.M. and 7:30 P.M.

Phone Calls

My office telephone number is 412-832-9949. I am often not immediately available because I am with a patient. For urgent matters which require my attention after-hours, you may page me by dialing 0 from my main line.

Email and Patient Portal

Keep in mind, email is not always secure. I prefer using a HIPAA-compliant secure patient portal (Patient Ally) for communication. Here you can also schedule appointments, request refills, and pay your bill. For more information on the portal, check out this video.

Emergencies

In the event of an emergency, go to the nearest emergency room or call an emergency crisis service: 911, 1-800-273-TALK (24/7 National Hotline), or 888-796-8226 (Re:solve Crisis Center). Please do not wait for me to return your message before taking appropriate action.

Privacy

I value the protection of your confidentiality as fully as the law allows. I will not release information about you to anyone without informing you first, and in almost all cases only after you give me clear permission. There are a few circumstances where the law requires me to disclose information even without your permission. A valid subpoena by the court may force me to release records or testify about your case. Child or dependent-elder abuse must be reported. Immediate risk of self-harm (suicide), inability to care for yourself, or clear intent to hurt others forces me to breach your confidentiality to maintain the physical safety of yourself or others. Please note that suicidal or violent feelings— feelings about anything really — are not reportable in themselves, and that talking about such feelings in confidence can be the best way to defuse them.