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SERVICES AND FEES

SERVICES

INDIVIDUAL PSYCHOTHERAPY

I offer psychotherapy to adults (18+) who reside anywhere in North Carolina and Pennsylvania. In addition to the breadth of approaches I draw from in tailoring therapy sessions to individual needs, I am able to incorporate dream work, somatic/movement-based practices, and mindfulness training into the therapy process according to client needs. I work with clients experiencing concerns including:

 

  • Grief and loss

  • Self-esteem issues

  • Trauma

  • Anxiety and panic

  • Obsessive-compulsive disorder (OCD)

  • Abuse 

  • Body image issues

  • Relationship concerns

  • Family of origin issues

  • Emotional aspects of chronic and terminal illness

  • End of life concerns

  • Racial identity concerns, including white fragility/white racial consciousness

  • LGBTQIA+ issues

  • Life transitions

  • Spiritual concerns

  • Pain for the world, i.e. despair regarding sociopolitical and environmental issues

 

Sessions with me are virtual. When we meet, you'll find that connection, subtle attention, intuition, and body awareness will be very present in our work, and we can use any therapy modality virtually. We’ll meet via a secure, HIPAA-compliant video platform that’s free and doesn’t require you to download anything.

 

To set yourself up for the best virtual therapy experience, I recommend using earbuds or headphones, choosing a laptop- or desktop-sized screen rather than a phone screen, preparing a comfortable and distraction-free space for your sessions, and turning off your phone or leaving it in another room. If you live with others, you can increase your privacy by placing a white noise machine outside your door or using your phone or tablet to generate white noise outside your door via a free white noise app.

 


 

EMDR

EMDR, or Eye Movement Desensitization and Reprocessing, is categorized as an “A” level treatment for trauma and PTSD by the World Health Organization. Studies show that it can also be effective for phobias, anxiety, and grief, among other struggles. I can offer EMDR as part of ongoing psychotherapy or as a standalone treatment. If you're interested in EMDR, I’ll help you determine whether you will be able to begin it right away, or whether we'll need to engage in some initial psychotherapy before beginning EMDR. I have completed EMDR training with an EMDRIA-approved training program. I conduct EMDR virtually via a secure, HIPAA-compliant video platform.

 

 

FEES

 

COST PER SESSION: $160

SLIDING SCALE

**All sliding scale slots are currently full. Feel free to email me to ask whether I am currently adding people to my sliding scale waitlist.** 

I reserve a portion of my practice for uninsured and underinsured clients who are eligible for membership in Open Path Psychotherapy Collective. Those who are able to pay my full fee are directly supporting those with more limited resources to access therapy with me via sliding scale rates through Open Path.

IN-NETWORK INSURANCE

For North Carolina residents only, I am in-network with some Aetna plans and some Blue Cross Blue Shield plans. 

OUT-OF-NETWORK INSURANCE

I'm an out-of-network provider for most insurance plans that offer out-of-network benefits. Many plans with out-of-network benefits may reimburse a portion of the cost of therapy (usually between 50% and 90%, sometimes after you meet a deductible). If you opt to use your out-of-network benefits, I'll provide you with an invoice each month that you can submit to your insurance company in order to request reimbursement. Most plans provide a way to upload invoices simply and electronically.

 

Before deciding to use your out-of-network benefits, verify your benefits and make sure you understand how this coverage is likely to work. Keep in mind that any time you use insurance for therapy, whether in-network or out-of-network, the benefits quoted to you are an estimate rather than a guarantee of payment. Ask the following questions when you call your insurance company:

  • Do I have out-of-network benefits for outpatient mental health/psychotherapy?

  • Do I have to meet a deductible before my out-of-network care will be reimbursed?

  • If there is an out-of-network deductible, how much of it has been met so far this year?

  • How much will I be reimbursed per out-of-network psychotherapy session?

  • Is my coverage for out-of-network teletherapy (virtual therapy) the same as my coverage for out-of-network in-person therapy?

  • How do I submit superbills for reimbursement? (A "superbill" is an invoice I will provide you each month to submit to your insurer.)

  • Can I use these benefits with any out-of-network therapist, or is there a specific pool of out-of-network therapists I have to choose from?

  • Is there a limit to the number of sessions I can get reimbursed per year?

  • Do I need a referral from an in-network provider to get reimbursed for seeing an out-of-network provider? If so, can my PCP refer me or do I need a referral from a specialist?

ACCEPTED FORMS OF PAYMENT

Credit and debit cards; HSA and FSA cards

 

Good Faith Estimate Notice

Notice to clients and prospective clients:

Under the law, health care providers need to give clients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. 

If you don't have insurance or are not using insurance, 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, or at any time during treatment.  

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, or how to dispute a bill, visit www.cms.gov/nosurprises.

© 2020 by Dorothy Cashore, PhD

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