Our standard rates are as follows:
90-minute Psychological Assessment — $250
50-minute Psychotherapy Session — $180
30-minute Psychotherapy Session — $100
90-minute Group Therapy Session — $60
Phone calls, paperwork, report writing, etc. lasting longer than 15 minutes — $180/hour
We provide our therapeutic services in a fee-for-service model, meaning you pay us directly at the time of your visit. We don't let clients run up a balance, because it strains the therapeutic relationship and distracts us both from the important work to be done. Clients with an outstanding balance may not be allowed to book further appointments until it is paid
We review our fee structure every 6 months, and reserve the right to make changes as needed. If your fee for therapy will be changing, you will be given 90 days notice in writing.
CONTROLLING THE COST OF THERAPY
If you can afford them, we ask that you pay our full fees. They are fair and customary for the services we are providing, and help us slide our fees for those less financially privileged.
If the cost of therapy is an issue, we have a couple ways to help. First, we offer a sliding fee scale, based on household size and income. If your household income is below 300% of the federal poverty level, you can ask that your fee be reduced gradually from $180 down to $80 at the poverty level. For those clients whose household income fall below the federal poverty level, we may be able to offer a limited number of slots for four to six sessions of low-cost short-term psychotherapy. If you’d like to negotiate a sliding scale fee, just ask. We will need to verify your household size and annual income.
Second, while we are not in-network providers with any insurance companies, your insurance may offer out-of-network mental health benefits. This would mean they would reimburse you a portion of our fee. To find out more, call the number on your insurance card and ask about out-of-network benefits. Lastly, we are open to bartering for services. This means exchanging a service of similar value that you can offer us for the services we are offering you. This is only ethical if it does not create a dual relationship between you and your therapist and it does not otherwise interfere with your therapy, so it is not always applicable. But we can provide more information if you are interested.
We accept payments via Credit Card or Venmo.
Psychotherapy can have benefits and risks. Since therapy often involves discussing unpleasant aspects of your life, you may experience uncomfortable feelings like sadness, guilt, anger, frustration, loneliness, and helplessness. On the other hand, psychotherapy has also been shown to have benefits for people who go through it. Therapy often leads to better relationships, solutions to specific problems, and significant reductions in feelings of distress. But there are no guarantees of what you will experience.
Our first few sessions will involve an evaluation of your needs. By the end of the evaluation, we will be able to offer you some first impressions of what our work will include and a treatment plan to follow, if you decide to continue with therapy. You should evaluate this information along with your own opinions of whether you feel comfortable working with one of us. Therapy involves a large commitment of time, money, and energy, so you should be very careful about the therapist you select. If you have questions about our procedures, we should discuss them whenever they arise. If your doubts persist, we will be happy to help you set up a meeting with another mental health professional for a second opinion.
We normally conduct an evaluation that will last from 1 to 2 sessions. During this time, we can both decide if one of us is the best person to provide the services you need in order to meet your treatment goals. If psychotherapy is begun, we will usually schedule one 50-minute session (one appointment hour of 50 minutes duration) per week at a time we agree on, although some sessions may be longer or more frequent. Once an appointment hour is scheduled, you will be expected to pay for it unless you provide 24 hours advance notice of cancellation, or unless we both agree that you were unable to attend due to circumstances beyond your control. If it is possible, we will try to find another time to reschedule the appointment.
At OTC, we try to make it very easy for you to keep your appointments with us. We offer complimentary appointment reminders via text or phone call, and are happy to schedule standing appointment times. We ask for 48 hours' notice if you need to reschedule or cancel an appointment. All late cancellations and no-shows are billed at the full rate, and you will be expected to pay for any missed sessions at your next visit. Sessions that you are late for will end at their originally scheduled time so that we can keep the rest of our day's appointments on time. Habitual tardiness or missed appointments will result in being discharged from receiving services at OTC. We understand that occasionally emergencies, inclement weather, and other unforeseen situations might prevent either one of us from making it to a scheduled appointment. We will not bill for these missed appointments unless they begin to become habitual.
Psychotherapy is required by California law to be confidential for anyone over 12 years of age. That means, with few exceptions, written permission is required from a client to discuss their therapy with anyone. Those exceptions are as follows:
Our first priority is always your safety. If we learn that your life is in danger, we will do everything we can to keep you safe. Specifically, if we learn you have a plan to hurt yourself (or someone else, for that matter), we will break confidentiality and contact whoever we deem to have the best chance of keeping you safe. This might be a parent, or a higher level of mental health care.
Second, therapists are "Mandated Reporters." When we hear about any kind of abuse, we are required by law to report it. Especially if doing so has the potential to prevent further abuse to you or someone else, we will break confidentiality to report the abuse to the proper authorities. This includes consensual sexual contact between an adult and a minor.
Lastly, there are "grey" issues of safety, in which it is incumbent on us as therapists to use our clinical judgment to keep you safe. For example, while the use of illegal drugs is generally confidential information, telling us you have overdosed three times in the last week sounds like a safety issue that would make us much more likely to intervene.
it is important to remember that many people receive therapeutic services at OTC. You might see someone in the waiting room that you know from the community. We ask that you not disclose other clients' identities outside of OTC. If we find out that a client has disclosed this type of information, it will be grounds for discharge from our practice in order to protect our other clients' confidentiality.
We prefer using email only to arrange or modify appointments, as email is not completely secure or confidential. If you choose to communicate with us by email, be aware that all emails are retained in the logs of your and our Internet service providers. While it is unlikely that someone will be looking at these logs, they are, in theory, available to be read by the system administrator(s) of the Internet service provider. You should also know that any emails we receive from you and any responses that we send to you become a part of your medical record. If you must send confidential information via email, we ask that you attach it as a password-protected .ZIP file (or similar), and leave us a voicemail with the password to open the file. This is the only way to maintain your confidentiality when using email.
We do not accept friend or contact requests from current or former clients on any social networking site (Facebook, LinkedIn, etc). We believe that adding clients as friends or contacts on these sites can compromise your confidentiality and our respective privacy. It may also blur the boundaries of our therapeutic relationship. If you have questions about this, please bring them up when we meet and we can talk more about it.
One Therapy Center maintains an Instagram account for the practice to allow people to share our posts and practice updates with other Instagram users. All of the information shared on this page is available on our website. You are welcome to follow our Instagram account.
We post therapy related content on Instagram. We have no expectation that you as a client will want to follow our Instagram account. However, if you use an easily recognizable name and we happen to notice that you’ve followed one of us there, we may briefly discuss it and its potential impact on our working relationship. Our primary concern is your privacy. If you share this concern, there are more private ways to follow me on Twitter (such as using an RSS feed or a locked Twitter list), which would eliminate your having a public link to my content. You are welcome to use your own discretion in choosing whether to follow OTC.
Note that we will not follow you back. We only follow other health professionals on Twitter and we do not follow current or former clients on blogs or Twitter. Our reasoning is that we believe casual viewing of clients’ online content outside of the therapy hour can create confusion in regard to whether it’s being done as a part of your treatment or to satisfy our personal curiosity. In addition, viewing your online activities without your consent and without our explicit arrangement towards a specific purpose could potentially have a negative influence on our working relationship. If there are things from your online life that you wish to share with me, please bring them into our sessions where we can view and explore them together, during the therapy hour.
Please do not use messaging on Social Networking sites such as Twitter, Facebook, or LinkedIn to contact us. These sites are not secure and we may not read these messages in a timely fashion. Do not use @replies, or other means of engaging with us in public online if we have an already established client/therapist relationship. Engaging with us this way could compromise your confidentiality. It may also create the possibility that these exchanges become a part of your legal medical record and will need to be documented and archived in your chart. If you need to contact me between sessions, the best way to do so is by phone. Direct email is second best for quick, administrative issues such as changing appointment times. See the email section for more information regarding email interactions.
USE OF SEARCH ENGINES
It is NOT a regular part of our practice to search for clients on Google or Facebook or other search engines. Extremely rare exceptions may be made during times of crisis. If one of us have a reason to suspect that you are in danger and you have not been in touch with us via our usual means (coming to appointments, phone, or email) there might be an instance in which using a search engine (to find you, find someone close to you, or to check on your recent status updates) becomes necessary as part of ensuring your welfare. These are unusual situations and if we ever resort to such means, we will fully document it and discuss it with you when we next meet.
If you used location-based services on your mobile phone, you may wish to be aware of the privacy issues related to using these services. I do not place my practice as a check-in location on various sites such as Foursquare, Gowalla, Loopt, etc. However, if you have GPS tracking enabled on your device, it is possible that others may surmise that you are a therapy client due to regular check-ins at my office on a weekly basis. Please be aware of this risk if you are intentionally “checking in,” from my office or if you have a passive LBS app enabled on your phone.
BUSINESS REVIEW SITE
You may find our psychotherapy practice on sites such as Yelp, Healthgrades, Yahoo Local, Bing, or other places which list businesses. Some of these sites include forums in which users rate their providers and add reviews. Many of these sites comb search engines for business listings and automatically add listings regardless of Social Media Policy. If you should find our listing on any of these sites, please know that our listing is NOT a request for a testimonial, rating, or endorsement from you as my client.
The American Psychological Association’s Ethics Code states under Principle 5.05 that it is unethical for psychologists to solicit testimonials: “Psychologists do not solicit testimonials from current therapy clients/patients or other persons who because of their particular circumstances are vulnerable to undue influence.”
Of course, you have a right to express yourself on any site you wish. But due to confidentiality, we cannot respond to any review on any of these sites whether it is positive or negative. We urge you to take your own privacy as seriously as we take our commitment of confidentiality to you. You should also be aware that if you are using these sites to communicate indirectly with one of us about your feelings about our work, there is a good possibility that we may never see it.
If we are working together, we hope that you will bring your feelings and reactions to our work directly into the therapy process. This can be an important part of therapy, even if you decide we are not a good fit. None of this is meant to keep you from sharing that you are in therapy with me wherever and with whomever you like. Confidentiality means that we cannot tell people that you are our client and our Ethics Code prohibits us from requesting testimonials. But you are more than welcome to tell anyone you wish that one of us is your therapist or how you feel about the treatment we provided to you, in any forum of your choosing.
If you do choose to write something on a business review site, we hope you will keep in mind that you may be sharing personally revealing information in a public forum. We urge you to create a pseudonym that is not linked to your regular email address or friend networks for your own privacy and protection.