I do not accept insurance so payment is made, by you, at the time of service; however, I use Reimbursify, a program that allows seamless submission of out-of-network claims to insurance companies. While I cannot guarantee the specifics of your reimbursement as this varies by insurance, Reimbursify makes the process of requesting reimbursement quick and simple for you. I can also provide superbills at your request. See the right side of the page for a link to my Reimbursify site.

In our current medical system, the choice to take insurance is a choice to spend less time with each individual. By not taking insurance, I am able to spend adequate time in each appointment to do a thorough assessment and spend additional time outside of sessions developing clinical plans, allowing my treatment to be quite individualized. In most insurance based practices, psychiatrists see at least 12 patients per day, often many more, which makes highly personalized difficult to achieve.

To help understand what your first six months of treatment might cost, please check out the linked cost sheet and price estimator below. Every person’s needs and wants are different, so specific cost details will ultimately vary for each individual.

Please note that costs will be a bit higher with supplements, medications, or if we decide to obtain labs that are not routine. Costs will certainly be lower if your insurance provides some reimbursement for treatment and/or prescriptions.

Price List and Cost Estimator

Currently, I only see patients virtually. I am licensed in South Carolina, Georgia, Pennsylvania, Vermont, New Hampshire, and New York. The laws around telehealth mean that to see me, you need to be physically in one of these states at the time of our appointment. Patients in New York should be aware that many integrative medicine labs cannot be ordered in your state, which may limit the depth of evaluation we can do.

I prescribe minimal controlled substances (benzodiazepines, stimulants) because I believe there are generally other effective methods to handle symptoms with fewer risks. Regulations around telehealth prescribing of controlled substances are also in flux and very restrictive in certain states. If you know you are in need of a controlled substance, I would recommend finding an in-person psychiatrist to continue prescribing this. If we are working together and feel a controlled substance is necessary for your treatment and I cannot prescribe it for regulatory reasons, I will let you know this and may be able to assist in finding a psychiatrist in your area who can help.

As a psychiatrist, there are medical conditions, lab findings, and other concerns that may be beyond my area of expertise. While I will take these things into consideration when developing your psychiatric treatment plan, I am not always the most appropriate person to manage these conditions. For this reason, you are strongly advised to have a primary care physician to address general medical concerns that are not psychiatric in nature. We can also work together to find you a referral to a general functional or integrative physician if necessary.

This varies based on your specific situation and preferences. I will always balance the desire to see each other frequently and make faster progress with what is realistic and cost effective for each person. Often, initial treatment progresses like this:

* We have an intake appointment and order additional testing at that session; we do some initial review of a treatment plan as we conclude this first appointment. Sometimes, if the plan is very clear or you are currently on medication, I write prescriptions at this time. Often, we wait to review completed testing before prescribing medications, supplements, or even lifestyle changes.

* I complete a preliminary treatment plan write-up and provide this to you following our intake appointment. This is a “living” document that will help guide treatment and track progress. I may also have provided you with additional “homework” to complete after our intake, such as tracking symptoms, reviewing lifestyle factors, obtaining a book, or getting labs drawn.

* We have an initial follow-up session, generally within 1-3 weeks of our intake. Ideally, new lab results have been obtained by this session. Often, the first follow-up appointment is 50 minutes to allow sufficient time for reviewing the detailed treatment plan, lab results, any homework, and completing prescriptions.

* Going forward, follow-up appointments are scheduled based on our mutual assessment of your needs. If we are working together for therapy, intensive coaching, or you are dealing with more severe symptoms, we will meet weekly or every other week for 25 or 50 minutes. Most patients like to gradually space out their appointments as they feel increasingly well. I meet with my patients at minimum every three months; this would be the case if your treatment has been quite stable and you feel that you are consistently functioning well in your daily life.

I do not complete disability paperwork for new patients. In the case of established patients, disability recommendations are case by case.

I don’t rule out any specific conditions or diagnoses for treatment; however, I am obviously considerate of the limitations of virtual treatment. Telemedicine is a fantastic development in our field that allows doctors and patients to reach one another quickly and conveniently; however, certain conditions are best treated by an in-person doctor. Examples of this might include needing frequent physical examinations or vital sign readings or severe trauma symptoms, for which therapy is often best conducted in-person. Usually, we can figure out whether we’ll be a good fit during our 15 minute consultation call.

In terms of ages, I see patients from 18-64.

Most labs will be ordered through Rupa Health, a platform that consolidates lab offerings from a range of companies. More standard labs, which I order for every patient, will cost in the $200-300 range; Rupa Health will help you find a location to have them drawn and provide a superbill for submission to your insurance, and these labs are likely to be covered by many insurers.

More complex labs for a deeper functional/integrative evaluation are also possible. These are more expensive (usually in the $1000 range for a normal panel) and often not covered by insurance.

If you are interested in genetic testing, we can order this through Genomind. This costs $399 and is occasionally covered by insurance.