Fees for professional services
We maintain a "direct pay" practice and full payment for professional services is required at the time of each office visit (cash, personal check, and major credit cards are accepted). The hourly fee for counseling services range from $120 to $280 per hour, based on the education level and experience of the therapist. Dr. Canfield's fee is $280 per hour. Although insurance is not accepted in lieu of full payment, upon request we can provide a "summary statement of services" (please carefully read the insurance reimbursement advisory below)
Estimating the cost of counseling
In estimating the overall cost of counseling, it is important to consider not only the hourly fee but also the frequency of therapy sessions (bi-weekly or monthly) and estimated length of therapy.. Although some forms of counseling and psychotherapy involve weekly sessions over a lengthy course of treatment, we have found that in most situations this is not warranted. We also believe that therapy, in most instances, should be a relatively "short-term" process.
Our approach to couples therapy utilizes "out-of-session" assignments and activities to facilitate changes and new interactions. As such, therapy appointments are often scheduled with several weeks between meetings. Current clinical research on the outcome effectiveness of various approaches to counseling and therapy indicate that, for most client concerns, the systemic/cognitive-behavioral therapy models we utilize are often more effective than longer-term approaches - but at a significantly lower overall cost.
Each couple and each person are unique and multiple factors must be considered. Some couples may only require an initial consultation session, while the needs of other clients may require a longer period of work. Based on your particular needs and circumstances, the anticipated length and overall estimated cost of counseling can be discussed at the conclusion of the initial consultation session.
Insurance Reimbursement Advisory
In order to receive reimbursement from your health insurance company for therapy services, you must be diagnosed with some type of mental disorder. This diagnostic label will be retained in your insurance company's data base and will become part of your permanent medical record.
It is important to be aware that such a diagnostic label may have negative consequences in the future - including increased health insurance premiums, limits or denial of life insurance coverage, ineligibility for certain jobs and security clearances, child custody considerations, and the purchase or possession of firearms in some States.
Marriage Counseling and Relationship Therapy
We believe that the vast majority of relationship, personal, and life adjustment issues for which people seek help do not warrant a mental disorder diagnostic label. This belief informs our treatment philosophy which emphasizes "wellness" rather than "pathology", and underlies our decision to operate as a "direct pay" practice. This approach ensures the highest level of client privacy, confidentiality, and ethical practice. Our client records are retained internally and are not entered into any type of computer data base or disclosed to any third party without the express written permission of all adult clients who have participated in counseling or therapy.
Relationship Therapy and Co-occuring Mental Disorders
In addition to marriage counseling and relationship therapy, for individuals seeking concurrent treatment for a mental disorder (depression, anxiety, obsessive-complusive behaviors, substance abuse, etc.), we are able to provide an appropriate diagnosis and provide a summary statement of services provided.
Although we do not accept insurance in lieu of payment at the time of each office visit, some clinical services which warrant a mental disorder diagnosis may be reimbursable by your health insurance provider.. Insurance companies vary greatly regarding regarding the extend of coverage for relationship issues, substance abuse treatment, and other mental health services. You may wish to check the extent of your coverage with your insurance company by asking the following questions:
- To what extent does my benefit cover the professional services of a licensed psychologist, licensed professional counselor, or a licensed marriage and family therapist?
- Does my insurance benefit include marriage counseling or relationship therapy?
- What is my deductible and has it been met?
- How many sessions per year does my insurance policy cover?
- What is the coverage amount per therapy session?
- Is referral or pre-approval required from my primary care physician?
Questions? Please contact us for further information.