Complex situations need more time.
These services are not yet available. The fees and formats below describe the practice being planned for after licensure, expected 2028. No appointments are being scheduled and no services are being offered at this time. You are welcome to join the notification list to hear when the practice opens.
Deeper exploration for multiple conditions, significant life changes, or intricate treatment decisions. 45–60 minutes allows nuanced assessment and real problem-solving.
Price
$275
Duration
45–60 min
Format
In-person Chicago
Extended follow-up is for:
- ✓ Multiple conditions (ADHD + anxiety + depression)
- ✓ Significant life changes (job transition, relationship crisis, loss)
- ✓ Complex medication decisions (multiple medications, drug interactions)
- ✓ Treatment isn't working as expected
- ✓ Major decisions about medication changes, career shifts, or life direction
Rushed appointments
Important stuff gets left out.
- • Only surface-level symptom check
- • Life context gets skipped
- • Complex decisions feel premature
- • You leave with more questions
Extended appointment
Deep understanding and real solutions.
- • Full picture of what's happening
- • How life circumstances connect to symptoms
- • Thoughtful decisions with time to explore options
- • You leave confident and understood
45–60 minutes allows for:
- Comprehensive symptom review — Full exploration of how you're actually doing across all areas of life and work.
- Life context assessment — Understanding how work stress, relationships, sleep, exercise, and major life events connect to psychiatric symptoms.
- Complex medication discussion — Exploring multiple medication options, potential interactions, side effects, and timing without rushing.
- Behavioral strategy planning — Real discussion of sleep, exercise, stress management, and lifestyle changes beyond just medication.
- Your questions answered thoroughly — Time for detailed questions without watching the clock.
When to book extended follow-up instead of standard 30-min:
Standard medication management (30 min) works well for stable patients just needing check-ins. Extended follow-up (45–60 min) is worth it when complexity, life changes, or difficult decisions require deeper exploration. Think of it as the difference between a quick engine check and a full diagnostics run.
Common questions:
Is extended follow-up more expensive because it's longer?
Yes. The extra 15–30 minutes allows deeper work. For simple check-ins, standard 30-min follow-up is fine ($200). For complex situations, the extra time saves frustration and leads to better decisions.
Should I always book extended, or only when needed?
Only when needed. Most patients mix: standard follow-ups for routine checks, extended when something shifts or changes require deeper planning.
Can I upgrade from 30-min to extended if we run out of time?
That depends on the next appointment availability, but ideally book extended upfront if you know you'll need the time.
Other services:
A superbill is available if you choose to seek out-of-network reimbursement yourself. That is entirely your decision, and it does put a diagnosis code into your insurer’s hands — which is worth knowing before you submit one.
What it does remove is the automatic transmission of your diagnosis to an insurance company as a condition of receiving care. For the people who ask me about this, that is the part that was actually worrying them.
It is worth being precise, because overstating this would be its own kind of dishonesty. A clinical record still exists — I am required to keep one. That record remains subject to subpoena or court order, and mandatory reporting obligations apply regardless of how care is paid for. Cash-pay is not anonymity, and no clinician can offer you that.
What cash-pay does not do
No prior authorisation. No visit limits. No utilisation review deciding that six sessions should have been enough. How often we meet and for how long is a clinical decision made between us.
No one outside the room decides how much care you get
Without a payer in the room, the diagnosis in your record is the one I actually believe is correct. Sometimes that is a formal diagnosis. Sometimes it is an honest statement that the picture is not yet clear. Neither has to satisfy anyone but the clinical facts.
Insurance reimbursement requires a billable diagnosis, and it has to be one the payer accepts for the service provided. That creates quiet pressure toward codes that justify reimbursement rather than codes that best describe what is actually happening.
Your diagnosis reflects clinical judgement, not billing requirements
For a physician thinking about credentialing, an attorney thinking about the bar, or anyone who has ever wondered what a life or disability insurance underwriter might one day request, that distinction is not abstract.
When care is billed to insurance, a diagnosis code is submitted with the claim and becomes part of that insurer’s records. When there is no claim, there is no code to submit. Nothing about your care is transmitted to a third-party payer at all.
No claim means no diagnosis code sent to a payer
This practice does not bill insurance. For most people that is simply a cost consideration. For the people this practice is built for, it changes three things that matter more than the fee.