Keep your treatment working as your life changes.
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.
Regular check-ins to monitor medication effectiveness, side effects, and life changes. Adjust your treatment to fit your real life, not your real life to fit your treatment.
Price
$200
Duration
30 min
Frequency
As needed
Without ongoing management
Medication stops working when life changes.
- • Medication worked but stopped helping
- • You're unsure if dose adjustment is needed
- • New side effects appearing
- • Life changed but treatment hasn't
- • You're not sure who to call
With ongoing management
Treatment stays optimized for your actual life.
- • Regular monitoring catches when changes are needed
- • Medication adjustments match your changing life
- • Side effects addressed immediately
- • You know who to call when things shift
- • Treatment sustains your stability long-term
Each 30-minute follow-up includes:
- Symptom review — How are you doing? What's changed since last time? What's working?
- Medication effectiveness assessment — Is the current dose still working? Any diminishing returns?
- Side effect review — Any new side effects? Tolerability issues? Changes in how you feel?
- Adjustment if needed — Dose changes, timing adjustments, or switching medications based on your response.
How often should you schedule?
Initial phase: Monthly or every 6 weeks while finding the right medication and dose.
Stable phase: Every 2–3 months to monitor ongoing effectiveness.
As needed: Sooner if symptoms change, life circumstances shift, or new concerns arise.
Many professionals schedule 4–6 visits in the first year, then settle into quarterly check-ins for long-term stability.
Common questions:
Do I really need to keep coming in?
If medication is helping, ongoing monitoring catches problems early. Most people need check-ins when starting medication, when life changes significantly, or if symptoms shift. It's not forever—it's about staying stable.
Can I email between appointments?
Yes. Simple questions can be handled via email. Urgent concerns should result in a brief phone call or sooner visit.
What if I want to stop medication?
That's your choice. We discuss tapering safely if that's what you want. Stopping suddenly can cause problems, so planning the reduction matters.
How do you handle urgent concerns between appointments?
For urgent issues, email or call. Crisis situations should go to 988 or an ER. We can often fit in brief check-ins for non-emergent urgent matters.
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.