Appointments

Typically I can find room in my schedule within 1-2 weeks of a prospective client’s call. A session typically lasts for 45 minutes, which includes time spent discussing fees, setting up future appointments, etc. Extended sessions can also be arranged. We will discuss and agree upon the frequency of appointments.

The first few sessions will involve an evaluation of your needs, into which we will both offer input, after which I will offer you some initial impressions of how I view your concerns and what our work might include, if we decide that we are a good match, and want to continue working together.

Ideally, all counseling and therapy work is done face to face, , however I am currently working with clients only via phone and Skype. I usually give questions about hormones and surgery that can be answered via email or snail mail to help with the informed consent issue prior to my writing letters to endocrinologists and surgeons. I am unable to predict exactly how many sessions will be required before I feel comfortable referring clients for hormones or surgery. This varies with individual circumstances. I do not, however, have a reputation for needlessly extending the evaluation process.

Fees

Currently, fees are payable by mail or via PayPal on the internet, to reach me by the day of the session. You may pay in advance for a number of sessions, but may not miss payments unless this is specifically arranged ahead of time. My fee is $130 for a 45-minute session. It is my practice to charge this amount on a prorated basis for shorter or longer sessions, and for any other professional service you may require outside of our sessions, such as report or letter writing, telephone conversations with you, or consultations you request with others, that last longer than 5 minutes, or preparation of records or treatment summaries.

Usually, health insurance policies provide some coverage for mental health treatment. I am happy to provide a statement for you to submit to your insurance company so that, if they cover therapy at all, you can be reimbursed for part of my fee. Insurance companies require a diagnosis in order to reimburse, and this can be one related to your gender issues, or, if you prefer, one related to any anxiety or depression you experience.