Greetings

INITIAL PAPERWORK

Click HERE for the informed consent. Please review. I will answer any questions that you might have before you sign and will have a copy for you to sign here. You do not need to print it out.

Click HERE for the intake. If you can do the intake before our first session, either electronically or paper form, it would save time in the initial session. You can also fill it out here as well, just let me know if you need me to leave you a copy in the waiting room.


LOCATIONS AND DIRECTIONS

Home office is 160 Loomis Rd. Chatham NY 12037.

From 90, take the Taconic southbound down to Exit 99 (Chatham - Rt. 203) Head East on Rt. 203 and take the immediate left after North Bound Taconic onto South Cross Road. Then take South Cross Road to Loomis Road (First right).

We are at the top of the hill of Loomis Road on the right and there is a black mailbox and a rock marked 160. Enter the property and please go straight (No turning left or right) and park in the front of the house on the grass. Looking straight at the house it looks like there are 3 of them, follow the stone path to the right and there is a red door where the waiting room is.

The Hudson Office (Monday's ONLY) is at 84 Green St. Suite 4 - Hudson N.Y. 12534 Please park near the ramp, as that is where the entrance is. Also, there is the sign "Karuna Grief Counseling."

HELPFUL SKILLS TO REVIEW BEFORE FIRST SESSION

Click here for Grounding and Coping Skills Please review and keep on file.

Also, this link is helpful too for skills: Mindful Living Coping Skills


PAYMENT

All payments methods are accepted but cash is the best way to protect your identity and minimizes HIPAA responsibility. Check and Credit Card are accepted with the understanding that your PHI information is more at risk. See information about PHI below. My fee is $125 an hour. I do not offer a sliding scale. I can provide "superbills" for you to give to your insurance for reimbursement. Reimbursement is health plan dependent and you will want to check with them about their out-of-network reimbursement rates. You will be diagnosed in order to do this. See information below regarding diagnosing.

Information about my specialties and intensives

Trauma resolution therapies are EMDRProgressive Counting, and Brainspotting. Trauma resolution is basically moving memories that feel like they are still happening today and putting them behind you. It is more of a procedure than other therapies. Because of this, the weekly session format does not make sense when you are ready for trauma resolution. I prefer to do "Intensive sessions" because trauma resolution methods can be done in bulk. The idea is that if you are cleaning house, you could do it for an hour a week, but you could also make a day of it to get it done. The benefits are that you can get better fasterstabilizes you, and is more cost-effective in the long-run. Click the links to read more but also click here to read more about where I was trained. Unfortunately, insurances companies do not cover this service but we can talk further about the details of it.

Using Insurance vs. Self-Pay

Paying for psychotherapy out of pocket minimizes the exposure of your protected health information (PHI). Whenever you use insurance benefits to cover psychotherapy, the provider, with your consent, has to release certain types of information to the insurance entities in order to a) verify your eligibility for coverage, b) pre-authorize services (if applicable), and c) to process claims to obtain payment. As a result, the provider informs the insurance companies of the nature of the issues you struggle with, diagnosis, treatment plan, and prognosis. In the event of Self-pay, your therapy remains completely private (with the exceptions to confidentiality such as in suicidal or homicidal ideation, etc.). Once such diagnosis code is recorded by the insurance, it becomes part of your permanent healthcare record. Self-pay means no reports of your treatment are shared with your insurance and all records remain with Mutual Arising Mental Health Counseling, PLLC.

*If you are on psychiatric medications or have ever been then you already have or had a diagnosis but you should be aware of this information when using insurance.*

Furthermore, the advantage of Self-Pay includes the fact that no records of therapy exist in the Medical Information Bureau (MIB). MIB records of your therapy could potentially compromise your ability to get a current or future life, health, disability, or long-term care insurance. Self-Pay, thus, involves no psychiatric diagnosis code. If, however, you were using your insurance benefits, you would have to be assigned a psychiatric diagnosis in order for the provider to justify the medical necessity for the services provided.

Since there are certain types of therapy that may not be covered by your insurance such as couples therapy or group therapy, and certain modalities of therapy that might not be covered by your insurance. A lot of what I do is outside the realm of what insurance companies are willing to reimburse, even though it is evidence-based treatments. Self-Pay allows you to stay in control of your treatment. Insurances limit the number of sessions that you can have. Self-pay allows you to also determine the length of your treatment based on your needs rather than on the basis of the allotted session benefits.