PROFESSIONAL DISCLOSURE STATEMENT
ABOUT YOUR COUNSELOR:
· Holds a Master’s Degree in Education, with a concentration in community agency counseling, awarded by Clemson University, Clemson, South Carolina in May of 2003.
· Is licensed by the North Carolina Board of Licensed Clinical Mental Health Counselors as a Licensed Clinical Mental Health Counselor (LCMHC #7630) since November of 2009.
· Is licensed by the NC Substance Abuse Professional Practice Board as a Licensed Clinical Addictions Specialist (LCAS #3325) since May of 2013.
· In 2013 completed the Certified Financial Planner online program at Florida State University.
· In 2019 completed an RYT (Registered Yoga Teacher) training program through KRI (Kundalini Research Institute).
COUNSELING APPROACH and TECHNIQUES:
My approach to psychotherapy is grounded in the belief that the key to improving our mental health lies in better integrating the mind and body or our cognitive processes
with our emotional/intuitive self. Areas where we experience significant distress may offer the greatest opportunities for growth. By creating a safe, compassionate and productive setting and drawing on your inherent strengths and motivation, I can guide you through this process. My work with clients draws heavily on my training in and experience in a range of theories, practices and modalities with a specific interest in family systems, experiential and somatic interventions. In addition, my own meditation practice and personal success with yoga and mindfulness techniques heavily influences my work. Whenever possible, I feel it is helpful to involve families and partners in the process.
Financial therapy is a new and growing field that strives to integrate a client’s development of both emotional and financial health. Professionals with training in both areas evaluate a client’s needs and utilize a range of techniques based on experiential therapy, financial planning, dialogue, communication, and behavior modification techniques to improve the client’s financial and emotional health. Integration of these two fields allows clients to progress exponentially faster than working on financial and personal growth separately. With extensive experience in mental health and counseling as well as formal training as a financial planner, I am uniquely qualified to provide this service.
TREATMENT, SERVICES AND FEES:
Fees charged for client sessions are as follows:
Individual Session (50-60 minutes) $125
Couples or Family Session (75-90 minutes) $150
Initial appointment / intake (60-90 minutes) $150
Open Path member rate - Individuals $55/ Couples $70
Court testimony/expert witness $300/hour – On call $200/hour - $1500 retainer required up front
I am in network with Blue Cross Blue Shield and Employee Assistance Network. I accept cash, checks and debit/credit cards. A sliding fee scale is available upon request and is based on household income level. Agreed upon rate is ___________.
AFTER HOURS CALLS/EMERGENCIES:
Cancellations and changes to appointments can be made weekdays during or after business hours at (828)707-5376. While I do not provide emergency answering service for evenings and weekends, I do frequently check voice mail and email. If there is an emergency and you are unable to receive a timely response please call 9-1-1 and utilize the emergency department at your local hospital. The Mobile Crisis responder can also be contacted at 888-573-1006.
Cancellations must be made at least twenty-four hours before scheduled appointment time. If notification is not received within that time, the missed appointment will be billed at the regular rate.
Any or all client communication may become part of the clinical record. I hold confidentiality and your right to privacy in the highest regard. There are a few exceptions to confidentiality. They are as follows: 1) For the purposes of supervision and input to aid me in better serving you, I may discuss your case with my supervisor, 2) To prevent clear and immediate danger to self or others, 3) I am ordered by a court to disclose the information, 4) when the therapist is a defendant in a civil, criminal, or disciplinary action arising from the therapeutic involvement, 5) You direct me to tell someone else, 6) to disclose reports of elder or child abuse or neglect and 7) if there is a signed consent to release information.
USE OF DIAGNOSIS:
As for all medical billing, insurance companies require that health care providers indicate a code number to represent your diagnosis. Insurance companies will not reimburse without that code. In some instances, insurance companies may also audit charts in order to determine if there are deficits in the method of documentation or billing. Insurance companies usually require treatment plans, when you need authorization for additional services. Since reimbursement for treatment is based on medical necessity, involving symptom-based criteria, your symptoms may be noted in this kind of report.
Please be aware that diagnoses will become part of your medical record, and although this information will be safeguarded to the extent possible, this information may have to be released if the record is subpoenaed into court.
If issues arise in the course of the counseling relationship, please try to address them directly with me. However, if you remain convinced that Professional Ethics have been violated, formal complaint may be registered in writing. Appropriate Forms are available upon request from the North Carolina Board of Licensed Clinical Mental Health Counselors, PO Box 7781 Greensboro, NC 27417. You may contact them at 844-622-3572; or by downloading a form at