Frequently Asked Questions
What are your fees?
My fees vary based on the type of service (consultation, therapy visit, coaching package, etc.). Please contact me to discuss fees for services that interest you. I always discuss fees in advance so there will never be any surprise charges.
Do you accept insurance?
I accept Lyra in states where I am licensed (NY, NJ, CT, FL, AZ). I do not accept commercial insurance. However, if you have out-of-network benefits, I can submit claims to your provider so that you can be reimbursed for (typically part of) my fee. I can also accept most FSA/HSA cards and provide documentation to justify the expense. Insurance carriers differ on whether and how much they will reimburse for psychotherapy and telehealth. You can contact your carrier to find out your deductible (out-of-pocket payment necessary before you can be reimbursed) and percentage covered. Please note that insurance carriers typically reimburse a percentage of what they deem “reasonable and expected” charges and not necessarily my full fee. Please note that coaching fees are not covered by insurance or HSA/FSA.
What is your cancellation policy?
Please provide as much notice as possible for cancellations so that I have the opportunity to fill that spot with someone else. If you cancel your appointment less than 2 business days in advance for any reason, you are responsible for the full fee as I am unable to fill slots on short notice.
Do you do consultations by phone or video?
I currently conduct all consultations and sessions using a secure video portal (HIPAA compliant). Some coaching sessions are available by phone, but I do not do therapy over the phone.
What’s the difference between Therapy and Sleep Coaching
Therapy is psychological treatment, requires a license, and uses diagnostic and procedure codes for billing purposes. Sleep Coaching is not a medical or mental health treatment and is designed to guide you through a series of behavioral changes, providing motivational help and accountability. If you have psychiatric symptoms warranting treatment, you will be advised to find a licensed treatment provider in your area. Sleep Coaching is not covered by medical insurance providers or FSA/HSA.
What is CBT for sleep?
Cognitive Behavior Therapy is a short-term therapy focused on identifying and altering the situations, thoughts and behaviors that are causing symptoms and distress. CBT has been proven effective in the treatment of Depression, Anxiety, Panic Disorder, Post-traumatic Stress Disorder, and many other symptoms and disorders. CBT-I is a form of CBT specifically designed to address insomnia. CBT-N is a form of CBT that treats recurrent nightmares and the sleep issues that result.
How long does it take?
Treatment typically lasts 3-8 sessions after the initial evaluation. Most people start to notice improvement after 2-3 sessions, if not sooner.
Why is CBT preferable to medication for sleep and nightmares?
CBT addresses the root causes of sleep problems whereas medication addresses the symptoms. When the medication runs out, the sleep problems often return. CBT works to correct the behaviors and thoughts that keep you stuck in bad sleep patterns.
Do I have to stop taking medication to work with you?
No. Certain medications can help lessen nightmares and other medications can treat the anxiety and trauma symptoms that can trigger nightmares. Once we determine the cause of your sleep problems, we will create an appropriate treatment plan in consultation with your physician or pharmacologist.
Do you prescribe medication?
No. Psychologists do not prescribe medication. Medication for depression, anxiety or other underlying mood problems can be helpful if those symptoms make it harder to follow through with our treatment plan. Occasionally, sleep medications may also be helpful. If we decide that it makes sense to add medication, I can refer you to a prescribing doctor or NP and we will work together on your treatment plan.
