I offer office hours Thursday & Friday, 9am - 4pm.

No.

No.

No.

No. Have them reach out to me directly.

After a trial therapy, if we agree to continue with treatment, we meet once a week for an hour long appointment. Those sessions are every week at the same time and place. Often a new session you book is an ongoing slot I now have open. Unfortunately, my schedule does not work well with people who have rotating work schedules.

I take CBA Blue and Blue Cross Blue Shield of Vermont. If you have an out-of-state BCBS plan which utilizes the BlueCard network, I will be able to see you in-network. I no longer take Green Mountain Care/Medicaid, Medicare, Aetna, Optum/UHC/UMR, Cigna or MVP.

I charge $162 for the first trial therapy, $151 for each additional session.

Your portion of the fee (deductible, co-insurance, co-pay) is determined by the particular plan you chose. You will have to contact them directly to discuss what your portion of the session will be.

When you complete paperwork, you fill out a credit card authorization (I don't have access to the actual credit card number). If you are using insurance, I send them the claim and I then charge you for whatever the insurance company says is your responsibility for the session. If you are paying privately, I charge your card on Fridays. If you need a receipt to get reimbursed by your insurance when I'm out-of-network with them, I would be happy to do so.

Intensive is derived from the specific focus on the core issue that we discover. Instead of therapy being a place to vent, muse about the philosophical sufferings of humanity, or talk about how I handled a similar problem, we keep a tight and narrow focus on you and the problem you want to solve. Also, intensive is calibrated for the person in front of me, not a one-size-fits-all intensity.

Medically unexplained symptoms are just that - symptoms that can't be explained by medical examination and testing. Not all medically unexplained symptoms are psychologically based. It could be a symptom of something that hasn't fully developed yet, a symptom that hasn't been adequately assessed by a medical professional, or a symptom that is physically based, but not yet understood or discovered by modern medicine. However, if nothing else seems to explain it, we can investigate it to see if there are psychological aspects that either cause or exacerbate the symptom. For instance, anxiety can manifest itself in the following ways: 1. muscle tension in the jaw, neck, back, chest, abdomen, lower back and legs 2. shortness of breath 3. tension or migraine headaches 4. GERD 5. IBS 6. functional vomiting 7. choking sensations 8. hypertension 9. hypotension with loss of consciousness 10. memory loss 11. mental confusion 12. dissociation 13. pseudoseizures 14. tunnel vision 15. visual blurriness 16. vision loss 17. hearing impairment or loss 18. flushing 19. coronary spasms 20. unexplained abdominal pain 21. bladder dysfunction 22. interstitial cystitis 23. asthma 24. coughing 25. fibromyalgia 26. cramps 27. tremors 28. teeth grinding 29. vocal or other tics Additionally, patients can have symptoms that are an identification with an aggressive impulse towards someone else, e.g., unexplained headaches that are discovered to be an unconscious desire to slap someone they love but have been angry at because of being hurt by them. Out of guilt they experience the consequence of the slap that never happened.

Short-term is defined in the clinical literature to be 40 sessions or less. It's less about a specific number, and more that short-term means that if we're very focused on the core issue, without turning sessions into a vent session or a discussion of "how was your week?", we get to the end faster. In other words, short-term by comparison to other therapies. I've worked with people for as little as one session and others for years.