I operate my practice by myself and do not have support staff. For that and other reasons, I am not a paneled provider with any insurance companies. If you have out of network insurance coverage, I do my best to help you obtain reimbursement from your insurance company. If you do not have out of network benefits for psychotherapy or you don’t have insurance and can’t afford my full fee, I’ll do my best to reduce my fee so that you can afford to pay out of pocket. If I’m not able to offer a fee that you can afford, I’ll do my best to provide referrals and resources that can help.