Fees, Overtime, and Insurance:
Fees: I am what is called an "OUT-OF-NETWORK PROVIDER". My fee is $200 per 65 minutes. However, when we utilize your Texas Out-Of-Network benefits, your payment could be as low as $40 - $120 per session. That's far cheaper than any private practice therapist with Paige's level of training and experience in the Austin area. Utilizing your insurance benefits helps keep therapy affordable! Each policy is unique, so a conversation with Paige will be necessary to get things set up.
I don't have any sliding scale fee appointments available at this time.
Insurance: I am paid in cash up front. After collecting all of your relevant insurance information from you, including PDF photos of your insurance card, we will check your policy to find out if you have a deductible, and how much your policy will reimburse you for behavioral health therapy. Usually, insurance reimburses approximately 40% - 90% of cash payments back to you. We will file your claims for you. You will be given instructions to sign up for my insurance portal, where you may check your claims at any time to make sure they are being processed. It generally takes a few months to get your first reimbursement check.
• Due to Paige's Auto-Immune Illness, Re-scheduling is Sometimes Required. We realize that this is a variation on typical appointment protocol. However, occasionally, it cannot be avoided. If Paige needs to cancel due to illness, the expectation is that we will reschedule that same week. Reschedules are often offered on weekdays, week-evenings as well as weekends, as Paige's schedule allows. Rescheduling is expected, and sessions should not be skipped. Keeping up with the work weekly is the most important part of re-training the brain during trauma therapy. IF THE EXPECTATION OF RESCHEDULING ANY CANCELLATIONS MIGHT BE A PROBLEM, please let Paige know immediately before therapy begins. Thank you for your flexibility!
• Paige is Available by Text 24/7. Regular text messaging is offered if you need support, a caring ear, with questions, or just to say "Hi" ANYTIME. Staying connected is an important part of Attachment Therapy. Regular text check-ins help build our relationship, as well as retrains the psyche to learn to trust someone again. I will reply to your text just as soon as I am free. Regular text communication is part of the therapy package you're paying for!
• Session Length: Each appointment is one hour and 5 minutes. It is your responsibility as much as mine to keep track of how long we're on the phone together. If you continue to talk at the end of the session, I will assume you are aware of the time being spent, and that you need to go into overtime, for which you will be charged. (See next section for more information.)
• Overtime: Often, you may feel that you're work isn't finished at the end of your session. (Example: you may be dys-regulated, and not ready to stop.) I build in 30 minutes of overtime for each appointment - if you need it. Overtime costs are prorated based on your personal fee by 15 minute increments. The overtime clock begins automatically at 66 minutes, whether we discuss it or not. It is your responsibility, as much as my own, to keep track of how long we've been on the phone. If overtime is something you wish to avoid, it is suggested that you keep an alarm so that you can avoid being charged for overtime.
• Weekly and Bi-weekly Rates: Bi-Weekly appointments are billed at a higher rate than weekly appointments. (I do not offer monthly appointments.) This is done to help clients afford the therapy they need on a weekly basis. When you choose to schedule bi-weekly appointments, it creates gaps in Paige's weekly schedule which are nearly impossible to fill. Therefore, these appointments cost more. Inquire for exact prices.
• Couples' sessions: Marital or couple's counseling sessions are 90 to 120 minutes long (depending on need), and are billed at a higher hourly rate than individual work (See rates HERE). Each partner is required to participate in personal sessions each month (either weekly, or bi-weekly).
• Cancellations: TWO free sick cancellations will be given each calendar year. After that, any cancellation is subject to billing. If you are able to re-schedule the same week, there will be no "missed session fee".
• Payments: Venmo is the preferred payment method. My Venmo handle is @paige-bartholomew
• Emergency sessions: are often available, as Paige is available. If Paige can't fit you in, you may always text or email.
• Your credit card will be kept on file, and is required to hold your appointments. Your card will never be charged without speaking to you first. Your entire file (including credit card information) is locked behind two locks, per Texas law.
• Fee increases: This office reserves the right to increase fees at any time (usually once a year), with 6 weeks' notice, given in writing via email. When fees do increase, expect an increase of $10 - $20 per session. Fees will be set in accordance with the standard going rates of Austin therapists with similar experience, training, and years in practice.
Appointments & Cancellations:
• Your appointment time is reserved for you. It's called a "standing appointment". It is your responsibility to keep your appointment. If you miss it for any reason (illness or otherwise), you'll be given options to reschedule that same week. If you are unable to reschedule within the week, you will be responsible for paying your 'missed session fee'.
• 24 BUSINESS HOURS' Notice is required to cancel or reschedule an appointment.
• The first 16 sessions will be scheduled weekly in order to build our relationship with the necessary rapport and trust, and to master the hypnosis and Internal Family Systems work.
• Modes of Communication: TEXT is the preferred mode of communication, and is the fastest way to get in touch. I do not answer the phone (outside of appointment times). I do not listen to voice messages. Please do not call or leave a message. You may email at [email protected], but sometimes emails get lost. Text is best. I am available by text 24/7. Texting during the night is OK if you need to as I keep my ringer on silent.
• Hours of Operation: Sometimes, a convenient appointment time will not be available. In order to get on Paige's schedule, clients often make arrangements with their employers to leave work early one day a week, or they take lunch breaks for their appointments.
• Overseas clients: Sessions are scheduled on Texas time, or the “Central" time zone between the hours of 10:30 am and 8 pm. If you live overseas and our time zones are incompatible, your session may have to be scheduled very early or very late for you.
The Therapy Process:
• How long therapy will take? Many issues can be addressed within short-term therapy (about 12 - 16 sessions), but more serious issues such as trauma, long-standing grief, relationship issues, childhood issues, abuse or addictions respond better to longer-term therapy. A good rule of thumb is that it takes one year of clinical work for every decade lived in a state of distress, pain, irresolution or dysfunction. If you work with Paige, plan on longer-term therapy (6 - 24 months).
• You are in charge of your personal growth program. If you are struggling in therapy, it's your job to say something. If you don't like a certain exercise or practice - speak up. If you'd like to go in a different direction - say something immediately. It is your job to advocate for your needs and wants. HELP YOUR THERAPIST HELP YOU!