Frequently asked questions

We structure our practice in a way that prioritizes time, continuity, and clinical independence. For that reason, we operate as a fee-for-service practice rather than contracting directly with insurance companies. Participating in insurance networks typically involves predefined session structures, diagnostic coding requirements, and administrative oversight tied to reimbursement. Working outside those contracts allows us to tailor the length and frequency of appointments based on clinical need rather than billing categories, and helps preserve the time and focus for your care. We understand that paying out of pocket can feel like a significant decision, and this model is not the right fit for everyone. Fortunately; mental health care is often a comparatively modest healthcare expense compared to other specialties, making it potentially affordable. Patients can also in specific cases collect directly from their insurers. We provide clear documentation to support reimbursement when applicable. We strive to keep our fees transparent and reasonable, and we are always happy to discuss cost questions openly before you schedule so that you can make an informed decision without pressure.

We hope you experience your initial session with us as a conversation, not an interrogation. Initial intake sessions last 30 to 45 minutes. During this time, the clinician you are meeting with will work with you to clarify the nature of your concerns in a way that leads to actionable treatment. We will help you identify strengths that can be recruited, and carefully define patterns or vulnerabilities that may be getting in your way. We’ll also explore relevant background — prior treatment, family history, and the current circumstances of your life — so that what you’re experiencing can be understood in proper context. Our aim is that you leave the initial meeting feeling informed and motivated. More importantly, we want you to leave the session feeling that your concerns have been taken seriously.

To schedule an appointment, please call our main practice number at 919-810-3536 and choose option 1 to reach our intake specialist. Terra will be happy to answer your questions and help orient you to our clinic. Our administrative staff is part-time; if your call is not answered directly, it will typically be returned within four hours on weekdays. We look forward to hearing from you.

Our fee-for-service model minimizes administrative paperwork and insurance-related delays. As a result, patients are often able to be scheduled within a day or two.

While we are a fee for service practice not participating in direct third party payment, we are happy to submit a CMS 1500 form for you which hopefully will expedite your insurance company reimbursing you Please note that reimbursement amounts are decided by your insurance company and are dependent on the particular contract you have purchased, we cannot guarantee reimbursement. Contact your plan to determine what you are entitled to regarding an out-of-network visit. Should you decide to use this option, contact our administrator if you need help.

The frequency of sessions is individualized to meet your needs and the realities of your budget. In short, we meet with patients at a frequency that represents our estimate of what will be the most rapid pathway for you to meet your goals. Typically you will meet with our prescribers at least every two weeks while medications are being stabilized, and once every 12 weeks once medications are balanced and working well. Patients in counseling usually come for sessions every 2 to 4 weeks.