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FREQUENTLY ASKED QUESTIONS

What are your rates?

Therapy is an investment in your mental health and emotional wellbeing. Rates reflect a therapist’s years of experience and education.  Sessions are $150.00 per 50-minute hour. I offer multi-session counseling packages which can reduce your costs, as well as a few reduced-fee spots for clients who qualify, and military and student discounts. If you would like to work with me but are concerned about making counseling affordable, let me know. 

50-minute session: $150.00
*4-Session package: $500.00 

*Packages must be used within 6 months of purchase.
*Packages are non-refundable – please be sure you can commit to the number of sessions when you purchase a package.

**Payment options: All major credit cards accepted. I also accept HSA (Health Savings account) cards and FSA (Flexible Spending Account) cards, as well as checks, cash, Venmo, and Paypal.

**Session fees are due at the time of service.

Fletcher Therapy is not affiliated with any insurance carriers. If your insurance company offers “Out of Network” mental health coverage, I will be happy to provide you with a superbill to submit for possible reimbursement.

What are your rates?

Therapy is an investment in your mental health and emotional wellbeing. Rates reflect a therapist’s years of experience and education.  Sessions are $175.00 per 50-minute hour. I offer multi-session counseling packages which can reduce your costs, as well as a few reduced-fee spots for clients who qualify, and military and student discounts. If you would like to work with me but are concerned about making counseling affordable, let me know. 

50-minute session: $175.00
*4-Session package: $600.00 

*Packages must be used within 6 months of purchase.
*Packages are non-refundable – please be sure you can commit to the number of sessions when you purchase a package.

**Payment options: All major credit cards accepted. I also accept HSA (Health Savings account) cards and FSA (Flexible Spending Account) cards, as well as checks, cash, Venmo, and Paypal.

**Session fees are due at the time of service.

Fletcher Therapy is not affiliated with any insurance carriers. If your insurance company offers “Out of Network” mental health coverage, I will be happy to provide you with a superbill to submit for possible reimbursement.

Do you accept my insurance?

I am an out-of-network provider and can provide you with an invoice to seek reimbursement from your insurance company, but I am not directly contracted with any insurance companies, including Medicare.  

The reasons we are not currently “in-network” with insurance companies are related to your quality of care and confidentiality as a patient. In order for insurance to cover your visits, a therapist must diagnose you with a mental health disorder, which becomes a part of your medical record. The insurance provider then can access your records, and may determine how many sessions you may receive – even how many minutes long the sessions can be. These processes can result in treatment delays and gaps. This prevents us from having the freedom to create what we feel is an appropriate treatment plan for each individual client.

I need a letter for an Emotional Support Animal. Can you help?

Sometimes. I have experience and advanced training in this area, but I am not always able to comply with a request for an ESA letter.  When I do prescribe an ESA, it is for clients I have met and diagnosed with a condition that would benefit from an ESA. I also want to meet the animal, to assess its behavior and your interaction.  I wholeheartedly endorse the benefits of Emotional Support Animals in specific circumstances. I have used therapy dogs in my office with good results. 

What are your hours of operation?

Currently, I am in my La Mesa office Tuesday through Saturday.  I offer day and evening hours for your convenience. To see the calendar or to make an appointment, click here. If you need a particular time/day for counseling, and you do not see an available appointment time, please contact us and let me know. Whenever possible, I am happy to accommodate your scheduling needs.

Can I speak with you before I make an appointment?

Of course! In fact, I prefer that you do. Choosing the right counselor is a big decision, and your comfort is important to me. I offer free 20-minute telephone consultations to answer your questions and help you decide whether or not you would like to make an appointment. If you would rather contact me by email, that is fine, too.

How many visits, and how often?

I collaborate with you on a treatment plan that works for your goals and budget. In cases of crisis or acute issues, clients may come in more often until things stabilize. Other, longtime clients may make an appointment a couple of times per year to touch base. 

I am concerned about privacy.

I understand. With few exceptions, what we talk about in therapy is kept strictly confidential.