Fees are payable in full at the time of the session by credit card. An invoice will be provided upon request. I do not participate directly with any insurance companies but as a licensed clinical social worker, you may find your sessions reimbursable. I do not accept any fees from or bill services directly to any insurance plan, including Medicare. My decision to not participate with insurance allows me to keep confidentiality and autonomy with clients at a premium. My clients value the independent relationship that this provides. It allows my clients and I to determine the treatment plan instead of the insurance company. Most insurance plans will reimburse you for a portion of your counseling or therapy fees for an out of plan provider. I will provide an invoice with a diagnosis and treatment code for these purposes. Invoices are sent via email, as a pdf attachment or in-person. They will be provided weekly, bi-weekly or monthly, depending on your session schedule. Psychotherapy sessions are scheduled on an ongoing basis and last 60 minutes. They are conducted virtually or in-person. Payment is due at the time of the session by credit card. All regularly scheduled sessions are your financial responsibility. You must cancel within 24 hours' notice from the time of your appointment to avoid being charged $100. I will make a reasonable effort to reschedule a late cancelation or no-show, but this must be done in the same calendar week and if I have availability. You will be charged for a missed session regardless of the reason. Either the client or the therapist may end the therapy relationship. I would like to offer emotional support to all the phases of your work in therapy, including when you decide to leave therapy so that you can start well and end well with me. I can best support your decision to leave if you give several weeks notice. The notice allows you to leave well, having an experience of positive completion and consolidating all your learning. If, at any time, you feel your needs are not being met or you are not getting what you want out of our sessions, please tell me in a session so we can discuss your needs and adjust your therapy treatment plan or help you end the therapy as quickly and well as possible, if that is your choice. As a licensed and certified clinical social worker and psychotherapist, I follow the ethical guidelines of the Social Work Board of Maryland and the National Association of Social Workers. I protect the confidentiality of the my communications with clients. I will only disclose information about your sessions and treatment plan to others with your written permission or if required to do so by a court order. There are some situations in which I am legally obligated to breach your confidentiality. If I have information which indicates a child or elderly or disabled person is being abused, I must report that to the appropriate state agency. If a client is an imminent risk to him/herself or makes threats of imminent violence against another person, I am required to take protective actions. These situations rarely occur, but if one does, I will make every effort to discuss it with you before taking any action. A decision to begin psychotherapy with me, Elaine Belson, signals agreement with these fees and policies.