Professional Services Fee Schedule

I offer life coaching for anyone of any age. Psychiatry appointments for medications are ages 12 and up. The ADHD test is for ages 6-60. The dementia screening test is for ages 55-85.

Book an appointment with me today for any reason, from anywhere in the world. At the beginning of the appointment, we’ll establish your goals and you’ll enjoy a customized treatment plan in printable format through a HIPAA-secured platform.

I’m licensed and insured in Texas, Colorado or Missouri for medications via telehealth. You and your pharmacy need to be in one of these three states at the time of your appointment. See clinic policies for more information.

Cash only. We do not bill insurance companies directly. We do provide a SuperBill document that you can provide to your insurance company for partial reimbursement. Credit/debit card is required to book an appointment but payment is not billed at that time. You will also get a monthly summary of both invoices and SuperBills to help you keep the paperwork organized (helpful if making multiple appointments). See clinic policies for how I handle no-shows.


How many appointments do I need?

Your wellbeing is paramount. I’m convinced that my virtual Intensive Outpatient Program experience will help fill in the gaps between therapy appointments. If you will avail yourself of these resources, it will save a lot of billable time in therapists offices. That said, the duration and frequency of the appointments depends entirely on how well you are doing.

For a patient to safely and effectively use a telehealth platform for mental health, appointments should typically not be required more often than every week or two (but life coaching is virtually unlimited). The longest interval between medication appointments is 2 months due to the telehealth nature of this practice. My hourly rate for appointments is the same no matter what type of appointment it is. I do offer my own psychotherapy services, but a local psychologist is usually the best way to go. I recommend searching Psychology Today to find a therapist in your area (they are much less expensive than an MD prescriber).


No Surprises Sample Schedule

Full-Price Estimate for First Year

  • $300 – Initial psychiatric diagnostic appointment, 1 hour
  • TWO WEEKS LATER – $200 – Follow up medication management appointment, 40 min
  • ONE MONTH LATER – $200 – Follow up medication management appointment, 40 min
  • ONE MONTH LATER – $100 – Follow up medication management appointment, 20 min
  • $100 – Add-on Dementia Screening Test (Montreal Cognitive Assessment)
  • TWO MONTHS LATER – $100 – Follow up medication management appointment, 20 min

In this example, it took 3.5 months for the patient to get medically stable with quicker, routine follow up appointments for refills. Once stable on two-month follow up interval, the ongoing cost would be $100 every two months. For the first year, the full-price estimate (without the discount below) would be $1,300. Decent insurance can be expected to reimburse about half. If you have insurance, total out-of-pocket expenses for the first year of outpatient tele-psychiatric care here to be about $650.

If you need to increase the frequency of appointments, just make yourself a sooner psychiatry appointment online! If I’m too booked out, contact me through the secure patient portal and I’ll see if I can work you in.

Time Spent with Pharmacy Prior Authorizations

Choosing inexpensive, generic medications is usually my first option, not only due to the cost, but also because new medications’ health effects are generally unknown when they first hit the market. For a new medication to gain FDA approval, only a 6-week drug study is required. Many side effects throughout the history of pharmacopeia have emerged much later.

Therefore, I shouldn’t need to be billing you for my time on the phone with your insurance company trying to get approval for Prior Authorizations. Many people don’t realize that clinics have to hire multiple personnel to be on the phone all day long with insurance companies to do this. So, if you find yourself in a situation where we have to fight for insurance to pay for a medication or an intensive outpatient program, I may have to bill you for the administrative minimum 20 minutes at $100 for your annual Prior Authorization in addition to the cost of clinical care. Despite this, some medications are just worth it in certain situations.


Limited Time Discount: 33% off

SERVICEEstimated time*Fee
Tele-Appointment, Initial1 hour$225
Follow-up visit, simple**30 minutes$100
Follow-up visit, complex**1 hour$200
Dementia Screening (test only)30 minutes$100
*Typically 95% of patients can complete the initial psychiatric evaluation in 60 minutes, but sometimes complexities arise that require more time than expected.

**I’m using the terms “simple” and “complex” here only to illustrate how involved outpatient appointments can be sometimes. There is a wide variety! Many patients are doing very well within 6 months of therapy and only need the minimum number of appointments per year to keep their refills coming (simple), while others need more support and time (complex).


Patient Bonuses and Perks

When you login to the client portal, important PDF documents will already be organized and waiting for you:

  • The 100-Day Mindshift book. Journal your progress starting right now. This is the same PDF version of the hardcover book.
  • Brochure, Virtual Intensive Outpatient Experience – Learn all of the Behavioral Health classes you want, in any order you want.
  • Flyer, Start your own Relapse Prevention Group supported by Mindshift care.
  • Brochure, Welcome to Mastermind Groups. Learn to harness the mind powers of an entire group of people working together in harmony with definiteness of purpose.
  • Laboratory Order Set: Full Mindshift DETOX labs in case you need to detox like I do (from PFAS).