Services, Fees and Insurance

• 50-Minute Therapy Session: $220
• 75-Minute Therapy Session: $330
• Prorated fee for alternate session lengths or other necessary services (e.g. coping skills check-ins or coordination of care): $66 per approximately 15 minute increment.
• In-home or mobile therapy: Includes a travel fee, prorated at $66 per approximately 15 minutes of round-trip travel from my home office in Encinitas. Please ask me to learn more about in-home or mobile therapy. I offer it on a very limited basis.

My rate is the same for individual, couples, and family therapy. Payment is due at the time of service. You can securely store a credit card (including most HSA/FSA cards) through my electronic medical records system.

Payment Policies

You are responsible for payment for all services received, even if you are relying on insurance or a third-party payor. I will notify you in advance of any fee changes. If you’re experiencing financial difficulties, please let me know so we can explore care options.

Insurance and Reimbursement

I do not accept insurance. I operate as a private pay-only practice. However, I do provide superbills for clients to submit to their insurance for potential out-of-network reimbursement. My license is as a Licensed Professional Clinical Counselor (LPCC), so reimbursement is typically at the LPCC rate. Please check your out-of-network benefits to see if your plan covers therapy.

Some clients prefer private pay to maintain privacy or avoid submitting a mental health diagnosis.

Therapy may qualify as an eligible expense under Flexible Savings Accounts (FSA), Health Reimbursement Accounts (HRA), or Health Savings Accounts (HSA). Check with your plan to confirm.

If you have questions, I’m happy to explain the process. You may also use the free resource I created below to help verify your benefits and coverage:

Medicare

I am an Opted-Out Medicare provider. This means I am not contracted with Medicare, and they will not reimburse you for my services. If you are a Medicare beneficiary, we will need to sign a private contract before beginning therapy. Please let me know if you are a Medicare beneficiary so we can review and complete the required agreement.

What is self-care and why does it matter?

• I like to think of self-care as the ways in which a person can take care of their needs so they are better equipped to deal with challenging or stressful situations
• Working, going to school, or parenting can keep us so busy that we forget to pause and address our basic needs, like nutrition, movement, sleep, or sensory needs, which can then make it more difficult to think clearly, problem-solve, and regulate our emotions
• Therapy can be a great way to learn new ways to care for and nurture yourself

How does EMDR work?

Unlike traditional talk therapy for trauma, EMDR does not always require talking about upsetting events in detail or homework between sessions. Instead, it is designed to help the brain process upsetting memories that have become “stuck,” along with disturbing images, thoughts, and emotions, which may make the person feel like they are reliving the past. By reprocessing these memories, EMDR can allow the brain’s natural healing processes to resume and for memories to be stored in a more adaptive way. Read more about it here.

What is depth psychotherapy?

Depth psychotherapy is an umbrella term for a range of theories and practices developed from the work of Carl Jung, Sigmund Freud, and others based on the theory that we are influenced by factors outside of our conscious awareness, what is generally referred to as the unconscious.

Have you ever been surprised by the words that came out of your mouth (such as a slip of the tongue), wondered what your dreams or nightmares might mean, reflected on how inter-generational trauma or how society is affecting you, been deeply moved by a piece of art or song or fairy tale and not known why, or wanted to express something but found yourself able to communicate it only through images or symbols or body movements instead of words? In depth psychotherapy, we can reflect on experiences like these (and others) in order to deepen insight and self-awareness.

In depth psychotherapy, we embrace a curious, nonjudgmental attitude. By gently structured reflection and talking about our own working relationship (the therapeutic alliance) as well as the patterns you notice in your other relationships, we can learn more about how you relate to others and explore opportunities for change (such as ways to communicate more effectively, set boundaries, identify and express your needs, ways to care for yourself, recognize green or red flags in potential friends or partners, etc.).

What is attachment theory?

Attachment theory offers a research-based framework to understand how we experience and respond to closeness, distance, emotional connection, emotional disconnection, and conflict in our relationships. By examining relationships through both trauma-informed and attachment-informed lenses, we can gain deeper insights into our emotional reactions and behaviors. In therapy, we can explore new ways to manage relational triggers, cope with intense emotions, communicate more effectively, and navigate conflict. Together, we can work towards healthier, more fulfilling relationships.

What factors make therapy more effective?
You might be expecting me to try to sell you on a specific type of therapy…but I won’t! There are many different types of therapy that have been shown to be effective at helping people change thinking patterns, improve relationships, and/or practice and implement positive, adaptive changes in their lives (read more here). One of the factors most associated with effective therapy is a purposeful, collaborative relationship between the therapist and client.

Here are some of the steps we may be able to take to foster a positive working relationship:

• Exchange feedback: We are equal partners in the therapy process. Being able to exchange feedback in the moment (or as soon as possible) about what we are experiencing, including what seems to be working or what isn’t, will allow us to best determine how to move forward
• Goal-Oriented: We can identify goals for therapy and discuss progress on an ongoing basis
• Repair: Address any misunderstandings or other concerns directly and compassionately with each other

Reach out today:  Would you like to see if we are a good fit? Contact me to schedule a free 15 to 30 minute consultation by leaving a message at (619)202-1481 or by sending me an email at kristen@kristenhornung.com