Individual therapy
$150 standard fee
45–50 minutes
Therapy often begins weekly and may move to every other week when appropriate.
Clear information before you begin
Fees, scheduling, insurance, and frequently asked questions
You should be able to understand the basic cost and process without scheduling an appointment first.
Insurance and standard fees
Insurance is billed when applicable
You do not necessarily pay $150 out of pocket. When Foundations for Change participates with your plan and the service is covered, the practice submits a claim and your responsibility is determined by your benefits and the processed claim.
Standard fee: $150 per therapy, parent-consultation, evaluation, or screening appointment when the service is self-pay or not covered by insurance.
Parent consultation
$150 standard fee
45–50 minutes
May occur independently, jointly with a child, or as part of a child’s treatment.
ADHD evaluation
$150 standard fee
Per one-hour appointment
Most evaluations involve two to four in-person appointments.
Autism screening
$150 standard fee
Per appointment
The number of appointments depends on the child’s needs and available information.
Written reportsReports requested as part of an ADHD evaluation or autism screening are included in the session fees. There is no separate report-writing charge.
Insurance and payment
Insurance is managed through Foundations for Change.
Because networks and plan rules can change, the current list of accepted plans is maintained on the Foundations for Change website.
After intake paperwork is complete, the billing manager provides available information about benefits and expected copayments. Verification is helpful, but the insurer makes the final coverage decision after a claim is processed.
Additional payment information
- Cash, check, and credit or debit cards are accepted.
- A superbill can be provided for possible out-of-network reimbursement.
- Sliding-scale appointments may be available based on financial need and current availability.
- Clients are responsible for deductibles, copayments, coinsurance, noncovered services, and denied claims.
Important benefit-verification and financial-responsibility notice
Verification of benefits is not a guarantee of payment or fixed coverage amounts. Foundations for Change will submit claims to your insurance provider; however, ultimate financial responsibility rests with you.
You are responsible for understanding the terms of your policy, including deductibles, copayments, coinsurance, coverage limits, and preauthorization requirements. Final coverage determinations are made by your insurer after claims are processed.
If your insurer denies a claim, terminates coverage, or determines that a service is not eligible, you may be billed the full standard fee for services already provided. Please contact the member-services number on your insurance card before the initial appointment and notify the practice promptly of changes to insurance, health plan, or contact information.
Scheduling
Daytime appointments with limited evening availability
Most individual therapy sessions are 45–50 minutes. Afternoon and evening appointments for children are scheduled for 45 minutes and end promptly at 45 minutes so each scheduled client can be seen on time.
After paperwork is submitted, the Foundations for Change billing manager will email available information about insurance benefits and expected copayments, when applicable.
Practice policy
Late cancellations and missed appointments
$75 with less than 24 hours’ notice
Appointments canceled with fewer than 24 hours’ notice and missed appointments are subject to a $75 fee.
I generally offer a one-time forgiveness. The fee is also waived when the missed or late-canceled appointment is rescheduled for a time within five business days.
Exceptions are made for emergencies. Other crisis-related or exceptional circumstances may be considered case by case.
Formal billing and cancellation terms are included in the practice intake paperwork. If that paperwork and this summary differ, the current signed practice policy controls.
Frequently asked questions
Common questions before starting
Do you offer in-person and online therapy?
Yes. In-person appointments are available at 3701 Grandel Square in Midtown St. Louis. Online therapy is available for clients physically located in Missouri at the time of the appointment. ADHD evaluations are completed in person.
What ages do you work with?
I generally provide therapy for children, teens, and adults age 10 and older. Younger children may occasionally be considered after consultation.
ADHD evaluations are generally available beginning at age 8. Younger children may be evaluated in some circumstances, although a diagnosis is often deferred under age 8. Preliminary autism screening is available for ages 8–17.
Do you offer couples counseling?
No. I work with individuals on relationship concerns, communication, boundaries, family dynamics, sexuality, and decisions about relationships, but I do not provide couples counseling.
How involved will I be in my child’s therapy?
Parent involvement depends on the child’s age, needs, goals, preferences, and safety. I usually provide children and teens with meaningful private time in therapy. Periodic parent check-ins, parent education, and occasional joint sessions are often helpful.
Do you assign homework?
Sometimes, but only collaboratively. I may offer a worksheet, reflection exercise, coping skill, or practical experiment when it could help continue the work between sessions. These are invitations, not requirements. Not completing one is not a failure.
Do I need to have ADHD to work with you?
No. ADHD is my primary specialty, but I also work extensively with anxiety, depression, emotional regulation, stress, burnout, self-esteem, relationships, grief, and life transitions. You do not need to know your diagnosis before contacting me.
Is the ADHD evaluation psychological testing?
No. It is a clinical diagnostic assessment that may include interviews, rating scales, collateral information, record review, and assessment of other possible explanations. It does not include formal neuropsychological, intellectual, achievement, or psychoeducational testing.
Will an ADHD evaluation provide a diagnosis?
A diagnosis may be provided when the available clinical evidence supports one. Sometimes the findings do not support ADHD, remain inconclusive, or indicate that additional psychological, medical, educational, or neuropsychological testing is needed.
Will your report guarantee school or workplace accommodations?
No. A report may support an accommodation request, but each school, employer, university, testing organization, or licensing body sets its own requirements. Some organizations require forms of testing that I do not provide.
Do you diagnose autism?
No. I provide preliminary autism screening for children and teens ages 8–17. Screening can help determine whether comprehensive autism testing may be appropriate, but it does not provide an autism diagnosis.
Can autism screening be added to an ADHD evaluation?
Yes. ADHD evaluations include consideration of whether traits of Autism Spectrum Disorder may also be relevant. More detailed autism-specific questionnaires and interviews can be incorporated when indicated. This remains a preliminary screening.
Do you offer therapy in Spanish?
No. I speak Spanish, but I am not currently offering Spanish-language counseling. Therapy and evaluations are provided in English.
What happens after I schedule?
You will receive intake documents through the SimplePractice client portal. These must be completed before the first appointment. After submission, the billing manager will email available information about insurance benefits and expected costs.
Can I speak with you before scheduling?
Yes. A complimentary consultation call is available upon request. It is an opportunity to briefly discuss what you are looking for and whether my services appear to be an appropriate fit. It is not a therapy or crisis session.
Do you have evening availability?
I have limited evening availability Monday through Friday. Most sessions are 45–50 minutes. Afternoon and evening appointments for children are scheduled for 45 minutes and end promptly at 45 minutes.
Can executive-functioning support help without an ADHD diagnosis?
Yes. Executive-functioning skills support can be useful whether or not a person meets criteria for ADHD. Therapy can use a skills-coaching approach focused on planning, organization, time awareness, task initiation, impulse control, sustained attention, working memory, goal-directed persistence, metacognition, and follow-through without requiring a diagnosis first.
Why does an adult ADHD evaluation ask about childhood?
ADHD diagnostic criteria require evidence that several symptoms were present before age 12, even when the person was not diagnosed at that time. Childhood self-report, records, and input from someone familiar with early functioning can help establish that history.
Do I have to continue therapy after an evaluation or screening?
No. An evaluation or screening can stand on its own. When ongoing therapy with me is clinically appropriate and mutually agreed, it can provide continuity for executive functioning, anxiety, emotional regulation, behavior, parent support, or other recommendations. Continuing therapy is optional and is never a condition of receiving results, a report, diagnosis, or referral.
Does everyone need an ADHD diagnosis before trying behavioral or executive-functioning strategies?
No. A diagnosis may be especially important for medication discussions, formal accommodations, or diagnostic clarity. Practical behavioral and executive-functioning interventions can often begin before—or without—a diagnosis. The reason you are seeking an evaluation helps determine the most useful path.
Still unsure where to begin?
The inquiry form includes an “I’m not sure” option.
You can briefly describe the general concern, and we can determine the most appropriate next step.