Psychotherapy involves a variety of techniques for addressing emotional disturbances that usually stem from mistreatment, neglect, faulty programming, and/or trauma -- oftentimes experienced in one’s family of origin. Health insurance often pays a portion of the therapist’s bill, and a diagnosis of the mental condition is required. In Virginia, psychotherapists must be licensed. In most states, psychotherapy requires face-to-face sessions, and psychologists do not prescribe medication.

Academic Coaching is sometimes sought by individuals for whom a psychiatric diagnosis is not supported (or who receive psychotherapy for a diagnosable condition elsewhere), who seek to gain admission/readmission to school and/or perform better in academic settings. Insurance companies do not pay for academic coaching services. Because academic coaching does not involve disclosures to health insurance companies, academic coaches can often assure clients a higher level of privacy. Coaching services are usually provided on a fee-for-service basis.

Forensic Psychological Services involve psychological evaluations, consultations, review of documentation at the request/suggestion of an attorney, who is representing a client in a criminal or civil proceeding (e.g., child custody) and who believes that the services might be helpful to the client in court or during pre-trial planning and negotiations. Forensic psychological services are sometimes provided in response to a court order (e.g., competency to stand trial, sanity at time of the offense). Documents developed by a forensic psychologist are usually treated as attorney work-product and have a high level of confidentiality that is best explained by an attorney. These documents are not usually regarded as medical records, and the forensic psychologist will not think of the client as a patient. Generally speaking, forensic psychologists may not serve as therapists, and therapists may not serve as forensic psychologists for the same individual.

Many states permit coaching over the phone or via web-conferencing (Skype). Academic coaching via Skype makes geographical distances irrelevant and saves the client time and money that might be required in commuting to and from the coach’s office.

Forensic psychological assessments and consultative services provided to your attorney are not covered by insurance programs, because such services are not driven by medical necessity.

Psychotherapy services associated with a valid psychiatric diagnosis are often covered benefits, subject to limitations of medical necessity. Details regarding coverage are discussed in materials that are available from your insurance carrier.

You are invited to call 804-435-6777 or to discuss your interest.