How We Can Help

Speciality areas addressed at Alpha Neuro Therapy include: ADHD, Anxiety, Cognitive Issues, Coping Skills, Major Depressive Disorder, Grief, Interpersonal Dynamics, Medication Management, Post Trauma, Sleep Related Issues, & Traumatic Brain Injury

Psychology

Therapy, Assessment, Clinical Hypnosis, CBT - customized to your needs

Comprehensive Psychological Evaluation (one hour): $275.00 (CPT 90791)

Standard Therapeutic Session (50 minutes): $175.00 (CPT 90834)

Neuropsychological and Psychological Assessments: (note this is for psychology/neuropsychology evaluation)

$250 per hour for neuropsychological testing/evaluations/report writing (CPT 96136/96137 and 96132/96133)

comprehensive evaluations generally cost between $3,000 and $4,000

Psychiatry

Psychiatric, TBI Psychiatric and Medical Pain Psychiatry Services

*Psychiatry Initial Assessment: includes face to face and comprehensive services $400

*Brief follow up medication management  (15 min) $125.00

*Abbreviated follow up medication management with therapy (30 min) $275.00

*Extended Psychotherapy, medication management (45-50 min) $350.00

Additional Services - Separate services not associated with neuropsychological testing/evaluation)

Forensic Psychiatric Services (legal etc.) billed hourly in quartiles: call for rates

Court testimony billed daily, retainer required: call to discuss rates

Services and additional rate disclosures  (Call for rates

Medication prior authorizations ($70)

Genetic Genesight or Genomind cell collection and data entry: $150.00 

Copies of medical records ($30)

Letters of medical endorsements

FMLA and other disability paperwork

Physician's Certificate of Medical Examination

Refills

You should always have enough medication to last until your next appointment, often with one or two refills to spare. The most common exception to this is when new medication is introduced, before its tolerability and efficacy have been established, or at the outset of treatment, when titration of the dosage is anticipated. Once we are no longer making changes to a particular medication, 3-5 refills will be offered (up to a six month supply). You will never be expected to return to clinic just to obtain a refill of a non-controlled* substance; all clinic visits are predicated upon reviewing your progress and overall well-being, and checking for symptoms. 90-day and mail-order prescription orders are also available, upon request.

*Refills of habit-forming medications are typically limited to just enough to last until the next appointment. Under no circumstances will lost or stolen medications with street value be replaced, or refilled early. It is the patient's (or parents') responsibility to safeguard all medications, including and especially those classified as controlled substances and which are known to have significant street (black market) value.

For the patient taking a Schedule II controlled substance (e.g. Ritalin or Adderall), which cannot legally be refilled and which requires a new, signed and dated prescription order with each trip to the pharmacy, the required return-to-clinic frequency is monthly for at least three visits, or until there are no further adjustments to dosage and I am satisfied that the patient is not experiencing significant residual symptoms, untoward side effects, or other difficulties attributable to the direct effects of the medication. Thereafter, individuals seeking refills of these medications who are otherwise doing well are seen at least once a quarter (i.e., every three months), with refills provided as they become necessary, upon request. Exceptions do occur, and at the discretion of the physician a patient may be required to return to clinic for refills on a monthly basis for a longer, or even indefinite, period of time, but in no case will return visits for patients taking highly controlled substances be scheduled at greater than quarterly intervals. The maximum amount of time allowable between appointments for all other active patients is six months, although the recommendation for most patients is to return for well-checks, or check-ups, at least four times a year.

Finally, there may be times that, for various and unforeseen reasons, a patient runs out of medication between appointments. Refills can easily be requested through email, text request or your pharmacy. As long as there is a future appointment scheduled, and there is no past-due or other outstanding account balance, or other problems or delinquencies with your patient account, I am able to provide additional refills of any medication, enough to last until your scheduled return. However, if you missed your last appointment, or are otherwise overdue to return to clinic, and especially if there is no future appointment scheduled, or your account is past due and you have failed to make arrangements for payment, your request for a refill may be delayed or denied.

Neuropsychological and Psychological Assessments

Neuropsychology is a specialty within the field of Psychology that focuses on brain-behavior relationships. A neuropsychologist uses standardized tests and observes behavior to define a person’s pattern of brain functioning and overall development. That performance is compared to what is expected for that age and education. The individual pattern of strengths and weaknesses is defined based on these comparisons. The neuropsychologist uses his/her knowledge of brain development, organization and functioning and their effects on development to guide the assessment, interpret the results and guide the recommendations. The neuropsychologist works to understand where the individual is having trouble and why.

The neuropsychologist may look at a broader range of skills, evaluating skills not usually tested by the clinical or school psychologist. A neuropsychological assessment may include tests of intelligence, academic skills, attention and concentration, learning and memory, processing speed, visual spatial perception, language skills, visual motor and fine motor skills, sensory perception, executive functioning (such as planning, organization, initiating and inhibiting behaviors) and emotional functioning. The neuropsychologist interprets the pattern of results in the context of the person’s developmental stage, their current setting and the medical history. An intervention plan is developed to support the development of skills and/or how to use the strengths. The neuropsychologist can use assessment results to help plan for the future.

Testing is conducted over two, half-day sessions, typically from 9:00 – 12:00 in the morning. We feel that in keeping sessions to this length, we are able to avoid the fatigue and stress that can accompany all-day evaluations. After the testing is completed, the tests are scored and reviewed. The documentation and history are reviewed. Observations may be conducted. Telephone contacts may be made with professions that are currently (or previously) working with the client. Once all of this is completed, a feedback session is held to review the findings of the evaluation and the impressions of the neuropsychologist. After this meeting, a full report is written, detailing the reason for the testing, the client’s history, the test used, their results, the diagnostic impression.

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