We provide psychotherapy services to individual children, teens, and adults tailored to meet your needs specific to your diagnosis and goals. We do so through one on one meetings where we build a relationship of trust and work with the intent of reaching your goals. Family and parenting work often includes individual therapy for the individuals within the family.
Our job as mental health experts is to help parents gain the confidence and skills needed to lead their family. We use psychotherapy and education designed to empower you with the tools you need to parent in a way that feels good to you and will support the relationship with your child. We support parents of children birth-adulthood.
Family therapy and couple's therapy is a specific tool to help people come together, communicate more effectively, avoid and resolve conflict by building trust, understanding, and healing wounds. We will parter with you all in the goal of improving relationships and functioning by teaching tangible skills and providing effective feedback.
At the present, we are 100% online. Traditionally therapy has been conducted in person. Research is showing that both individual and family therapy not only works, but that it is the way most people want to meet with their psychologist. Our clients come from all over Raleigh, Wake Forest, Research Triangle and beyond, tell us that they prefer the online experience for convenience, and less impact to their daily lives. We have gotten this feedback from clients that span of ages 6 through late adulthood. We do ask that when we meet, you are in a secure location without others observing your screen or overhearing our conversation.
To better serve your family as your psychologist I am glad to help you navigate benefits of your insurance. Your insurance will determine your benefits. We can discuss your options when we chat.
We strive to provide the absolute best care that we can provide. This has allowed us to build our reputation with other providers, pediatricians, and colleagues throughout Raleigh, Wake Forest, and Research Triangle.
We have gained the trust of families, individuals, and professionals in a number of ways, including providing dedicated appointment times to you and your family. We will discuss these appointments together. Providers return all calls, personally. To maintain time on our calendars to answer these calls, we block time, thus decreasing the number of clients we can serve. This increases the bandwidth we have for our clients. This cost is included in the hourly rate. We do not do therapy in between appointments. On rare occasions, we may be able to find a time to accommodate your needs before the next scheduled appointment. If this is required, we will discuss increasing your frequency to avoid last minute scheduling concerns.
We are experts in knowing who may or may not benefit from our therapy services. We will only accept clients into our care if we believe we can do good work together. We find it ethically inappropriate to work with clients who are not likely to benefit from our interactions. This decision will be made after a thorough intake. We do not work with all clients who reach out and we may refer on. Generally an intake will last 1-2 hours and may be spread across days based off of the needs of the individual, couple, family. We know that time and money are valuable assets and do not want to waste your time or money and therefore we will determine our fit together. We will also develop the treatment plan together.
If for some reason we think we might not be a good fit, we know many other very talented providers in our area. In our years of work, we have gotten to know experts in Wake Forest, Raleigh, Research Triangle, and in the greater NC area. We will be happy to connect you with the help you want and need, and will be likely to support you the most.
You will find that cost of treatment may be higher than many other providers. This is for several reasons, they are listed below. Ultimately, we want our services to be a "you get what you pay for" experience. You are paying for high quality professional support, the behind the scenes support, our ongoing training, as well as the personal experience of having your therapist handle all of the logistics associated with your care.
Fees effective as of 1/1/23
Please know fees are unique to each provider.
Dr. Mel's Fees
Intake for Individual or Family: 45-50 minutes: $265
Individual Session: 45-50 minutes $210
Individual Session: 85-90 minutes $420
Family/Couple Session: 45-50 minutes $210
Family/Couple Session: 85-90 minutes $420
Intake for Individual or Family: 45-50 minutes: $220
Individual Session: 45-50 minutes $175
Individual Session: 85-90 minutes $350
Family/Couple Session: 45-50 minutes $175
Family/Couple Session: 85-90 minutes $350
To help families plan for their finances, we have decided to implement an annual 5% increase in rates beginning January 1, 2023 so they may anticipate any changes in advance of their occurrence. We will make every attempt to honor this amount, however there may be unforeseen circumstances which may impact this predicted increase, such as a marked rise in the cost of operation.
We strive to provide a great experience from start to finish of the our time together. When you reach out we will follow up with you, within 24 business hours. We do not hire others to manage our scheduling or billing. While outsourcing would increase our ability to see more clients, we do not want to outsource any aspect of your care to ensure you have a fabulous experience. We have found the personal touch is one of the things our clients value the most. While we make every effort to reach out to you as soon as possible, we may be in meetings with our clients. As such, you may need to wait for a response. Our priority will always be clients actively in care.
We believe in delivering therapy using best practices standards. This means we are fine tuning the care rather than just maintaining our skill. We make it a point to stay up to date on research in the field as this field continues to evolve with new findings. We seek relevant continuing education opportunities and participate in local and national consultation.
We schedule time between sessions for tasks associated with your care that are not directly related to our face to face interactions. This time also allows us address paperwork, extend a session by a few minutes if appropriate, and coordinate with other professionals on your behalf.
We welcome any and all feedback, both positive and areas of concern. If there is ever a time when you have a concern about our work together, please do not hesitate to bring it to our attention.
*Please note that no-show appointments, or those cancelled within 24 business hours will be billed at the regular billable rate. We will reschedule appointments at no cost if you contact us prior to 24 business hours to alert us to the change. This is to ensure we have adequate time to fill an appointment slot.
Beginning January 1, 2022, there have been an update to the laws to protect clients from unexpected bills. We have always believed and supported clients understanding the costs that they may incur, and this law helps clients get this clarity from other care providers as well. The update is applicable to our work together. See below. We will add information/alter information on this site as it is made available to me.
Here is the update in our own language, as we understand it as being relevant to our work. It is our job, as your providers, to inform you of the foreseeable cost of our work together. We will provide you with an estimate of that cost of foreseeable work in writing after an intake. You as the client have the absolute right to avoid seeking care with me, terminate our work at any time, and may also raise concerns with us and if that is not to your liking, you may raise the concern with state or federal entities. The link to this document can be found at the bottom of this notice which we copied and pasted from the site. We will look to our state boards to provide guidance on how to fill in the brackets so that we can direct you to the correct entities and have not filled them out yet as we do not want to provide misinformation.
The formal document as copied and pasted:
Your Rights and Protections Against Surprise Medical Bills
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
What is “balance billing” (sometimes called “surprise billing”)?
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.
“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care—like when you have an emergency or when you schedule a visit at an in network facility but are unexpectedly treated by an out-of-network provider.
You are protected from balance billing for:
Emergency services If you have an emergency medical condition and get emergency services from an out-of network provider or facility, the most the provider or facility may bill you is your plan’s in network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services. [Insert plain language summary of any applicable state balance billing laws or requirements OR state-developed model language as appropriate]
Certain services at an in-network hospital or ambulatory surgical center
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed. If you get other services at these in-network facilities, out-of-network providers can’t balance bill you, unless you give written consent and give up your protections.
You’re never required to give up your protections from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.
[Insert plain language summary of any applicable state balance billing laws or requirements OR state-developed model language regarding applicable state law requirements as appropriate]
When balance billing isn’t allowed, you also have the following protections:
• You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network).
Your health plan will pay out-of-network providers and facilities directly.
• Your health plan generally must:
o Cover emergency services without requiring you to get approval for services in advance (prior authorization).
o Cover emergency services by out-of-network providers.
o Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
o Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.
If you believe you’ve been wrongly billed, you may contact [applicable contact information for entity responsible for enforcing the federal and/or state balance or surprise billing protection laws].
Visit [website] for more information about your rights under federal law. [If applicable, insert: Visit [website] for more information about your rights under [state laws].]