1 / Complimentary phone consultation
15-minute conversation to discuss your reasons for seeking care, answer questions, review clinic policies, and decide whether my practice would be a good fit for your needs. To schedule your phone consultation, click here.
2 / Comprehensive evaluation
Usually a 60-75 minute individualized evaluation. We will review your history, concerns, and goals. Sometimes this requires more than one appointment, especially if I need to collaborate with your other health care providers. My treatment recommendations may include talk therapy, education, referrals to additional resources or diagnostic testing, and discussion about whether medicines could help.
3 / Individual therapy
Regularly occurring 50-minute appointments. Therapy does not look the same for everyone - but it's really important that both of us can describe the process and the goals. Some prefer a more open-ended exploratory approach (psychodynamic psychotherapy) and others prefer more structure to their sessions (behavioral therapies). I have training in both. We'll discuss what approaches might be helpful for you.
4 / Psychopharmacology (medication treatment)
While much of my practice involves talk therapy, I prescribe medications to optimize treatment when appropriate. Evaluation and treatment for medications can occur as part of a longer (50-minute) or shorter (25-minute) appointment.
5 / Psychiatric consultation or second opinion
I provide psychiatric consultations and second opinions on a case-by-case basis, typically when there is a question about how cancer may influence diagnosis or treatment of mental health-related concerns.
Areas of expertise
I have a special interest in working with individuals with history of cancer and their family members. I also work with individuals navigating life transitions or important decisions, whether it's break-ups, career changes, academic difficulties, or traumas. When depression or anxiety makes it harder to move forward, it's common to feel stressed, frustrated, or "stuck."
Depression and mood disorders
Grief and Bereavement
Performance issues at work and school
Insomnia and sleep disorders
Appointments offered via telehealth and in-person for adults (ages 18 and older).
If you have questions about available services, please contact me.
Full payment is required at the time of the appointment unless we reach a different, mutually agreeable arrangement ahead of time or you have Medicare insurance. A credit card must be kept on file at the time of scheduling the first appointment.
The full fee schedule is provided when you complete the contact form. Reduced fee services are available only upon direct referral from colleagues at Duke or UNC cancer centers. At this time, there is no availability for reduced fee appointments as all are in use. When this changes, I will update the site.
Services not offered
I do not conduct disability evaluations, custody evaluations, or worker's compensation evaluations.
This practice is considered out of network with all health insurance companies except Medicare Part B. I do accept Medicare and will file Medicare claims on your behalf. I am not in network with any of the Medicare Advantage Plans.
Resources for Insurance
You will need to consult your insurance company directly to determine their policies regarding mental health benefits for out-of-network providers. If you plan to use out-of-network benefits, I can provide you with documentation (called a superbill) that you submit to insurance for reimbursement. You may find it helpful to use a service like Reimbursify which will verify your out-of-network benefits and submit paperwork for a small fee.