Fees & Billing
Why this is a cash-pay practice?
As a board-certified psychiatric nurse practitioner committed to providing the depth and quality of care my patients deserve, I have built this practice around a cash-pay model. I do not work with insurance companies, which allows me to focus my time and energy on what matters most: understanding you or your child as a whole person and providing care that actually fits.
Insurance-driven psychiatry has steadily pushed providers toward shorter visits, larger panels, and treatment decisions shaped by what a payer will authorize. Stepping outside that system lets me offer longer evaluations, real availability between visits, and the time it takes to get diagnosis and treatment right — not just adequate.
How payment works: Payment is collected at the time of service. I accept all major credit and debit cards, as well as HSA and FSA cards. After each visit, I can provide a detailed superbill with the diagnosis and procedure codes your insurance will need. Many patients with PPO out-of-network mental health benefits receive partial reimbursement when they submit these to their insurer.
Transparency, always. You will always know what a visit costs before you book it. Fees are listed openly on my website and discussed clearly during your sessions. There are no surprise charges, no membership requirements, and no obligation to continue beyond the care you actually need.
My goal is straightforward: to offer the kind of careful, individualized psychiatric care that builds real trust over time — for you, for your child, and for your family.
We proudly serve patients across Texas and Nevada. Our virtual visits allow patients outside of the East Texas area to receive care conveniently and comfortably from home.
Self-Pay Fees
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Self-Pay Fees *
Initial Intake Evaluation (Adult)
75 minutes · $695 · Telehealth
A thorough diagnostic visit for adults seeking evaluation for ADHD or a fresh look at a treatment plan that has stopped working. Together we review your full developmental, mental health, and medical history, current functioning at work and at home, and the patterns that brought you in. You will complete validated rating scales (ASRS and others as appropriate) before the visit so we can use our time together for the conversation that matters. By the end of the appointment, you will have a working diagnosis, a clear treatment plan, and a defined next step — not a referral to come back in three weeks for "the real evaluation."
Extended Follow Up
50 minutes · $425 · Telehealth
A longer follow-up visit for appointments that need more room. Useful when you are navigating a major medication change, working through co-occurring concerns (anxiety, sleep, mood), addressing a significant life transition (new job, college, pregnancy, perimenopause), or simply have more to cover than a standard visit allows. Scheduled at your request or recommended by me when clinically appropriate.
Focused Follow Up
30 minutes · $275 · Telehealth
The visit that does the real work of ongoing care. We review how you have been since the last appointment, talk through what is working and what is not, address side effects or new concerns, and adjust medication thoughtfully when needed. Thirty minutes is enough time to actually look at your life — sleep, focus, mood, work, relationships — rather than rushing through a refill. Most patients are seen monthly during initial medication titration, then quarterly once stable. Texas requires regular visits for ongoing stimulant prescribing, and we follow that schedule carefully.
Initial Intake Evaluation (Child/Adolescent)
90 minutes · $795 · Telehealth
A comprehensive diagnostic evaluation for children and teens. The visit includes time with the parent(s) or guardian(s), time with the young person directly, review of school records and prior testing when available, and standardized rating scales completed by both parents and (when appropriate) teachers. ADHD in children frequently overlaps with anxiety, learning differences, sleep issues, and family stress — getting the diagnosis right means looking at all of it. The visit concludes with a clear treatment plan, including non-medication recommendations and, when indicated, a thoughtful discussion of medication options.
A note for families: I welcome coordination with your child's pediatrician, therapist, and school. Bring or send relevant records ahead of the visit so we can make the most of our time together.