Common Questions


How can you help me?

My style involves helping you find insight as well as supporting you in identifying tangible steps to reach your goals. If your struggles are beyond the scope of my training and expertise, I will let you know and help you find another therapist or other appropriate professional.

What if I have to cancel my appointment?

At some point there will be a time when you need to cancel an appointment. That is completely understandable. But if you cancel or reschedule your appointment without 24 hours prior notice, you will be charged your full session fee of $140. 

Do you offer sliding scale? 

Sliding scale fees may be applied on a case to case basis as long as you are able to provide proof of income and an agreed fee and timeline has been discussed.

Are our sessions confidential?

Your sessions with me remain confidential with a few exceptions that will be explained to you when we start working together. One example of my breaking confidentiality includes you becoming a harm to yourself or someone else. I also actively pursue keeping your client information as confidential as possible.

What does it mean that you are an out of network provider?

This means I do not accept insurance directly. However, I help my clients with reimbursement process providing you with a monthly receipt. I suggest that you call your insurance company to find out what your benefits are for out-of-network reimbursement. Please call the toll free number (usually found on the back of your insurance card) and speak with a plan representative. If you are coming to see me for individual therapy, inform the representative that you are planning on first accessing an Individual Initial Evaluation (CPT Code 90791) and then ongoing Individual Therapy (CPT code 90834). You are asking about, what is called, outpatient mental health services. You will tell the representative that you will be seeing Emmy Kleine LHMC. I am considered an “out-of-network” provider.

The following are other specific questions to ask the representative:

1.     Do I have mental health coverage?

2.     Do I have out-of-network benefits?

3.     Do I have a deductible?

4.     How much of that deductible has been met?

5.     Is it a calendar year or is the period calculated on a different schedule?
        For example, many plans for school or college employees run on a school calendar.

6.     What percentage will your insurance company pay for each session?

7.     Is this percentage based on the actual amount that the therapist bills for their services?

8.     What is the maximum number of sessions allowed per year?

If you decide to use your out-of-network benefits, I will provide you with documentation to submit to your insurance company. Your insurance company will issue a check to you which can cover a percentage of your cost. It’s that easy!
Note: One of the benefits of going out-of-network is that your records remain completely private, and are not subject to in-network disclosure requirements.

What if me or my child needs medication?

I strongly believe that medication does not have to be the first means of symptoms relief and giving therapy a try first can be very effective. However, medication can be effective and is sometimes needed in conjunction with therapy and for the best outcomes, so for this reason,  I can make a referral to a psychiatrist.