Rates & Insurance

FEES

Your first appointment will be for a Comprehensive Clinical Assessment  with one of our clinicians. The goal of the first session is to get an idea of who you are and how we can best help you. It is also the beginning of putting together the course of your treatment. The fee for this first appointment is $200.

On-going Therapy And Fee Information:

After the Comprehensive Clinical Assessment, individual therapy sessions typically last 60 minutes for a fee of $175.00. (Couple’s and family therapy sessions are also typically 60 minutes and cost $175.00). Skills class sessions are 90 minutes long and for a fee of $60.00. However, if you are getting comprehensive DBT or RO DBT through our practice, there is a reduced rate of $40.00 for skills class.  Agreements about payment amount and method are discussed prior to our first session and then discussed more fully during intake, so please contact us if you have a need.

Payment Information:

We operate on a “fee-for-service” model, meaning clients will be asked to pay at the beginning of each session. An invoice will then be provided for your records.

 

INSURANCE

We are a provider for most Blue Cross/Blue Shield plans, which means that we will bill them directly for payment.  We are in network with most BCBS plans. (However, we are not considered in network with BCBS Blue Local, Blue Home, or Medicaid Blue Value (or any other EPO’s. Please call if you have questions!).  Please be aware of what your deductible and co-pay are for your individual plan.

We have some clinicians who are in network providers for United Healthcare, Oxford, Oscar, Aetna, and Cigna.

We do not participate on any other managed care insurance panels. However, with a few exceptions, we can provide you with a superbill to file health insurances as an “out-of-network provider.” Since payment is due at the time of service, we will request payment, provide you with a superbill, with which you will request reimbursement directly from your insurance provider. In North Carolina, insurance companies are required to reimburse you within a set number of days. Please check with your insurance company prior to scheduling. Ask your insurance company about their “out-of-network coverage,” yearly deductible, percentage they will reimburse, and whether a prior authorization is needed.

We also have a limited number of scholarship spots for folks who are eligible for Medicaid, Medicare, or who are uninsured or underinsured.

 

MISSED SESSIONS AND CANCELLATIONS

In order to both organize our practice and guarantee clients regular times, we schedule a single weekly (or biweekly) time slot for a client. Missed sessions are not billable to insurance and will be billed directly to the client if the proper cancellation procedures are not followed. A charge of the full session is applied when appointments are missed or cancelled with less than 24 hours notice.  Missed session or late cancellation fees can be waived for emergencies only.  If a client is 15 minutes or more late for an appointment, this is considered a late cancel/no show appointment, as this impacts the therapeutic work.

Good Faith Estimate Notice

If you do not have health insurance or will not be using your health insurance, you are legally entitled to an estimate for the total expected cost of services you will receive at Guilford Counseling.  The No Surprises Act gives you the right to receive a “Good Faith Estimate” before you schedule any new or recurring services.  You will receive this estimate as a part of your intake paperwork prior to being scheduled for your first appointment with Guilford Counseling.  Because of this, it is an estimate and may be modified as you get into the work with your clinician.  For questions, more information about your rights or instructions, visit www.cms.gov/nosurprises

Frequently Asked Questions

Find the answers to some of the questions you may have about our services.
What to expect when you reach out for a first appointment?

Below is a visual of our Client Placement Process…

The quickest way to get matched with a clinician is to click on the Request an Appointment button on our website and pick any date/time (this is NOT an actual appointment, it is an automated system to get you our intake paperwork).  This will notify our Client Care Services Manager, Jocelyn, that you are interested in working through our intake process.

If you have no questions that you need answered before going through our intake process (you simply requested an appointment and didn’t include a note requesting a call back), Jocelyn will email you a link to your client portal, and from there you can fill out the intake forms.

However, if you have some questions and would like to speak to Jocelyn before getting into our intake process, you may “request an appointment” and indicate by typing in the note section that you would like to be contacted by a Client Care Specialist and wait for them to reach out to you.  Either way, please note that they day/time you request an appointment in this phase is NOT an actual appointment – it simply notifies us that you’re embarking on our intake process.

Our Client Care Services manager, Jocelyn, or a Client Care Specialist will be your first point of contact. You are able to get in touch with them by following the step above and “requesting an appointment” through the client portal.  You may also reach us by texting us at 336-891-1208, by emailing us at contact@guilfordcounseling.com, or by calling 336-337-5469.  If you call and we are not available to answer, please leave a message and you will hear from one of us within 1–2 business days.  **Please note:  our live phone call hours are 1130am-1pm and 3pm-6pm Monday through Friday…meaning we have someone ready to take your calls during those times and look forward to talking with you then.**

After you follow the process above, you will get an email from our client portal that includes our intake paperwork forms.  There are 7 fairly quick forms that help us gather the information needed to get you matched to a good-fit clinician.  In addition, you will receive a welcome email from Jocelyn letting you know that we’re working on our end to begin getting you matched.

Once you have completed the intake paperwork, Jocelyn presents you at our weekly placement meeting on Wednesdays, at which point you will be matched to the best-fit clinician.  While we do our best to have the shortest time possible between completing intake process and matching you to your clinician, many complex factors impact this such as availability, insurance, specialties, etc.  If you are not matched on Wednesday, you will receive a weekly update email from Jocelyn.

Once you have been matched, your clinician will reach out to you by Friday to schedule your first appointment with them, which will be a Comprehensive Clinical Assessment.

At your clinical assessment, your clinician will conduct a full mental health assessment and will talk to you about your goals and treatment path. Your clinician will assess which program will be the best fit for you. They will recommend you for our Comprehensive DBT Program, Comprehensive RO DBT Program, or trauma/trauma-informed therapy (EMDR, Brainspotting, or exposure) based on your needs and goals.

 

What hours are you available?

Our normal business hours are 8:00am – 8:00pm upon appointment only. By request, appointments may be scheduled outside of these hours. 

You may reach us by texting us at 336-891-1208, by emailing us at contact@guilfordcounseling.com, or by calling 336-337-5469.  If you call and we are not available to answer, please leave a message and you will hear from one of us within 1–2 business days.  **Please note:  our live phone call hours are 1130am-1pm and 3pm-6pm Monday through Friday…meaning we have someone ready to take your calls during those times and look forward to talking with you then.**

What insurance plans do you accept?

We participate on the Blue Cross/Blue Shield provider panel (with the exception of plans that were designed for certain entities such as Wake and Duke – EPO’s such as Blue Home, Blue Local and also Medicaid Blue Value), so we are able to bill them directly for payment.

In addition, some of our providers are paneled with Cigna, Aetna, United Healthcare, Oxford, and Oscar Health through a third party provider called Headway.  This means that we work directly with Headway, who works directly with your insurance provider.  You’ll receive communication from Headway in order for them to process payments for your sessions.  **Please note that we have limited providers who provide services through Headway for these additional insurances, so we have closed our waitlist at this time.  If you are insured through one of these insurers, please let us know and we can check your out of network benefits to let you know if we may be able to work out an out of network arrangement for you.**

For folks who have other insurance providers, we are able to give you a superbill so that you can file to use your out-of-network benefits. Payment is due at the time of service and we provide you with a monthly superbill detailing your services for that month. In North Carolina, insurance companies are required to reimburse you within a set number of days. Please check with your insurance company prior to scheduling. Ask your insurance company about their “out-of-network coverage”, yearly deductible, percentage they will reimburse, and whether a prior authorization is needed.

In addition, as a commitment to our values and our community, we each hold a number of slots that are available for scholarship.  This means that if you are out of network with our paneled insurances or you are uninsured or under-insured, we are usually able to work with folks to determine an amount that is reasonable for the client and the clinician.  If you need this option, please be sure to let them know during your first call.

Do you accept debit-credit cards?
Yes, we accept Visa, Mastercard, Discover and American Express.
What if I don’t want to use my insurance?

For individual therapy, our fees are $200.00 for the first appointment (Comprehensive Clinical Assessment);  $175.00 for most following appointments (typically one hour sessions).  There may be reasons that you and your therapist decide to have a shorter session, in which case the rates would be between $100-$150, depending on time spent in session.

The fee for our DBT and RO DBT Skills classes is $40.00 per session if you are seeing a Guilford Counseling therapist and $60.00 if you are seeing an outside therapist. All fees must be paid at the time of service.

For folks who have other insurance providers, we are able to give you a superbill so that you can file to use your out-of-network benefits. Payment is due at the time of service and we provide you with a monthly superbill detailing your services for that month. In North Carolina, insurance companies are required to reimburse you within a set number of days. Please check with your insurance company prior to scheduling. Ask your insurance company about their “out-of-network coverage”, yearly deductible, percentage they will reimburse, and whether a prior authorization is needed.

In addition, as a commitment to our values and our community, we each hold a number of slots that are available for scholarship.  This means that if you are out of network with our paneled insurances or you are uninsured or under-insured, we are usually able to work with folks to determine an amount that is reasonable for the client and the clinician.  If you need this option, please be sure to let them know during your first call.

 

Is there someone there who prescribes medication?
No, however we do work closely with a local psychiatrist and can make a referral if necessary.
How long do appointments last?
Typically they last a full 60 minutes, however there may be times when 45-50 minutes will be enough.
Is therapy right for me?

Seeking out therapy is an individual choice. There are many reasons why people come to therapy. Sometimes people come to deal with long-standing psychological issues, or problems with anxiety or depression. Other times people come in response to unexpected life changes, such as a divorce or work transition. Many seek the advice of a counselor as they pursue their own personal exploration and growth. Working with a therapist can help provide insight, support, and new strategies for all types of life challenges. Therapy can help address many types of issues including depression, anxiety, conflict, grief, stress management, body-image issues, and general life transitions. Therapy is right for anyone who is interested in getting the most out of their life by taking responsibility, creating greater self-awareness, and working towards change in their lives.

Do I really need therapy? I can usually handle my problems.

Everyone goes through challenging situations in life. You’ve probably successfully navigated through many difficulties, but there’s nothing wrong with seeking out extra support when you need it. In fact, therapy is for people who have enough self-awareness to realize they need a helping hand. This is something to be admired. You are taking responsibility by accepting where you are in life and committing to change the situation by seeking therapy. Research shows that therapy provides long-lasting benefits and support. It can give you the tools you need to avoid triggers, re-direct damaging patterns, and overcome whatever challenges you face.

How can therapy help me?

Psychotherapy has many benefits. Therapists can provide support, problem-solving skills, and enhanced coping strategies for issues such as depression, anxiety, relationship troubles, unresolved childhood issues, grief, stress management, body image issues and creative blocks. Many people also find counselors to be a tremendous asset in managing personal growth, interpersonal relationships, family concerns, marriage issues, and the hassles of daily life. Therapists can provide a fresh perspective on a difficult problem or point you in the direction of a solution. The benefits you obtain from therapy depend on how well you use the process and put into practice what you learn. Some of the benefits available from therapy include:

  • Gain a better understanding of yourself, your goals, and your values
  • Develop skills for improving your relationships
  • Find resolution to the issues or concerns that led you to seek therapy
  • Learn new ways to cope with stress and anxiety
  • Manage anger, grief, depression, and other emotional pressures
  • Improve communication and listening skills
  • Change old behavior patterns and developing new ones
  • Discover new ways to solve problems in your family or marriage
  • Improve your self-esteem and boosting self-confidence
What is therapy like?

Every therapy session is unique and caters to each individual and their specific goals. It is standard for therapists to discuss the primary issues and concerns in your life during therapy sessions. It is common to schedule a series of weekly sessions, where each session lasts around an hour. Therapy can be short-term, focusing on a specific issue, or longer-term, addressing more complex issues or ongoing personal growth. There may be times when you are asked to take certain actions outside of the therapy sessions, such as reading a relevant book or keeping records to track certain behaviors. It is important to process what has been discussed and integrate it into your life between sessions. For therapy to be most effective you must be an active participant, both during and between the sessions. People seeking therapy are willing to take responsibility for their actions, work towards self-change and create greater awareness in their lives. Here are some things you can expect out of therapy:

  • Compassion, respect and understanding
  • Perspectives to illuminate persistent patterns and negative feelings
  • Real strategies for enacting positive change
  • Effective and proven techniques along with practical guidance
What is Dialectical Behavior Therapy and how is it different from other treatments?

Good question!  I frequently speak with folks who have been in “talk therapy” for years, and they’re very frustrated by the time they are sitting across from me.  They’ve spent a lot of time, money, and usually relationships and self-worth, along the way…without much to show for it.  The really unfortunate thing is that many of them have been “fired” from treatment, or have been told that they weren’t progressing, or other such devastating horror stories.  And the reality is (usually), it’s the treatment that has failed these folks, not themselves or their lack of trying.  After we jump into it, and folks see a much different approach, they often feel hope, self-worth, empowered…and often times, like they’ve finally found the key.  Now, don’t let me give you the wrong impression…DBT takes work!  For both of us, actually; but that’s part of the deal…I’m in it if you’re in it.

Here’s a brief video that does a good job giving an overview of “What the Heck is DBT?” by Esme Shaller at UC San Francisco:

What is Dialectical behavior therapy for adolescents (DBT)? – YouTube

National Education Alliance for Borderline Personality Disorder

NEA.BPD was initially created as a resource and support group for the families of the BPD diagnosis. NEA.BPD has grown to be a large community of both people and information. You don’t have to travel this path alone. There is hope.

http://www.borderlinepersonalitydisorder.com/

 

DBT and Supporting Research

Research has shown DBT to be effective in reducing suicidal behavior, non-suicidal self-injury, psychiatric hospitalization, treatment dropout, substance use, anger, and depression and improving social and global functioning. For a review of the research on DBT, go to this website at Behavioral Tech.

There’s also a short video, in which DBT Developer and Behavioral Tech founder Dr. Marsha Linehan describes the amazing changes she’s seen in people who have received DBT and gotten out of hell.

http://behavioraltech.org/resources/whatisdbt.cfm

Is therapy confidential?

In general, the law protects the confidentiality of all communications between a client and therapist. No information is disclosed without prior written permission from the client.

However, there are some exceptions required by law to this rule. Exceptions include:

  • Suspected child abuse or dependant adult or elder abuse. The therapist is required to report this to the appropriate authorities immediately.
  • If a client is threatening serious bodily harm to another person. The therapist is required to notify the police.
  • If a client intends to harm himself or herself. The therapist will make every effort to work with the individual to ensure their safety. However, if an individual does not cooperate, additional measures may need to be taken.

 

What do I look for in a DBT Therapist?

This will take you to an article written by a recovered individual who used to meet criteria for a diagnosis of BPD.  However, after getting DBT treatment, she no longer meets criteria.

Here is her list of what to look for in a DBT therapist.  I absolutely agree with all of this…and would add that, in addition to these criteria, you should also look for an individual that is Certified, or at the very least, has been Intensively Trained (which means that they have completed 65 hours of additional DBT-specific training by trainers approved by Dr. Marsha Linehan).

http://mydialecticallife.com/what-to-look-for-in-a-dbt-therapist/

 

Ready to get matched with a clinician?

 

The quickest way to get matched with a clinician is to hit the REQUEST APPOINTMENT button, which will link you to our scheduling page.  If you still have questions that you’d like answered, text, email or call us.  Please be patient as it takes us longer to reply to email and phone calls, but you ARE important to us and we will respond as soon as we can.