therapyevaluationsfaqscontact Dr. Jay Saul

Frequently Asked Questions

Is everything discussed during therapy or the evaluation confidential?

The answer is mostly yes. Usually, the law protects the confidentiality of all communication between a therapist and a client. I cannot disclose anything to anyone without your written permission to do so. In the case of a child in therapy, a parent or guardian provides the written permission.

But there are a few exceptions where authorities must be notified. The most notable being suspicion of abuse, a threat of self-harm, or a threat to hurt someone else.

If someone starts therapy, is there a requirement to continue?

Not at all. Stay in treatment as long or as little as you would like. There is no mandate or minimum requirement. Ideally, you keep coming to sessions because you find you are getting something beneficial out of the process. Most people do. But if not, you do not have to do anything you feel is not helpful.

A notable exception is if the treatment is court-mandated due to criminal charges or a requirement to maintain custody or visitation for a child. The legal system can require participation in therapy. Practitioners cannot.

Why should I make an appointment with you instead of one of the other therapists in my area?

You are my only priority during the hour (yes, a full hour...not 45 minutes). In addition to my compassion and undivided attention, I am providing feedback and asking questions throughout our time together. You will never have to wonder whether I am paying attention to you and taking your problems seriously.

My goal as a therapist is to become an expert in you. I strive to learn about your experiences, feelings, and beliefs in order to provide you with the best care possible.

Outside of sessions, I am someone who regularly attends workshops, conferences, and trainings in order to become familiarized with the latest in evidence-based treatment approaches.

Do you prescribe medication?

No. Cognitive-Behavioral Therapy has been shown to work just as well, if not better, than medication for many types of mental health concerns. Those who work with me usually find they make a tremendous amount of progress and experience significant relief without the need for medication. However, if medication is desired or warranted based on the difficulties faced, referrals are made to properly credentialed individuals with whom I have successfully collaborated in the past and feel comfortable recommending.

Do you work with school personnel, psychiatrists, pediatricians, speech pathologists, etc.?

Yes. Regular communication with the other support professionals in your or your child’s life is often an important component to successful treatment. This can be established once the proper releases of information are signed.

What is the difference between an intake and an evaluation?

An intake is done to help guide the therapy process. During an intake session (usually the first time we meet), we will talk about your goals for treatment, what led up to the problems you are looking to address, the current circumstances that may be complicating matters, and the skills and strategies that will help you to reach your objectives.

An evaluation is primarily conducted to achieve a specific result and provide documentation to support the findings. People have pursued an evaluation to get a diagnosis and become eligible for special education services in public school or college, receive testing modifications for standardized testing (GMAT, GRE, MCAT, SAT, ACT, etc.), get an outside or second opinion on an evaluation that had been conducted through a school or agency, gain entry into a program or school for gifted children, or establish the need for ongoing support for an individual who has special needs.



What is the therapy session fee and how can I pay for sessions?

Therapy sessions are $200 for an hour. I slide the fee down under special circumstances, so please contact me to discuss. Payment is expected at the end of each session, and can be done through cash, check, credit card, or a Health Savings Account (HSA).

What is the cost of an evaluation?

It is $600 for an IQ test or gifted assessment. A more comprehensive evaluation can range from $1500-$2000 based on the type of testing to be conducted and amount of assessment measures administered. For unusual circumstances that involve some testing and letter or report writing, but not a full evaluation, the rate used to determine the fee is $200/hr.

Do you take insurance?

I am an out-of-network provider for insurance companies that offer that type of benefit (almost all do). The process for getting reimbursed for session or evaluation fees by these companies is usually pretty simple:

Step 1. At the end of the month, I send you a form in the mail.
Step 2. Send the form to your insurance company.
Step 3. They send you a check.
If there is any additional paperwork needed, let me know and I take care of it.


What should I ask or tell my insurance company when I call them?

You’re going to want to let them know that you will be starting outpatient psychotherapy with a licensed psychologist. If they ask for CPT codes (the numbers that let them know the type of service that will be taking place and for approximately how long each session lasts), it is 90791 for the first one and either 90837 or 90834 for all the ones that follow. For an evaluation, the CPT code is 96101.

Good information to find out from them before you start is what percentage of the session fee they will reimburse (usually between 70-80% of what you paid), if there is a deductible (and if so, how much it is), and the address where you should mail the receipts that I send you at the end of the month.


What should I expect the first time I come in?

I try to create a very relaxed environment for my clients. Depending on the time you come in, you’ll be able to sit in a comfortable waiting room where you will not have to sign your name anywhere or indicate why you are there. (Because of the nature of the office space, the receptionists may ask who you came to see.) Before coming into my office, you’ll be asked either by myself or the receptionists if you would like any refreshments from the kitchen area (coffee, tea, hot chocolate, soda). At the start of the session, we’ll go over all the required and optional paperwork, and I will explain everything you are reading and answer all questions you may have. Once the paperwork is out of the way, my job then becomes to listen to you and figure out what can be done to help. Near the end of that first session, we’ll review what seems to be going on, your goals for therapy, and the gameplan for helping you to reach them. Everything is done in a way to facilitate comfort and openness.


If my child is participating in therapy, do I come in the office or stay in the waiting area?

It can be either. Depending on the child’s age, I often ask him or her what would be preferred. If he or she wants to be in on their own, I usually set aside the last 10-15 minutes of the session and bring the parent in then. At that point, we have a general review of what was discussed and will be worked on between sessions. If a child wants his or her parent in for a longer period of time or the entirety of the session, that’s fine as well. Based on the issues being addressed, I might also make recommendations on how to divide up the time and/or who will be in the room for treatment on that day.

If a parent wants to discuss specific matters without their child present, this can occur in a separate space at the very beginning or end of the session. On certain occasions, we may want to schedule a session without the child present at all, in order to help guide parents on what they can do to better help their child.


What if myself or my child has difficulty getting to your office for sessions?

I offer several ways that people can participate in the therapy process if transportation, scheduling, mobility, or other issues prevent someone from coming in regularly. These include sessions over the telephone, videoconferencing (not using Skype, but other programs that have higher levels of security), and home visits.


What types of homework might be assigned between sessions?

It depends on the goals and issues being addressed in therapy. It can include practicing relaxation skills or mindfulness strategies, recording situations or thoughts associated with anger or anxiety, engaging in some type of self-care (eating healthier, exercising, developing a hobby, improving sleep routines), being more assertive towards a family member or co-worker, stepping outside one’s comfort zone for a little bit, scheduling time for themselves, utilizing a specific technique for studying, etc.

The homework assignments that follow therapy sessions are usually the next step in the process towards reaching your stated goals.


If something arises, how can you be reached between sessions?

I provide my cell phone number for clients to use in case of an emergency. I also encourage clients to contact me between sessions if they are having difficulty when working towards a goal. We would discuss what went wrong, and what should be done differently. I return calls, texts, and emails as soon as possible.




Click here to schedule an appointment