Insurance pays for symptoms. It doesn't pay for the work underneath them.
Billing insurance requires a diagnosis that becomes part of a permanent claims record, even if it doesn't fully capture what's going on
That record can resurface later: life insurance applications, custody proceedings, security clearances, sometimes professional licensing questions
Insurance companies can audit session notes and decide whether your care still counts as "medically necessary"
Insurance typically only reimburses sessions up to 45 to 53 minutes. I offer 60, 90, and 120-minute sessions, for when things are just starting to open up
Working privately means we decide what this looks like, not a claims adjuster, and what we talk about stays between us
Superbills are provided on request for clients who want to seek out-of-network reimbursement on their own terms