We are currently an entirely virtual office, so our location is wherever you have access to the Internet within the state of California .

• Yes, Telehealth/Virtual Therapy is available for anyone located in the state of California. • Telehealth/Virtual Therapy takes place via a HIPAA-compliant, secure video platform, Simple Practice, or a HIPAA-compliant version of Zoom. Not all insurance plans will reimburse for Virtual Therapy. You will need to verify your benefits if you plan to submit superbills. • All therapy services are offered via telehealth/virtual sessions only.

At this time providers are licensed in California and cannot provide services across state lines.

Yes, all individuals are welcome to participate in the psychoeducational workshops and courses regardless of where you live.

Our regular business hours are from 9:00 am to 5:00pm, Monday - Thursday.

• No,we do not work on the weekends and most federal holidays to ensure healthy work-life wellness. • Our office generally operates Monday through Thursday from 9am-5pm. • If you reach out outside of these hours, we will respond to you the next business day. However, if you are a current client and you need to reschedule your appointment the best way to contact your therapist is via text.

• We believe that by engaging in our services you are investing in your well-being, mental health, and enhancing your overall quality of life. The results of therapy are transformative and can have positive life long lasting results. • Therapy is a unique experience that is grounded in a relationship with a professional who has scientific and clinical expertise in supporting you. • As well as professional and life experiences that has come from years of training to be equipped to meet your specific needs.

• Rates range from $245-$300 for intake appointments and $200- $245 for individual sessions.

• A few reduced rate slots are provided. We consider reduced rates on a case-by-case basis. • Currently no reduced rate slots are available.

• Payment is collected the day of services via credit card, which must be placed on file prior to receiving services. NO checks or cash will be accepted.

• Currently we are not in-network with any insurance company, so we do not accept insurance in the way you normally use it. • As an out-of-network provider, we can help our clients take advantage of their out-of-network benefits. We are happy to provide you with the necessary documentation, a “Superbill,” that you can submit to your insurance company for reimbursement for services. We cannot however guarantee that you will receive reimbursement. That is solely at the discretion of your insurance company. • As a completely out of network practice, we are transparent with our fees so that you are aware of and can plan for the cost of services. The Federal No Surprises Act went into effect on January 1, 2022 to protect patients from surprise medical bills. As a result, all licensed health providers who offer out of network services are required to post a notice of “your rights and protections against surprise medical bills” on our websites or in our physical offices. Again, the nature of mental health services are different and we do not engage in surprise billing. Further, in accordance with the Act, we will gladly provide a Good Faith Estimate of the costs of services prior to a first session and in the course of treatment.

• Call your insurance provider and ask about your eligibility and out-of-network benefits for Behavioral Health. • Be sure to check if telehealth services are covered as part of your benefits and what the reimbursement process entails. • You are financially responsible for services regardless of your coverage.

• This is a complex question with multiple layers, but the simplest response is that insurance companies can restrict the types of therapeutic work we deem as valuable and pivotal to the healing journey and this is inconsistent with our values. • We are committed to providing strength based approach to wellness as opposed to following solely a medical model built on deficit based approaches that focus primarily on problems and pathology. We believe in doing the work that moves clients further on their healing journey without having to worry about constraints imposed by insurance companies.

• Absolutely. Health Savings Accounts (HSA) and Federal Savings Accounts (FSA) are excellent ways to cover your services. Please be sure to verify with your HSA/FSA provider that virtual/telehealth therapy services are covered and what documentation is required. • Please be advised that a diagnosis meeting “medical necessity” may be required for you to receive reimbursement. Based on your presenting concerns we cannot guarantee that your diagnosis will be eligible thus impacting your ability to be reimbursed. Consider discussing this with your HAS/FSA provider.

• Any cancellations or changes to an appointment should be made with at least 24 hours notice, to allow for the time to be used by another client in need. You may notify your therapist of your cancellation by voicemail or text. No-shows, changes, and late cancels will be charged the full session rate, with fees due prior to the next scheduled appointment. Note that this fee is not covered by insurance. • Clients may be given one free late cancel per calendar year, at the sole discretion of Dr. Armstrong.