How long is treatment?

Length of therapy varies greatly.  We don't require a minimum or maximum number of sessions.  We will certainly inform you of our clinical impressions regarding stopping or resuming therapy sessions but this will be a discussion between us, not a requirement placed on you.

That said, Cognitive Behavioral Therapy for Insomnia (CBT-I) is a fairly structured treatment that typically takes 6-8 sessions.

How often do I come?

We don't insist you come in any particular frequency, such as once a week (however, most patients come once a week).  After our first appointment, we will decide together how often we will meet.  As we continue to work together, we might discuss increasing or decreasing the frequency of our sessions.

For Cognitive Behavioral Therapy for Insomnia (CBT-I), we usually suggest meeting once a week for at least the first 3-4 sessions.  If you're unable to commit to that, let us know early on because we might be able to work around it without compromising your treatment.

Does Cognitive Behavioral Therapy for Insomnia (CBT-I) work?

We've helped many people overcome their insomnia, regain their confidence in sleep, and get off sleeping pills.  CBT-I is the first-line recommended treatment for insomnia because the research is overwhelmingly in its favor.  We can't make any promises and we've unfortunately seen people continue to have insomnia despite trying CBT-I, but what we can say is that if you haven't tried CBT-I, you should.  View our CBT-I brochure for more details.

Do you treat other sleep disorders besides insomnia?

Yes.  We practice behavioral sleep medicine which is more than just treating insomnia.  However, behavioral sleep medicine isn't helpful for every sleep disorder.  It's best to call us and give us some background about what you're seeking help for so we can decide whether scheduling an initial appointment is worthwhile.

Will you collaborate with my other therapist, psychiatrist, sleep physician, etc.?

If you want us to, we will absolutely collaborate with your other providers to coordinate care.

Do you see kids or teenagers?

We only see those 18 years and older.  If you're looking for help with sleep in a child or adolescent, I recommend Children's National in DC, Linda Berg-Cross, PhD, CBSM in Potomac, Neal Morris, EdD, CBSM in Bethesda, or Mandi Mader, LCSW-C in Bethesda and Silver Spring.  Children's National and Dr. Berg-Cross see all ages, including infants.

If you're up north, we recommend Timothy Billings, PhD (443-461-5270) who sees all ages as well, including infants, in both Baltimore and Lutherville.

By the way, even though we don't treat those under 18 at DC Psych and Sleep, we support efforts to start middle and high school classes at 8:30am or later.  Learn more at Start School Later.

What are your fees?

The fee for the first appointment (90 minutes) is $395.  The fee for subsequent appointments (45 minutes) is $250.

Do you offer phone or video sessions?

Yes.  You can read about our practice of telehealth at Telehealth & COVID-19.

Do you take insurance?

We're not in-network with any insurance companies.  You're responsible for paying your full session fee at the time of service.  If you decide to submit claims to your insurance company for reimbursement for any out-of-network benefits you might have, you may do so and we'll provide you with a superbill after each session for this purpose.

What about Medicare?

If you're a Medicare patient planning to see us, you must sign a Medicare Private Contract before starting treatment indicating that you agree to pay our full fee and that you understand you will NOT get reimbursed at all - even partially - by Medicare if you submit claims from our sessions.  There is usually no benefit to submitting your claims for our sessions to Medicare unless you have a secondary insurer who needs to see the claim rejected by Medicare before reimbursing you.

If I check with my insurance company to see if they'll reimburse for sessions, what do I need to know?

You'll need to know the specific procedure code we would use for the particular session.

  • In-Person Session Procedure Codes
    • 90834 for a 45-minute in-person session
    • 90791 for the initial 90-minute psychiatric diagnostic evaluation which only applies to the first in-person session with new patients
  • Video Session Procedure Codes
    • 90834 (95) for a 45-minute video session
    • 90791 (95) for the initial 90-minute psychiatric diagnostic evaluation which only applies to the first video session with new patients
  • Phone Session Procedure Code
    • 90899 regardless of session length, so this same code applies for 45 minutes for return patients or 90 minutes for new patients

It's a good idea to also ask about your deductible since this might need to be met before you get any reimbursement for session fees.

What are your hours?

We see patients during daytime hours with some limited slots available on evenings and weekends.  We are often unable to answer the phone but we check messages frequently and call or email back within 1 business day.

If you have other questions not addressed here, you might find the answers in the Treatment Contract.