Treatment Steps


1.   Consultation:

 I generally like to conduct a brief telephone screening before we meet in person. Our first appointment will be at least a one hour “face-to-face” Consultation regarding your needs. At the end of this meeting, I will select a personalized packet of questionnaires for you to complete at home as soon as possible. This personalized battery of questionnaires is designed to compliment and further complete the Consultation process.  If you find that completing the packet of forms makes you uncomfortable, please stop immediately and call me to discuss other options.

Some people prefer to prepare for the Consultation by downloading and completing the standard part of the take-home material: The Current Life and History Form, The Symptom Screening Questionnaire, The Treatment Consent Form, and if felt to be important, The Release of Records Form to allow me to receive information from previous Health Care Providers. If you choose this down-load option,please find these materials in the FORMS link (which also includes some session forms to be completed at another time) at the end of this TREATMENT section. You may use the postal service to send the completed forms to me prior to our meeting, or via facsimile (215) 443-7879 or any other method that will insure HIPPA Compliance. Alternatively, you may want to bring them with you to integrate into our Consultation session. If you choose to wait and complete these materials with your personalized packet, that is fine.

At the end of the face-to-face Consultation meeting, please complete all the remaining forms and personalized questionnaires at home in order to compliment the one hour face-to-face Consultation Session. Please attempt to return this supplementary battery of forms, if possible, prior to our first psychotherapy session. Again, please remember, if completing the questionnaires causes any discomfort, please call me immediately for alternative strategies.

You may return the completed information to my office, either by the postal service, facsimile, an encrypted format or another delivery service if you prefer. Usually within 48 hours upon receipt of your completed questionnaires, I will briefly call you to offer some impressions of what our work together will entail. Alternatively, I may feel that it is important for us to discuss other treatment options which may better suit your goals.  If that is the case, I will ask colleagues and post on the Pennsylvania Psychological Association List-serve for possible availability and options for you without revealing any of your personally identifying information.

There are a few occasions when we might decide that there is a need to meet for a few standard sessions to determine your best treatment options thus completing the consultation process.

When all is said and done, you should evaluate the information I provide along with your own opinions of whether you feel comfortable working with me. Therapy involves a large commitment of time, money, and energy, so you should be very careful about the therapist you select. I am always open to discuss alternative steps to make this journey less burdensome.

2.   Psychotherapy sessions:

I will usually schedule one, hour-long session per week, at a time we agree on, although some sessions may be slightly longer (at no extra charge) or more frequent. To strengthen the continuity of care, I routinely ask that you complete a ‘Bridge Worksheet’ which may include comments and feedback on our work and your “own-work” assignment(s). Once an appointment hour is scheduled, you will be expected to pay for it unless you provide 24 hours in advance notice of cancellation (unless we both agree that you were unable to attend due to circumstances beyond your control).  If you have   questions regarding my procedures, we should discuss them whenever they arise.  If your doubts persist I will be happy to help direct you to another mental health professional for a second opinion. Usually I will urge you to locate credentialed specialists in CBT at and/or If you have a different psychotherapy modality in mind, I will post your anonymous request on the Pennsylvania Psychological Association List-Serve.

3.   Ending Treatment:

Ideally, as therapy progresses and treatment goals are being met, the frequency of sessions will be titrated at a point when you and I mutually agree to do so.  Weekly sessions will be reduced to a session every second or third week.  It is often  helpful to  arrange for a booster, tune-up,  or relapse prevention session around six months to a year after a formalized termination session.  This session will be designed to review the various  treatment processes and strategies that were most helpful.

However treatment can end for other reasons as well.  You might decide to terminate treatment if you feel you are not making progress or if our working relationship ties have deteriorated.  If you are considering ending your treatment, I recommend that we discuss this so I will have an opportunity to address any concern you may have, and to offer referral options if they are needed.

 If I experience difficulties in your treatment such as suspecting that therapy appears unhelpful, our working relationship has deteriorated, or that treatment is creating a financial burden.  I will try to work with you to resolve these issues.

I am ethically obligated to end treatment if I believe it is not helping you.  If I suggest terminating your treatment, I will offer, at minimum, a session to discuss the termination decision and to offer possible referrals.

Fees: $225.00 for initial Consultation and $185.00 for hour long psychotherapy sessions. A sliding fee scale is available based on need.