Policies and Procedures
FEES, Insurance, & billing
Our fees are as follows:
90-minute Psychological Assessment — $250
50-minute Psychotherapy Session — $180
30-minute Psychotherapy Session — $100
90-minute Group Therapy Session — $60
Phone calls, paperwork, report writing, and other professional services lasting longer than 15 minutes — $180/hour
Neuma Psychological Services is a private-pay practice. Payment is due at the time of service. For convenience, we can keep a credit card on file and process payment automatically after your session.
We review our fee structure periodically and may adjust fees over time. If your ongoing therapy fee will change, you will receive 90 days’ written notice.
Insurance & Out-of-Network Reimbursement
We do not participate in insurance plans. This allows us to offer care that is more individualized, more private, and less constrained by the requirements of insurance-based treatment.
If your plan includes out-of-network mental health benefits, you may be able to receive partial reimbursement for therapy. We are happy to provide superbills for clients who wish to pursue out-of-network reimbursement. To learn more, we recommend calling the number on the back of your insurance card and asking about your out-of-network mental health coverage.
You may also be able to use HSA or FSA funds to pay for therapy.
Reduced-Fee Options
We believe good therapy should be accessible whenever possible. For clients with financial need, limited reduced-fee spots may be available. Please speak with your therapist if cost is a concern.
Billing
We accept cash, check, and credit card. For convenience, clients may choose to keep a card on file so payment can be processed without using session time.
Starting therapy can feel like a big step, especially if you have never done it before. Most people come in with a mix of hope, uncertainty, and understandable questions about what therapy will actually be like.
At its core, therapy is a conversation and a relationship focused on helping you understand yourself more clearly, work through what is getting in the way, and move toward meaningful change. Depending on your goals, this may involve exploring patterns in your thoughts, emotions, relationships, behavior, or personal history. It may also involve learning practical tools for handling anxiety, stress, OCD, emotional overwhelm, or other challenges more effectively.
Therapy is not something that happens to you. It works best as a collaborative process that asks for honesty, openness, and active participation. Some sessions may bring relief or clarity right away. Others may involve discomfort as we work through difficult emotions, longstanding patterns, or parts of life that have felt hard to face. This is a normal part of meaningful therapeutic work.
Many people find that therapy helps them feel more understood, more grounded, and better able to navigate life with clarity and self-trust. It can lead to stronger relationships, greater emotional flexibility, better coping, and a deeper sense of direction. At the same time, therapy is a personal process, and each person’s experience is different.
Our first one or two sessions are typically focused on getting to know you, understanding what brings you in, and clarifying what you hope for from therapy. This initial phase also gives you a chance to get a feel for whether working with one of us feels like the right fit. From there, if we decide to move forward together, we will begin shaping a plan for the work based on your needs and goals.
Most ongoing therapy takes place in 50-minute sessions, often on a weekly basis, though frequency and session length can vary depending on the situation.
If you are new to therapy, it is completely okay to have questions. Finding the right therapist matters, and we welcome open conversation about the process, what to expect, and whether our practice feels like a good fit for you.
Therapy Services
Attendance
At Neuma, we do our best to make attending therapy easy and consistent. We offer automatic appointment reminders by text or phone, and we are happy to schedule recurring appointment times when helpful.
We ask for at least 24 hours’ notice if you need to cancel or reschedule an appointment. Late cancellations and missed appointments are charged at the full session fee. If you arrive late, your session will still end at the scheduled time so that we can remain on time for other clients.
We understand that emergencies, illness, severe weather, and other unexpected situations can occasionally arise. In those cases, we aim to respond with reasonable flexibility. Repeated missed appointments, late cancellations, or chronic lateness may affect our ability to continue reserving an ongoing appointment time.
Confidentiality
Confidentiality is an important part of therapy. In most situations, what you share with us stays private unless you give written permission for us to release information.
There are, however, a few important exceptions. If we believe there is a serious and immediate safety concern — for example, if you are at imminent risk of seriously harming yourself or someone else — we may need to take steps to protect safety. This could include contacting a parent or guardian, emergency services, or another appropriate source of support.
As licensed therapists, we are also mandated reporters. This means that if we have reasonable cause to suspect child abuse or neglect, or if certain other legally required reporting situations arise, we may be required to make a report to the appropriate authorities. Wisconsin also requires mandated reporters to report certain serious and imminent threats of violence directed at a school.
Confidentiality can be especially complex when working with children and adolescents. We strive to balance a young client’s privacy with the involvement that may be necessary for safe and effective care. When possible, we discuss these boundaries openly at the beginning of treatment so everyone understands what to expect.
If we believe a situation may require us to break confidentiality, we will generally try to discuss that with you first whenever it is safe and appropriate to do so.
Because Neuma serves many clients, you may occasionally see someone you know in the waiting room. We ask all clients to respect one another’s privacy and not share identifying information about other clients outside the practice.