Frequently Asked Questions

  • Do you offer telehealth services?

    Yes, we offer telehealth services for clients who prefer virtual sessions. This can provide flexibility and convenience while ensuring you receive the support you need.

    What ages do you work with?

    Each clinician on our team has their own specialties, however in general we see clients ages 12 and up.

    What can I expect during my first session?

    During your first session, we will discuss your reasons for seeking therapy, your goals, and any relevant personal history. It’s an opportunity for you to ask questions and see if we’re a good fit for each other.

    What is your cancellation policy?

    We have a 24-hour cancellation policy. If you need to cancel or reschedule an appointment, please notify us at least 24 hours in advance to avoid being billed a $75 cancellation fee.

    Billing and Insurance Questions

    What insurance plans do you accept?

    We currently accept the following insurance plans:

    • Aetna

    • Cigna

    • Anthem Blue Cross Blue Shield

    • Oxford

    • United Healthcare

    • Healthfirst

    • Northwell Direct

    • Medicare

    We are Out of Network with NYSHIP (Carelon), however will work with your deductible and provide courtesy billing.

    Do I need a referral from my primary care physician to see you?

    In most cases, you do not need a referral to see us. However, it’s best to check with your insurance provider for specific requirements related to your plan.

    How do I know if my insurance will cover your services?

    You can contact your insurance provider to verify your coverage for therapy sessions. I recommend asking about your benefits for outpatient mental health services, including co-pays, deductibles, and coverage limits.

    What if I don't have insurance or my plan isn’t listed?

    If you don’t have insurance or your plan isn’t listed, please reach out. Our rate for a 45-minute session is $100.

    How does billing work?

    Once we establish therapy services, we will bill your insurance provider directly for each session. If you have any co-pays or deductibles, those will be collected at the time of service.

    What should I do if my insurance changes?

    If your insurance changes, please inform us as soon as possible. We can discuss how this affects your coverage and any necessary adjustments to our billing process.

    Confidentiality and Privacy Questions

    Is everything I say in therapy confidential?

    Yes, everything you say in therapy is confidential. As your therapist, I am committed to maintaining your privacy and ensuring that the information shared during our sessions remains protected. This confidentiality fosters a safe environment for you to express your thoughts and feelings openly.

    Are there exceptions to confidentiality?

    While confidentiality is a fundamental principle of therapy, there are certain exceptions where I may be legally or ethically required to disclose information. These exceptions include:

    • Harm to Self or Others: If I believe you are at risk of harming yourself or others, I may need to take action to prevent that harm. This could involve notifying appropriate authorities or individuals.

    • Child or Elder Abuse: If there is suspicion or evidence of abuse or neglect of a child, elderly person, or vulnerable adult, I am mandated by law to report this to the appropriate authorities.

    • Court Orders: If I am subpoenaed or compelled by a court order to provide information, I must comply with the legal requirements.

    • Medical Emergencies: If there is a medical emergency requiring disclosure of information to ensure your health and safety, I may disclose relevant information.

    It is important for you to understand these limits to confidentiality. I will always strive to discuss any concerns with you before taking action unless there are immediate safety issues.

    Emergency Protocol

    How do you handle emergencies?

    In the event of an emergency, I prioritize your safety and well-being. Here’s my protocol for urgent situations:

    • Crisis Assessment: If you are experiencing a mental health crisis during a session, we will immediately focus on assessing the situation. We will work with you to identify the safest course of action.

    • Referral to Resources: If the situation requires immediate intervention beyond what we can address in therapy, I will guide you to the appropriate resources, such as hotlines, emergency services, or local mental health crisis teams.

    • Emergency Contact: If you feel that you are in immediate danger or have thoughts of harming yourself or others, I may encourage you to contact emergency services or accompany you to the nearest hospital if necessary.

    • Follow-Up: After an emergency situation, I will follow up in subsequent sessions to provide support and address any ongoing concerns related to the incident.

    Are you available to take emergency or crisis calls?

    We are not available to take emergency or crisis calls outside of scheduled therapy sessions. If you are experiencing a crisis or need immediate support, I encourage you to contact a crisis hotline or seek emergency services.

    In emergency situations, please consider the following options:

    National Suicide & Crisis Lifeline

    • Phone Number: 988

    • Availability: 24/7 support for anyone in emotional distress or crisis.

    You can call 988 to reach a trained crisis counselor who can provide immediate assistance and support.

    DASH Emergency Hotline:

    • Phone Number:631-952-3333

    • Availability: 24/7 support for anyone in emotional distress or crisis.

    Local Emergency Services

    If you are in immediate danger or need urgent help, please call 911 or go to the nearest hospital.

    You can also go to the Diagnostic, Assessment, and Stabilization Hub (DASH) located at 90 Adams Avenue, Hauppauge, NY 11788

    While we are committed to supporting you during our sessions, please know that there are dedicated professionals available specifically to assist in crisis situations. DO NOT DELAY CARE WAITING ON A CALL BACK FROM OUR OFFICE AS OUR PHONES ARE NOT MONITORED 24/7.

    How do I schedule an appointment?

    You can schedule an appointment by calling the office (631)532-9268, sending an email contact@mosaicmindpsychotherapy.com, or filling out the contact form on the website. We will get back to you promptly to find a time that works for you.

  • What are Autism and ADHD?

    The diagnostic criteria for Attention-Deficit/Hyperactivity Disorder (ADHD) are divided into two main categories: inattention and hyperactivity-impulsivity. To be diagnosed with ADHD, an individual must exhibit six or more symptoms of inattention for at least six months. These symptoms may include difficulty paying attention, trouble staying focused on tasks, not following through on instructions, disorganization, avoiding tasks that require mental effort, frequently losing necessary items, being easily distracted, and forgetfulness. In addition, the individual must show six or more symptoms of hyperactivity-impulsivity, which also need to have persisted for at least six months. Symptoms in this category might include fidgeting or squirming in their seat, leaving their seat when expected to stay seated, running or climbing in inappropriate situations, talking excessively, blurting out answers before questions are fully asked, having difficulty waiting their turn, and interrupting or intruding on others. Additionally, these symptoms must be present in two or more settings (such as at home and school), cause significant impairment in social, academic, or occupational functioning, and have an onset before age 12. In summary, a diagnosis of ADHD requires a considerable number of inattention and/or hyperactivity-impulsivity behaviors that affect daily life, persist over time, and occur in multiple environments.

     

    The diagnostic criteria for Autism Spectrum Disorder (ASD) focus on two primary areas: social communication and restricted, repetitive behaviors. To be diagnosed with autism, an individual must demonstrate persistent difficulties in social communication and interaction across multiple contexts, which may include challenges in social-emotional reciprocity (like difficulty in sharing interests or emotions), nonverbal communicative behaviors (such as avoiding eye contact or not using appropriate facial expressions), and developing, maintaining, or understanding relationships (including trouble adjusting behavior to suit different social contexts). Additionally, individuals must exhibit restricted and repetitive patterns of behavior, interests, or activities, characterized by at least two of the following: stereotyped or repetitive motor movements (like hand-flapping), insistence on sameness or routines, highly restricted interests that are abnormal in intensity or focus, and hyper- or hypo-reactivity to sensory input (such as being overly sensitive to sounds or textures). These symptoms must be present from early developmental periods and can cause significant impairment in social, occupational, or other important areas of functioning. Furthermore, the symptoms should not be better explained by an intellectual disability or global developmental delay. In summary, a diagnosis of autism requires a range of challenges in social communication and the presence of restricted, repetitive behaviors that significantly impact everyday life. 

    Why should I consider an assessment for autism or ADHD?

     Understanding Behavior: An assessment can help clarify the reasons behind certain behaviors, difficulties in social interactions, communication challenges, and issues with attention or hyperactivity. Understanding these aspects can provide significant insights into an individual's experiences.

    Targeted Support: A formal diagnosis can lead to targeted interventions and support tailored to an individual's specific needs. This may include therapeutic options, educational accommodations (at the discretion of the institution), and strategies for managing behaviors.

    Access to Resources: A diagnosis can open doors to various resources, including special education services, therapy, support groups, and community programs designed to assist individuals with autism or ADHD.

    Improved Self-Awareness: Understanding one's diagnosis can lead to improved self-awareness and self-advocacy. Individuals can learn about their strengths and challenges, which can empower them to seek appropriate support and develop coping strategies.

    Family Support: Assessments not only benefit the individual but can also provide support and guidance for families. Understanding a loved one's condition can help families communicate better and create a supportive environment.

    Identifying Co-Occurring Conditions: Many individuals with autism or ADHD may also experience other challenges, such as anxiety or learning disabilities. An assessment can help identify these co-occurring conditions, leading to more comprehensive care.

    Overall, seeking an assessment for autism or ADHD is a proactive step toward understanding and supporting individuals in their unique journeys, leading to better outcomes and improved quality of life. 

     

    How much do assessments usually cost?

    When considering an assessment for ADHD and autism, it’s essential to evaluate the costs alongside the quality of service provided. In New York, the average cost for these assessments typically ranges from $2,000 to $3,000, which can be a significant financial burden for many families. In contrast, my services offer a more affordable option, with assessments priced at just $1,100.

    I believe in affordable access to care, as it is vital for people to receive the support they need without excessive financial strain. I can work with some insurances to cover the cost of the actual sessions themselves which can reduce the out-of-pocket administrative costs, typically reducing the price by about $300 to $400, If I am an in-network provider (Northwell Direct, Anthem BC/BS – Commercial Plans, United Health Care Commercial Plans, Oxford, Oscar, Medicare, and Healthfirst.)  I am an OON provider with NYSHIP, and GHI, however will provide courtesy billing.   I will provide a quote in writing prior to your first appointment.

    Assessment Process

    What does an assessment involve?

    An assessment typically includes interviews, questionnaires, standardized tests, and observations. It assesses behavior, communication skills, and social interactions.

    Who conducts ADHD and Autism assessments?

    In the State of New York, Assessments are usually conducted by licensed professionals, such as psychologists, developmental pediatricians, or Licensed Clinical Social Workers (LCSWs), trained in evaluating autism and ADHD.

    Why should I choose an LCSW?

    Using a Licensed Clinical Social Worker (LCSW) for your ADHD and autism assessment offers several advantages. LCSWs are trained, licensed, professionals with expertise in assessing and treating a range of developmental and mental health conditions, including autism and ADHD. Their knowledge and education equips them to perform thorough evaluations and understand the nuances of these disorders. An LCSW can conduct a comprehensive assessment that includes interviews, standardized questionnaires, and behavioral observations, aiming to capture a complete picture of an individual’s strengths and challenges, which ensures an accurate diagnosis. They often adopt a person-centered approach, tailoring their assessments to the unique needs and circumstances of each individual by considering various factors, including family dynamics and environmental influences. Importantly, LCSWs employ a holistic approach, recognizing that mental health is interconnected with various aspects of a person's life, such as physical health, social supports, and family relationships. Overall, an LCSW can provide a supportive, knowledgeable, and thorough approach to assessing and addressing concerns related to these conditions, making them an excellent choice for these assessments.

    NYS Social Work:Laws, Rules & Regulations:Article 154

     How long does the assessment take?

    The duration can vary, but assessments typically take between 1 to 2 hours per session, often spread over multiple sessions.  In my practice, the average is 3-5 sessions, however each person is unique and sessions will be based on need.

     Are assessments only for children?

    No, this is a common misconception.  Assessments can be conducted for individuals of all ages. Adults can also be assessed for autism and ADHD, often using different evaluation approaches.

    Is the assessment process confidential?

    Yes, the assessment process is confidential, and findings are shared only with authorized individuals, following applicable laws and regulations.

    Post-Assessment

    What happens after the assessment?

    After your assessment, I will provide you with feedback that includes whether you meet the diagnostic criteria for ADHD or autism. I will also share recommendations for interventions, support services, or any further evaluations that might be necessary. My goal is to ensure you have a clear understanding of the results and the next steps to support your needs effectively.

     Will I receive a formal diagnosis?

    If the assessment indicates that the individual meets the criteria, a formal diagnosis will be provided. This can be important for accessing services and support.  In the event a diagnosis cannot be established during the assessment, additional resources for follow up will be provided.

    Support and Resources

    What resources are available after diagnosis?

    Many resources are available, including therapy options, educational support services, community programs, and support groups for families.  Over the course of my career, I have created a strong referral network, which will be provided after your assessment, based on your needs.

    How can I support my child or loved one after an assessment?

    Supporting a child or loved one after a diagnosis of ADHD or autism involves fostering an understanding and accepting environment that enhances their strengths while addressing their challenges. Begin by educating yourself about ADHD and autism to better comprehend their experiences and needs. Establishing a consistent routine can provide a sense of stability and security, while open communication allows them to express their feelings and frustrations. Encourage their interests and talents to build self-esteem, and seek out resources such as support groups or therapy to help both you and them navigate the journey. Collaborating with teachers, therapists, and other professionals to create tailored interventions can further assist in their development. Most importantly, show patience, love, and support, letting them know they are valued and understood.