The First Appointment

How do I schedule my first appointment?

Call the office at 440-250-9880.

What types of “therapists” are at LindenBP?

The “therapists” at LindenBP are either clinical psychologists with doctorate degrees (Ph.D. or  Psy.D.) or masters trained mental health providers (LISW or LPCC) who are supervised by a clinical psychologist. 

Each provider has specific areas of expertise and specialized training. We believe strongly that this advanced training and rich experience is what sets our team apart.

For more on why to choose LindenBP. For more information on each psychologists at LindenBP Dr. Norton and Dr. Smith.

How do I choose a provider at LindenBP?

LindenBP only employs professionals who are highly skilled and capable of providing expert services. 

Each psychologist is trained at the doctoral level and has generalist training, as well as specific areas of interest and specialty expertise.  So individuals/families who come to LindenBP can take comfort in knowing that they are receiving excellent care from any of the psychologists on our team.

Other providers at LindenBP are trained at the masters level with experience working with children and families.  They are supervised by a doctoral level psychologist throughout the continuum of care to ensure the highest quality of service.

Sometimes families come “referred” to a specific provider and then may be offered an appointment with a different provider.  This may happen to facilitate more timely access to care and/or to match a new individual/family with the provider best suited to the presenting concerns.  Our goal is to exceed the expectations of each individual/family who comes to LindenBP.

When is your next available appointment?

We work hard to maintain availability for new patients.  A first appointment is generally offered within 2 weeks of your first phone call.

What days/hours can appointments be scheduled?

The practice schedules appointments during normal business hours Monday through Thursday.

Are you currently accepting new patients?

Yes, all of our providers are accepting new patients.

How long is the first appointment?

The initial consultation is a 90 minute appointment. This allows time for your provider to understand your concerns and start you along the process of change.  Our goal is for each individual/family to leave the first appointment feeling understood and hopeful.

What should I do to prepare for the first appointment?

After scheduling your first appointment, please review the email you receive with details about this visit. Complete the history form in advance so that your psychologist can review the information before your appointment time. Also, bring any relevant medical, academic, or other records that will allow us to best understand and assist you/your child.     

What happens if I arrive late to an appointment?

If you arrive late for an appointment, you will be seen for the remaining time and charged for the full appointment as scheduled.

What is the cancellation policy?

Cancellations require 48 hour advanced notice.  Cancellations with less than 48 hours notice will be charged the full cost of the missed appointment. If you need to cancel or reschedule, please contact the office at 440-250-9880.

Insurance

Do you accept insurance?

We do not accept insurance, but many of our patients do choose to submit for partial reimbursement. For more information on the process for submitting to insurance, see billing/insurance.

We are a fee-for-service based practice.  For privacy considerations and to provide more personalized care, we do not participate with any insurance companies. That said, you may be reimbursed by your insurance for a portion of the out-of-network charges. Please check with your insurance company for out-of-network coverage information. Payment will be collected at the time of service and when requested, you will be provided with the necessary documentation to file an insurance claim.

What does “out-of-network” provider mean?

It means our providers are not contracted on any insurance plans. If you would like to seek reimbursement for your visits, you can submit a superbill to your insurance company for partial reimbursement. Payment is expected at the time of service, and any reimbursement from the insurance will be paid directly back to you.

How much will my insurance company reimburse me?

The amount of reimbursement varies based on the insurance company and your specific plan. If you do not have your insurance booklet, we recommend calling your insurance company to ask the following questions:

  • What is my yearly deductible for outpatient behavioral (mental) health?
  • What is my yearly maximum for outpatient behavioral (mental) health visits?
  • What is my deductible and co-payment for an out-of-plan provider?
  • How much will you reimburse for billing code ______________?

Types of Services (CPT codes):

  • 90791 Initial Psychiatric Evaluation (90 minutes)
  • 90837 Individual Psychotherapy (60 minutes)
  • 90846 Family Psychotherapy without patient present
  • 90847 Family Psychotherapy with patient present
  • 90853 Group Psychotherapy

Payment/Fees

How much does each appointment cost?

The cost of appointment varies depending on the provider’s level of education.

The initial consultation is an extended 90 minute evaluation appointment which includes beginning a plan of care while follow-up appointments are typically 1 therapy hour.

Doctorate level providers: Initial consultation is $390 and follow-up appointments are $200.

Masters level providers: Initial consultation is $300 and follow-up appointments are $160.

What are the payment options?

We accept all forms of payment (cash, check, credit cards, and HSA/FSA).

***Please note, payments are due at the time of service.

Are there fees for telephone calls?

Scheduled or non-emergent calls requiring more than 5 minutes will be billed at the same rate as office visits, $50 per 15-minutes of intervention.

Treatment

How often are appointments?

Treatment is always customized based on each individual’s or family’s specific needs and goals.  In general, treatment requires more frequent appointments (i.e. weekly) at the beginning of the therapeutic process or when symptoms are worse.  Treatment usually becomes less frequent when symptoms are improved or stabilized.

How long does treatment last?

The length of treatment varies greatly depending on multiple factors (i.e. concerns leading to treatment, family dynamics, frequency of appointments, “work” done between appointments, goals of treatment, etc.).  We are always respectful of the resources required to attend these appointments and strive to be as efficient as possible.

What ages of individuals are treated at the practice?

LindenBP is proud to have a team of providers with different areas of specialization, some only treat children/adolescents while others only treat adults.  Therefore, together the providers at LindenBP treat everyone from very young children (toddler) throughout adulthood (including geriatric).

Child and Adolescent Services

Will I be in the room with my child?

During the initial consultation, most children over the age of 5/6 years will spend a portion of the appointment without their parent(s) in the room. This allows the provider to see how the child does with separating from his/her parent, learn about the child from his/her perspective, and to help the child gain comfort with the psychologist.  For treatment to be most effective, the child will be asked to practice therapeutic activities outside the therapeutic hour. Helping the child assume a lead role from the beginning helps establish their ability to be in control of their body, and ultimately builds skills and confidence.

Follow-up appointments typically include a combination of the child/adolescent working independently with the provider and parents being present. How this time is split up varies based on the age of the child and the concerns being addressed.      

What do I tell my child about coming to his/her first appointment?

Many children are uncomfortable when coming to the first appointment.  They are uncertain what to expect and may already be feeling distressed.  We encourage parents to be honest with your child about making an appointment to get guidance for ways to address or improve a particular concern. It may be helpful to describe the process as a way to get help as a family.  Explain that your child will learn ways that he/she can help him/herself, and that you as a parent will learn ways to help as well.  Let your child know that he/she will help decide what comes next after the first appointment.

What do I do if my child/adolescent refuses to join for the first appointment?

Some children are so anxious about the first appointment that they refuse to go.  In the case of adolescents, some may not see themselves as having a problem and/or do not want to go to a professional to address whatever is problematic (this may be due to not wanting to change but is more often due to not knowing how a psychologist/counselor may be helpful). As a parent, you can let your child know

  • Your goal is to help make things easier for him/her and better for the family.
  • Explain that you would like to learn ways to help be a better parent to him/her and that your child’s input on how to best do this is essential.
  • Let your child know that you appreciate the awkwardness of the situation and the uneasy feelings.
  • Tell your child that you only request he/she attend one appointment (leave the rest to us!).   
  • It will be easier for your child to best “judge” the situation once he/she has met with the psychologist.
  • Many children and adolescents have misperceptions of what it will be like to see a psychologist (thank you media!).

The good news is that most children and adolescents actually find the experience to be quite different than they imagined, and they are open to and even look forward to returning!

How do I get my child tested?

When you call to schedule the first appointment, state that you are interested in testing.  We always begin with the consultation appointment to gather information about your child’s history and understand the current concerns. We use this information to confirm that testing is warranted, to make decisions about what question(s) need answered, and to select the best measures. During this appointment, we will also explain to your child what to expect on the day of testing (to increase comfort and minimize stress on the day of testing). Often testing includes gathering information from parents and school personnel, so this will also be part of what is discussed during the consultation appointment to allow for selection of the best measures.  Click here for more information on testing.

Special Concerns During Separation and Divorce

I’m going through a divorce and am concerned about my child(ren). I want to bring my child(ren) in for an appointment but his/her(their) other parent may not agree to this.

We appreciate the opportunity to help families during this difficult time of transition through separation and divorce. And while it is a time of many changes, it does not have to be a time of significant distress. What is important to know before proceeding is that our approach is family-based. What that means is that even during times of separation or divorce, our goal is to be able to work with both parents to help them learn a new way of relating so that they are able to effectively communicate and co-parent.

We appreciate the opportunity to talk with both parent, together or separately when there is an active divorce in process.  This allows us to be clear about what our role includes, as well as gather information about what each parent’s goals are for the treatment process. It also allows us to offer specific guidance to improve co-parenting skills.

We have found that families are best served when we are completely transparent with both parents regarding scheduling and treatment plans.

What if I do not want my child(ren)’s other parent to know about these appointments?

Our approach is family-based and we have found that families are best served when we are completely transparent with both parents regarding scheduling and treatment plans.  Furthermore, we prefer to speak or meet with each parent, together or separately, prior to meeting with a child/adolescent when there is an active divorce in process.

What if my child’s other parent is not willing to pay for appointments?

Payment is handled at the time of service, regardless of how responsibilities for medical appointments have been determined by the court or between the couple.   

Do you provide reports to the court regarding custody?

We neither share information with the court nor offer opinions about custody, as we are treating mental health providers and are not working in a forensic role.

What Sets LindenBP Apart

Why choose LindenBP?

Many individuals/families who call LindenBP have sought care elsewhere with disappointing results.  The providers at LindenBP appreciate the courage it takes to continue seeking services despite these experiences.  We are dedicated to providing top quality services that exceed your expectations.  Some of the factors that set us apart:

    • LindenBP only employs providers who have the highest level of training and experience. See FAQ below “What is a psychologist?”
    • LindenBP actively collaborates with individuals and institutions outside the practice at the request of the individual/family in a way that is above and beyond typical services.  We have close connections with local medical providers and schools to facilitate this communication when needed.
    • LindenBP maintains the highest level of confidentiality and privacy.
    • LindenBP has a multidisciplinary team of consultants who work closely with our providers to provide a full range of services to best meet your needs.

What is a Psychologist?

Psychologists are professional health care providers with training and expertise in the areas of human behavior and psychological health. The minimal acceptable standard of training for a psychologist today is a doctoral degree in psychology or a closely allied field. Psychologists are “Doctors” but they are not physicians, and they do not prescribe medication. The doctoral degree in psychology typically takes 5-7 years of full time graduate study after a college degree. The degree may be a Ph.D., a Psy.D. or an Ed.D., depending upon the graduate training program.

As health care professionals, psychologists are uniquely skilled in conducting assessments and providing research based treatment approaches to individuals, couples, and groups. A professional psychologist has a broad knowledge about human behavior, and understands how to apply that knowledge to help people change.

LindenBP ensures that all providers have the highest level of training and experience with specialized areas of expertise.  We strongly believe this advanced training and rich experience sets our team apart from most private practice groups.

Do you prescribe medication?

No, the providers at LindenBP are psychologists and counselors not psychiatrists. See FAQ below “Psychologists vs. Psychistrists”. When patients we are treating can benefit from a multi-disciplinary approach, we collaborate with primary care or refer to our psychiatry colleagues in the community.

Psychologist vs. Psychiatrist

Psychologists and psychiatrists both provide treatment to individuals with emotional problems.

Psychology is both a profession and an independent scientific discipline.

Psychiatry is a specialization within the field of medicine.

There are many similarities in the treatment provided by psychologists and psychiatrists, and there are also many differences.

  • Psychology is founded on the study of all human behavior, both normal and abnormal. Psychiatry focuses on the treatment of emotional illness.
  • Psychologists help people control and change their own behavior as a primary method of treating problems. Psychiatrists prescribe medication as a primary means of changing people’s behavior.
  • Both psychologists and psychiatrists assume that complex emotional problems are the result of biological and psychological causes.