Practice Policies

You are engaging Shifting Perspective Therapy, LLC (referred to here as the “Practice”) for psychotherapy services. The Practice wants you to understand the policies and procedures to enhance the highly personal relationship we will have. Please feel free to reach out if you have any thoughts or questions.

Administrative office hours are generally Monday–Friday, 9am to 5pm.

The practice offers psychotherapy services remotely.

• Phone: (617) 942-0241
• Email: info@shiftingperspectivetherapy.com

At Shifting Perspective Therapy, LLC, services may include the assessment and treatment of mental, social, and emotional concerns. I employ psychotherapy, or “talk therapy,” which involves talking about your thoughts and feelings and the things in your life that trouble you. While the process may at times result in considerable emotional discomfort, the goal is to help you identify tools to alleviate or manage your concerns. I cannot promise any outcomes, but I will work to understand and support you.

• You have the right to receive a copy of any document I provide you for review and/or signature by email or via your client portal on SimplePractice (the “Portal”).
• If necessary, we will send you letters to the mailing address you provide us, unless you direct us otherwise. You must keep your address up to date in the client portal on SimplePractice.
• Generally, I will respond to emails and voicemails within 2 business days, with prioritization of the more urgent requests. Emails are generally reviewed once every weekday to look for urgent requests. Non-urgent matters may also be handled during your next session.

• If you pay out of pocket, fees are subject to periodic changes. For any fee increases, you will be notified of these changes at least four (4) weeks before the changes are implemented.
• You will be billed after each session or service, via the payment method on file that you designate as the “default” card within your SimplePractice Portal. If you place more than one card on file and the default card is declined, the Practice will attempt to charge any other card on file.
• You may access your invoices through the Portal or request them from Shifting Perspective Therapy, LLC. You may request a monthly billing statement or a “superbill” for out-of-network insurance reimbursement.
• Billing invoices, receipts, and charges listed on your accounts can demonstrate that you receive mental health treatment to third parties with access to your accounts.
• You must notify Shifting Perspective Therapy, LLC of any changes to your billing information as far in advance as possible.
• You are responsible for understanding how your insurance policy and benefits work and verifying what services are covered. For instance, some policies do not cover telehealth sessions and some only cover a limited number of psychotherapy sessions.
• Insurance reimbursement cannot be guaranteed by Shifting Perspective Therapy, LLC.
• If your insurance denies any part of submitted claims, you are responsible for the full balance for services provided by Shifting Perspective Therapy, LLC.
• If fees have not been paid within 14 days, Shifting Perspective Therapy, LLC reserves the right to suspend or terminate services.

• Generally, we recommend you engage in sessions on a weekly basis.
• The frequency of visits depends on your clinical needs among other factors.

• Sessions cancelled before the scheduled start time with less than 24 hours notice are charged at the full session fee (Individual Therapy: $150 and Couples Counseling: $200).
• If you do not appear within 15 minutes of your scheduled session time without contacting your therapist, it will be considered a “No Show” and charged at 100% of the full session fee.
• You may cancel up to six sessions per calendar year with at least 24 hours notice without incurring a fee. Sessions rescheduled before your next appointment (if therapist availability permits) do not count toward this limit. Exceptions may be made under certain circumstances.
• Insurance does not cover missed or cancelled sessions, so all fees reflect your therapist's full rate.
• Sessions that begin late due to client tardiness will end at the originally scheduled time.

• You stated that you are a resident of Massachusetts.
• Notify your therapist as far in advance as possible if you will not be in Massachusetts at the time of any scheduled session.
• Notify your therapist as far in advance as possible if you plan to move out of Massachusetts.

• We cannot provide emergency services. If appropriate, we will discuss your options for when an emergency arises.
• In case of a psychiatric emergency, call 911 or go to the nearest emergency room. The treating provider should be given contact information for your therapist at Shifting Perspective so we can connect as soon as possible.
• If you have an urgent issue, please call or email me with your availability and I will try to make an accommodation to meet with you as soon as possible.
• You will be billed for therapist time spent providing therapeutic support outside of a regularly scheduled session. Generally, I bill for calls or meetings longer than 15 minutes.
• If I do not hear from you for a reasonable amount of time, I may contact the person you identified as an emergency contact. I will identify myself as your therapist and ask about your well-being. No other information will be provided unless appropriate. I will always attempt to inform you via email and phone with some notice before contacting your emergency contact.

It is extremely rare but sometimes helpful or required for me to release information about your health without your express authorization.

When it comes to your health information, you have rights.

More information can be found in Shifting Perspective Therapy, LLC's Notice of Privacy Practices.

• Due to privacy and ethical concerns, I will not accept connection requests to any of your social media platforms.
• In public settings, I will not acknowledge you unless and until you have chosen to acknowledge me first. I will not speak to you about private health information in public settings.

• You may discontinue services at any time, for any reason with notice.
• Shifting Perspective Therapy, LLC may discontinue services if your needs are beyond the scope of the practice, if I identify a conflict of interest, you repeatedly miss or cancel sessions, you have an outstanding balance for more than 14 days, you repeatedly miss payment deadlines, you record sessions without permission, and other reasons.
• If I do not have contact or communication from you for a period of 30 days, I will assume that you no longer intend to remain active in this therapeutic relationship and your case may be closed.
• When services are discontinued, I will work with you on an appropriate transition plan which will include appropriate treatment referrals if requested.

If you have any questions about any of the policies and/or procedures within this document, please email info@shiftingperspectivetherapy.com or call (617) 942-0241 and I will be happy to assist.