Phil Littman, Therapy Phil Littman, LCSW
  (916) 451-1900

home | background | client information | contact | first visit

CouplesGestaltEMDRMen's GroupsAddiction Ennegram


            Clear communication regarding all issues including policies for fees, confidentiality, insurance, scheduling, and telephone calls is fundamental to an effective psychotherapeutic relationship.  Please read the following information carefully and feel free to discuss these matters with me.
            FEES: Fees are based on 45-50 minute sessions for indivduals and couples. Payment for sessions are $200 at the time of each session unless we have agreed upon other arrangements. Group sessions are 90 minutes in length and $70 per session. Fees for group sessions are paid monthly with full payment for the month due at the first session of each month, regardless of the number of sessions attended or missed.
            CONFIDENTIALITY:  The relationship of therapist and client is one which is highly protected by law and professional code of ethics.  It is a confidential relationship and will not be revealed to any other person or agency unless:  I am compelled by law (see below), you make a formal request and sign a release of information, or I am seeking professional consultation.
            The law requires therapists to take certain action whenever there is reasonable cause to believe that a client may be a danger to her/himself, a danger to other people, or is gravely disabled (unable to provide for their basic care).  These actions may include informing proper authorities, notifying an intended victim, or other actions appropiate to the situation.  I am also required to report any physical or sexual abuse of minors or dependent adults. 
            In addition, if you are seeking coverage through insurance benefits  they may request information regarding the service I am providing in order to cover the service.
            INSURANCE:  If your insurance benefits cover services, it is my preference that you file claims for reimbursement that I am not required to file by your plan.  I will be happy to assist you in filing your claim.  When requested, I provide statements of service at the beginning of the month following service.   Please note that the insurance contract is between you and your insurance company and the responsibility for your fees is yours even if you have a policy which contributes toward the cost of service.

         SCHEDULING: Consistent attendance at your sessions create the most effective therapeutic results. This generally requires one session per week, especially when starting therapy. It is also beneficial to schedule appointments on the same time and day each week when possible. If you must cancel an appointment, please let me know as soon as possible. CANCELLED APPOINTMENTS REQUIRE A MINIMUM OF 48 HOUR NOTICE. YOU MAY BE CHARGED FULL FEE FOR MISSED APPOINTMENTS OR LATE CANCELLED SESSIONS.
        TELEPHONE CALLS:  All calls will be picked up by my answering machine.  You can leave a message up to four minutes in length at all times of day.  I check messages regularly on weekdays and weekends.  If I am unavailable or out or town, one of my colleagues will be on call for me.  Be sure to leave phone numbers and times when I can return your call.

            Please remember to turn off your cell phones before sessions unless you need to recieve emergency calls.  It is also helpful to write the check before the session.