Policies & Fees


Therapy sessions are 50 minutes long. Longer sessions can be arranged.

Rates will be discussed when you contact me to schedule your first appointment.

I understand the cost of healthcare can be overwhelming. Because of that I welcome the opportunity to discuss your situation in order to develop a plan that works.


I  am an “in network provider” with Cigna and Compsych.

If you have a health plan with a different company like United Behavioral Health., Blue Cross Blue Shield, Aetna, or Humana, I am considered an “out of network provider”.

I strongly recommend contacting your insurance company to learn if you have “out of network benefits”. Every plan is different. When calling your insurance company to learn about your benefits for behavioral health, please ask about your coverage amount per therapy session, number of sessions covered by your plan, or if you can see an out-of-network provider.


Some plans have “out-of-network” benefits. Depending on eligibility, you may get partially or totally reimbursed for the services you receive from a provider who is not “in-network”. If this is the case, I am happy to file a claim for the times we meet but keep in mind that the insurance company will only pay the rate based on your plan.

Please keep mind that payment for my services is expected at time of service.


I understand that occasionally emergencies happen, but I appreciate having a 24-hour notice if you need to cancel or reschedule. When you book an appointment to see me, I reserve that time just for you which means I can’t see other individuals who may benefit from counseling services.

If you notify me less than 24 hours before your appointment to reschedule or cancel, you will be required to pay a fee of $90.00, which will be automatically charged, to the credit card Carmen Gehrke has on file for you.

Please contact me via phone to cancel, reschedule, or to let me know you will be late. If you prefer to use text or email, or if you leave a voicemail, I will always confirm receiving your message. If you don’t get a confirmation from me, it means I did not get your message and you will be held to this policy.


Therapy sessions are 50 minutes long. Longer sessions can be scheduled if needed. I will let you know when there are 5 minutes left in the session. We need to end on-time out of respect for all clients who are scheduled to be seen that day.

If you arrive late, your appointment will end at the scheduled time. If you will be more than 10 minutes late, please let me know via phone. Otherwise, I will assume that you are not coming and the cancellation policy will be applied.


On occasion, there may be a need to have contact outside the normal 50-minute session. For your convenience, you can contact me by email, text, or phone.

Email and text message: In order to protect confidentiality, I request email and/or text message only to be used to schedule or confirm appointments since it is not a secure way to communicate.

Phone calls: If I am not available to take your call, or if it is after hours, please leave a voicemail message and I will get back to you within 24 hours. If you leave a message or send an email on a weekend, I will get back to you on Monday.

Emergencies: if you have an emergency, please call 911 or go to the emergency room of a hospital. The Suicide Prevention line is 1-800-273-8255.

Out of the office for extended periods of time: I will provide you with the contact information of a colleague who will be able to assist in case it is necessary.