Fees & Frequently Asked Questions
Clear expectations are an important part of good care. Kelsey Psychological Services is a private-pay practice, and fees are discussed before services begin.
Therapy Fees
Initial appointment, approximately 60 minutes
$275
Individual psychotherapy, 53 minutes
$225
Couples therapy, approximately 53 minutes
$275
Payment is due at the time of service and is processed securely through your client portal.
Evaluation Fees
Psychological testing, VA disability and DBQ evaluations, fitness-for-duty evaluations, and forensic services vary considerably in scope. Fees are determined after reviewing the referral question, required records, testing needs, and anticipated report requirements. A written estimate will be provided before the evaluation begins.
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Kelsey Psychological Services is a private-pay practice and does not bill insurance directly. Upon request, clients may receive a superbill that they can submit to their insurance company for possible out-of-network reimbursement. Reimbursement is not guaranteed, and clients should contact their insurance company directly to understand their benefits.
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Appointments are offered through secure telehealth. Dr. Kelsey may work with adults located in Tennessee and many other states through PSYPACT. Availability depends on where the client is physically located at the time of the appointment.
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The practice serves adults age 18 and older. Common concerns include anxiety, depression, trauma, insomnia, concentration issues, burnout, relationship stress, and major life transitions. Dr. Kelsey also has extensive experience serving military members, veterans, first responders, and professionals working in demanding environments.
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After submitting a request through the secure SimplePractice portal, you will receive information about availability and next steps. If the practice appears to be a good fit, you will be invited to complete intake paperwork before the first appointment.
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Please provide at least 24 hours’ notice when canceling or rescheduling an appointment. Late cancellations and missed appointments may be charged a cancellation fee, except when waived due to unusual or emergency circumstances.
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No. Therapy focuses on treatment and ongoing support. An evaluation is conducted to answer a specific question and may result in testing, records review, and a formal report or professional opinion. The roles, expectations, and limits of confidentiality are discussed before an evaluation begins.
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The practice does not provide 24-hour crisis coverage. In an emergency, call 911, contact 988, or go to the nearest emergency department. Routine messages will be answered during normal business hours.
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Payments are processed securely through SimplePractice. Clients may be asked to keep a payment card on file, and payment is generally due at the time services are provided.
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The first appointment is an opportunity to discuss what brings you to therapy, what has and has not helped in the past, and what you hope to accomplish. Dr. Kelsey will also explain his approach, answer questions, and discuss whether working together appears to be a good fit.
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The length of therapy varies based on your concerns, goals, preferences, and progress. Some clients benefit from focused, short-term treatment, while others choose to continue for a longer period. The plan will be reviewed with you throughout treatment.
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You will need a private location, a reliable internet connection, and a computer, tablet, or smartphone with a camera and microphone. A secure video link will be provided through SimplePractice before the appointment.
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No. Psychologists typically do not prescribe medication. When medication may be helpful, Dr. Kelsey can discuss referral options and coordinate with your physician or prescribing provider with your written permission.
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What you share in therapy is private, and protecting that privacy is a priority. There are a few situations where the law may require Dr. Kelsey to take action, such as when someone may be in immediate danger, when abuse or neglect is suspected, or when records are legally required. These limits will be explained clearly before therapy begins, and you are always welcome to ask questions.
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Yes. With your written authorization, Dr. Kelsey can communicate with physicians, psychiatrists, therapists, or other professionals involved in your care when coordination would be helpful.
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You do not need to have everything figured out before reaching out. An initial appointment can help clarify what you are experiencing, what type of support may be useful, and whether this practice is the right fit for your needs.
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A strong working relationship is an important part of effective therapy. If the practice is not the best match for your needs, Dr. Kelsey will discuss other options and may provide referrals when appropriate.
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The practice primarily provides services through secure telehealth. Any limited in-person evaluation availability will be discussed individually based on the type of service and location.
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You must be physically located in a state where Dr. Kelsey is authorized to practice at the time of the appointment. Please notify the practice in advance if you expect to be traveling or located in another state.
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Documentation related to treatment may be provided when clinically appropriate and within the scope of the therapeutic relationship. Disability evaluations, DBQs, fitness-for-duty opinions, and forensic reports are separate evaluation services and require a different process.
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In some circumstances, consultation, testing, or a focused evaluation may be appropriate while you continue working with another therapist. Ongoing psychotherapy with two providers at the same time is generally considered carefully to avoid confusion or conflicting treatment plans.
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Sometimes having a partner, family member, or trusted support person join can be helpful. We can decide together whether they should attend the entire appointment or only part of it, what you hope their involvement will accomplish, and what information you are comfortable discussing. The session remains focused on your needs, and there may also be times when meeting individually is more appropriate.
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Therapy is more than simply talking about your week. We will work to understand what is happening, identify patterns that may be keeping you stuck, and develop practical ways to respond differently. Some sessions may focus on solving an immediate problem, while others may explore relationships, past experiences, emotions, habits, or beliefs that continue to affect you. You will not be expected to share everything at once, and we will regularly discuss whether the work feels useful.
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You can expect an active and collaborative approach. I will listen carefully, ask questions, offer honest feedback, explain what I am recommending, and help you practice strategies that can be used outside of therapy. I will not simply nod for an hour, but I also will not tell you how to live your life. We will work together to determine what fits your goals, values, and circumstances.
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That is completely fine. You do not need to arrive with an agenda, a perfectly organized story, or even a clear explanation of what is wrong. We can begin with what has been most difficult lately and work from there. Part of therapy is learning how to put experiences into words and make sense of things that may initially feel confusing or overwhelming.
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Simply seeking mental health treatment does not ordinarily cost someone a job or security clearance. The Defense Counterintelligence and Security Agency specifically states that seeking care is not, by itself, a reason to deny or revoke a clearance and may be viewed as evidence of sound judgment. Federal disability laws also provide many employees with protections against discrimination and unnecessary disclosure of mental-health information. Certain safety-sensitive positions, required fitness evaluations, or agency reporting rules may involve additional considerations, so clients with specific concerns are encouraged to review the requirements applicable to their position.
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Voluntarily attending outpatient therapy does not, by itself, make someone federally prohibited from possessing firearms. Federal restrictions address specific circumstances, including certain formal adjudications and involuntary commitments, rather than the ordinary decision to speak with a therapist. Individual legal circumstances can differ, and no clinician can guarantee the outcome of a court, licensing agency, employer, or government decision.
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We will talk about it. Therapy should not continue on autopilot simply because appointments are already scheduled. We will review your goals, look at what is and is not changing, and adjust the approach when needed. If another clinician, treatment, or level of care would serve you better, I will be honest about that and help you consider the next step.
Have another question?
Request a consultation to learn more about services, availability, and whether the practice may be a good fit.