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Our Services

Evaluation And Assessment

Description/What’s Included:

  • Comprehensive, initial evaluation to assess client’s mental health history, presenting symptoms, and overall psychological well-being.
  • Risk assessments (suicidality, self-harm, etc.).
  • The evaluation includes a detailed interview, review of medical and psychiatric history, family history, social history, and any past treatments or medications.
  • Review of current medications and treatment plans.
  • Standardized assessment tools and diagnostic criteria are utilized to accurately diagnose mental health conditions.
  • Initial treatment recommendations (e.g., medications, therapy options).
  • Following the assessment, a personalized treatment plan is developed in collaboration with the client.

Treatment Of Mental Health Conditions

Description: Providing care for a wide variety of psychiatric conditions through both therapy and medication management.

Conditions Treated:

  • Alcohol Use Disorder
  • Anxiety Disorders: Generalized Anxiety Disorder (GAD), Panic Disorder, Social Anxiety
  • Attention-Deficit/Hyperactivity Disorder (ADHD)
  • Borderline Personality Disorder (BPD)
  • Eating Disorders: Bulimia, Binge Eating Disorder
  • Insomnia
  • Mood Disorders: Depression, Bipolar Disorder, Cyclothymia
  • Obsessive-Compulsive Disorder (OCD)
  • Perinatal and Postpartum Depression
  • Post-Traumatic Stress Disorder (PTSD)
  • Premenstrual Dysphoric Disorder (PMDD)
  • Smoking Cessation

Prescribing & Medication Management

  • Prescribing psychiatric medications (e.g., antidepressants, mood stabilizers, anti-anxiety medications, antipsychotics).
  • Ongoing management of psychiatric medications, including prescriptions, dose adjustments, and monitoring for side effects.
  • Regular follow-up sessions (typically every 4–6 weeks, or as needed) to discuss medication adherence, address concerns, and make necessary adjustments.
  • Educational support about medications and their effects.
  • Coordination with the client’s primary care provider or other healthcare professionals for a holistic approach to treatment.


Psychoeducation and Mental Health Coaching

Description: Educating patients and families about mental health conditions and wellness strategies.

Services Offered:

  • Mental health education on specific conditions and their management.
  • Providing resources for self-help and mental wellness.
  • Ongoing monitoring and adjustments to the plan

Stress Management and Wellness Coaching

Description:

  • Offering strategies and coaching for individuals dealing with chronic stress, burnout, or general mental wellness challenges.
  • Techniques may include mindfulness, deep-breathing exercises, relaxation strategies, and time management.
  • Empowering individuals with the tools to cope with life’s challenges, enhance mental resilience, and improve overall quality of life.

What’s Included:

  • Initial stress assessment to understand personal stressors and coping mechanisms
  • Development of a personalized wellness plan
  • Coaching and support sessions (focused on building healthy habits and stress-reduction techniques)
  • Ongoing monitoring and adjustments to the plan

PRICING

Cash Pay (Self-Pay) Pricing

  • Description: Patients pay out of pocket for services at the time of their appointment.
  • Pricing:
  • Initial
    Psychiatric Evaluation (90 minutes):     $120.00
  • Follow-Up
    Appointments (30 minutes):     $60.00
  • FMLA Paperwork
    and Emotional Support Animal Letters (90 minutes):     150.00

Insurance– Alabama clients only.

  • Aetna
  • Blue Cross Blue Shield
  • Cigna
  • Medicaid
  • Medicare
  • United Health Care

POLICIES

Telehealth Information

Purpose of Telehealth:

Telehealth involves the delivery of psychiatric and wellness services using
secure, HIPAA-compliant video conferencing technology. It allows you to receive care from the comfort of your own home or private location.

  1. Confidentiality & Privacy:

Your telehealth sessions are conducted over a secure platform, and your privacy is protected in accordance with HIPAA guidelines.

  • You are responsible for ensuring you are in a private location during sessions.

Benefits of Telehealth:

  • Improved access to care
  • Reduced need for travel and time off
  • Increased flexibility

Limitations of Telehealth:

  • Technical difficulties (e.g., connectivity issues) may interrupt or delay sessions.
  • In some cases, physical exams or lab work may still be required in-person.

Emergency Situations:

  • Telehealth is not appropriate for emergency care. If you are in crisis, please call 911 or go to your nearest emergency room.
  • The National Suicide & Crisis Lifeline can be reached at 988.

Location Disclosure:

  • You must physically be located in one of the states where services are offered (Alabama, Arizona, Colorado, Idaho, Oregon, or Washington) at the time of each telehealth session.

Technology Requirements:

A reliable internet connection, camera, and private space are necessary for all
sessions.

Privacy Policy & HIPAA Acknowledgment

This notice describes how your health information may be used and
disclosed, and how you can access this information. Please review it carefully.

Your Rights:

  • You have the right to access and request copies of your medical records.
  • You may request corrections to your records if you believe information is incorrect.
  • You may request confidential communications.
  • You may request a list of disclosures of your health information.

How We Use Your Information:

Your personal health information may be used for the following:

  • Treatment planning and coordination
  • Billing and insurance purposes
  • Healthcare operations and quality improvement
  • Legal requirements (e.g., reporting abuse, threats of harm, or as required by law)

Safeguards:

We maintain strict physical, electronic, and administrative safeguards to
protect your private information.

Payment Policy

Payment Expectations:

  • Self-pay clients: Payment is due at the time of service.
  • Insurance clients (Alabama only): We will bill your insurance. You are responsible for any co-pays, deductibles, or non-covered services.
  • Accepted Insurance: Aetna, BCBS, Cigna, Medicaid, Medicare, United Healthcare (Alabama clients only).
  • Accepted Payments: Credit/Debit cards, HSA/FSA, and electronic payments.

Rates:

  • Initial
    Evaluation (90 min): $120
  • Follow-Up Appointments (30 min): $60
  • FMLA or Emotional Support Animal Letters (90 min): $150

Missed Appointments:

  • We require at least 24 hours’ notice for cancellations.
  • No-shows or late cancellations may incur a fee of $50. Insurance does not cover missed appointments.

Refund Policy:

All payments are non-refundable once the session is completed.

No-Show and Late Cancellation Policy

Purpose

This policy is designed to promote accountability and ensure availability
for all patients seeking care. Missed appointments reduce our ability to serve
others and may interrupt the continuity of your treatment.

Appointment Cancellations

We require at least 24 hours’ notice to cancel or reschedule any
appointment. You may cancel by calling or messaging the office directly.

Late Cancellations

Cancellations made less than 24 hours before your scheduled
appointment will be considered a late cancellation.

No-Shows

A "no-show" occurs when:

  • You miss your appointment without any prior notice
  • You are more than 10 minutes late to a 30-minute appointment or 15 minutes late to a 60-minute appointment without notice
  • If you arrive more than 10 minutes late to a 30-minute appointment or more than 15 minutes late to a 60-minute appointment without prior notice, your appointment will need to be rescheduled and will be subject to a late cancellation fee.

Fees

  • Late Cancellation or No-Show Fee: $50.00
  • This fee is not covered by insurance and must be paid before your next appointment can be scheduled.

Repeated Missed Appointments

Frequent no-shows or late cancellations (3 or more within a 6-month
period) may result in:

  • Discontinuation of services
  • Being referred to another provider better suited for your scheduling needs

Controlled Substance Policy

Calming Reflections Psychiatry LLC

Maintaining safe, ethical, and compliant prescribing practices

Purpose

This policy outlines the standards and responsibilities associated with
prescribing and managing controlled substances (e.g., stimulants,
benzodiazepines, and certain mood stabilizers) at Calming Reflections
Psychiatry LLC. Controlled substances are prescribed only when
clinically appropriate, and only in accordance with state and federal laws.

Key Guidelines

1. Initial Evaluation Requirement

Controlled substances will not be prescribed during the initial
consultation. A comprehensive psychiatric evaluation and review of medical
history is required before any decision is made regarding controlled substance treatment.

2. Treatment Agreement

If controlled substances are deemed appropriate for your treatment:

  • A Controlled Substance Agreement must be signed.
  • You may be asked to undergo periodic urine drug screening.
  • Ongoing prescriptions are contingent on regular follow-ups and full compliance with treatment recommendations.

 

3. One Prescriber Rule

You must receive controlled substances only from Calming Reflections
Psychiatry LLC unless otherwise authorized. Obtaining medications from
multiple providers without disclosure may result in immediate termination of
care.

4. Medication Monitoring and Refills

  • Lost or stolen prescriptions will not be replaced.
  • Early refills will only be considered for documented emergencies.
  • Refills are not guaranteed and may be denied if there is:
  • Non-adherence to the treatment plan
  • Concerning behavior or signs of misuse
  • Missed follow-up appointments

5. State Prescription Monitoring
Programs (PMPs)

We routinely review your medication history using state Prescription
Monitoring Programs to ensure safe prescribing and prevent misuse or
duplication.

6. Prohibited Behaviors

The following may result in discontinuation of controlled substances
and/or termination of care:

  • Sharing, selling, or altering medication
  • Using illicit substances (including non-prescribed cannabis where prohibited by law)
  • Doctor shopping
  • Frequent medication “emergencies” or inconsistencies in medication use
  • Aggressive or threatening behavior toward staff regarding prescriptions

Patient Responsibilities

  • Take medication only as prescribed.
  • Attend all scheduled follow-up appointments.
  • Safely store your medication.
  • Notify us of any side effects or concerns immediately.

Inform your provider of any new medications prescribed by other doctors.