Are your hours flexible?
Early morning and evening appointments are certainly possible. 

How much does it cost?
Fees are set within the guidelines of the Ontario Psychological Association.  Please contact me directly for more information. 

How are fees paid?
Payment is due at the end of each session by cash or personal cheque. Full fees will be charged for missed sessions without a minimum of 24 hours notice.

Are services covered under OHIP?
Psychological services are not covered by OHIP although they may be covered by your extended health insurance plan.

Will I receive a receipt for insurance reimbursement?
I currently practice under the supervision of a licensed psychologist so receipts are provide and may be used to claim reimbursement from your insurance company.  The coverage for each insurance plan varies, so please check with your insurance company or plan administrator to see whether psychological services are covered under your plan.

Is financing available?
Financing is not available however there are other options to help make therapy affordable.  For instance, if you are covered under a private or group insurance plan, psychological services may be covered for reimbursement.  Most insurance plans will cover between $500 and $2000.  Depending on whether your plan observes the calendar year or a reference year can make a difference to you depending on when you begin your sessions.  If you have a spouse that is covered under a separate plan, there may be an option for you to coordinate your plans to maximize the total benefit you can receive.  Contact your insurance provider for more details.  If you are not covered by insurance or wish to continue therapy beyond the maximum your insurance covers, we can discuss options that might work for you including scheduling less frequent appointments.  This is sometimes possible.  If you would like to explore this option, or have any other questions, please contact me. 

What is your cancellation policy?
Clients will be charged for a full session for cancellations made without 24 hours notice.  Under certain extenuating circumstances (e.g., medical illness, family emergency, dangerous weather conditions, etc.), fees for missed or cancelled sessions may be waived.  These situations are handled on a case by case basis.  Clients are encouraged to contact me for further clarification if needed.

What if I have an emergency?
In case of emergency you should go to the Emergency Department of the nearest hospital.

Is this a confidential service?
I take great care to keep all your information private.  There are, however, some rare situations where I am required by law to disclose information that we discussed.  Examples include:

• When there is risk of physically harming yourself or someone else.
• If you disclose any known or suspected child abuse to me.
• If you disclose to me any knowledge of a regulated healthcare professional that has sexually abused a client. 
• To comply with a court order to release information from a record.
• To comply with professional regulations established by the College of Psychologists of Ontario, who may inspect records           and interview staff as a part of their regulatory activities (i.e., quality assurance) in the public interest.

How long do appointments last?
Appointments for therapy are generally 50 minutes although some elements of treatment may require longer sessions.

What can I expect in the first appointment?
The first appointment is typically designated as an assessment and is your opportunity to share what you are hoping to achieve.  It is also a good time for you to have any questions or concerns answered.  I will attempt to learn as much as possible about you and about the difficulty for which you are seeking help.  This will be done through a series of questions and forms.  In some cases, the assessment might extend to more than one session.  The goal of the assessment is to determine:
• The nature of the problem. 
• The strategies that might be helpful.
• Whether your needs and my style of therapy are a good fit. 

How long does therapy last?
Typically CBT will last within a range of 6 to 25 sessions.  The number of sessions each person requires will vary depending on the nature of the issue, the limitations (e.g. time, financial), and sometimes it is based on your own preferences about the pace of the work.

Richard T. Bloch, M.A., C.C.C.
Cognitive Behaviour Therapist