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My office is located at 5304 W. Plano Pkwy, Plano, TX. 75093
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Yes, I offer online counseling through a secure, confidential, HIPAA-compliant video conferencing platform as well as in-person appointments.
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Counseling appointments are held Monday through Friday.
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Sessions are 50 minutes long.
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Individuals $150 per 50-minute session,
Couples $150 per 50-minute session
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I am considered an "Out-Of-Network" provider, which means I do not accept any insurance directly.
If you would like to use your insurance, then I am able to provide you with a monthly receipt called a "Superbill" and you can submit this to your insurance provider for possible reimbursement. I recommend calling your insurance provider directly and checking with them to confirm if you have "Out-of-network" benefits.
Otherwise, you can choose to see me privately and not involve your insurance at all. See why many of my clients choose this option below.
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Many of my clients actually prefer to work with me privately and not involve their insurance at all. This is because in order to use your insurance for counseling, a mental health diagnosis is required, and this gets attached to your record and in some cases can stay on your health record permanently. Insurance can also put limitations on the number of counseling sessions you can have, which can hinder you from completing your therapeutic process.
There can be a lack of confidentiality as the insurance company can require the therapist to disclose information about treatment that would otherwise be considered protected information. Insurance information does not have the same legal protections of confidentiality as the relationship with the therapist. Once this information is in your medical record it can be requested by third parties for various reasons.
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Reach out by calling or texting me at (469) 232-7877, email hello@melodiealexandercounseling.com, or through the link on this website to schedule your initial 15-minute free consultation. We'll chat to see if I am a good fit for your needs. Then we can book a thorough ‘getting to know you’ session where we explore your unique issues and your hopes and goals for therapy more in depth. I'm really looking forward to hearing from you!
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It's easy to lose track of time, so my scheduling system will send you courtesy reminder texts 24-hours before your appointment. I understand that sometimes you need to cancel or reschedule. To do so is easy. You only need to text or email me 24 hours before the session. Otherwise, the full fee will be charged.
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The intake packet will be emailed to you to complete electronically in the comfort of your home. The intake packet will ask for basic information about you, such as your address, demographic information, and a general form about why you are seeking counseling. You will also be able to review and sign off on my business policies and procedures and the informed consent, confidentiality agreements, and financial arrangement. Your credit card information will be stored securely on file, making payment processing easier and more convenient. All forms must be completed at least 24 hours before your first session.
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In the first session, I will help you feel comfortable and at ease while getting to know you better. We explore your unique issues and concerns, how those issues impact you and your relationships, and your hopes and goals for therapy in more depth. If you have seen a previous counselor, I want to hear about your experience to give me insight into what you found beneficial and what was not helpful in those encounters. I will happily answer any questions you may have at that time. Also, by the end of the first session, I hope you have a sense of me and how I work.
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In the first session, I will help you and your partner feel comfortable while getting to know you better. We explore your unique relational issues and concerns, how each of you is currently experiencing the relationship, and your goals for therapy. If you have seen a previous couple's therapist, I want to hear about your experience to give me insight into what you found beneficial and what was not helpful in those encounters. I will happily answer any questions you may have at that time. Also, by the end of the first session, I hope you have a sense of me and how I work.
After the initial session, I will meet with each partner individually to focus on your attachment history while continuing to get acquainted. Attachment history is gathered by asking several questions that will help us efficiently understand the coping patterns you formed earlier in life that you currently utilize in your relationship when there's a threat to your connection. After the individual sessions are complete, we will meet all together for the remainder of your couple's therapy.
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I work with young adults, adults, and couples. I provide a safe, therapeutic environment for all my clients for their healing journey. Allowing couples to heal from various relational conflicts, feelings of disconnection, recovering from affairs or simply wishing to deepen their intimacy. I also provide premarital counseling for those just starting their marital journey. Plus, I walk alongside individuals struggling with grief & loss, trauma, anxiety, and depression.
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I understand wanting to have more clarity on the duration of the therapeutic process. Unfortunately, there is no specific time frame when working on personal development, personal growth, and your unique concerns.
Typically, counseling will be terminated when the client's goals have been met, the issue that led the client to counsel has been resolved, or symptoms have been reduced or are manageable. The client and therapist will decide the best ending time frame from the therapy plan.
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I do not assign homework for my clients but occasionally will suggest materials that you can utilize to enhance your healing and growth journey.
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Therapy works best when it is consistent and frequent. In the beginning, I recommend weekly sessions until life starts to feel more manageable and you're experiencing some relief from your presenting concerns. Then, we can discuss spacing your appointments out to every other week.
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It's not uncommon for one partner to hesitate or resist the idea of attending couples counseling. If this describes your situation, then absolutely come alone. You can still experience growth and relief by working on your part of the marital negative patterns while making significant changes within yourself.
Good Faith Estimate
Under Section 2799B-6 of the Public Health Service Act, the “No Surprises Act,” health care providers are required to give clients who do not have insurance or who choose not to use their insurance an estimate of the bill for health care items and services.
You have the right to receive a Good Faith Estimate (GFE) showing costs of items and services you can reasonably expect for your health care needs. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you may dispute the bill.
You may contact the health care provider listed to let them know the billed charges are higher than the GFE. You may ask them to update the bill to match the GFE, negotiate the bill, or ask if financial assistance is available.
You may start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days of the date on the original bill.
Make sure your health care provider gives you a GFE within the following timeframes:
If the service is scheduled at least three business days before the appointment date, no later than one business day after the date of scheduling.
If the service is scheduled at least ten business days before the appointment date, make sure your health care provider gives you a Good Faith Estimate in writing within three business days after scheduling.
You can also ask any health care provider for a Good Faith Estimate before you schedule an item or service. If you do, make sure the health care provider gives you a Good Faith Estimate in writing within 3 business days after you ask.
For questions or more information about your right to a Good Faith Estimate, visit https://www.cms.gov/nosurprises, email FederalPPDRQuestions@cms.hhs.gov or call 1-800-985-3059.
Note: A Good Faith Estimate is for your awareness only. It is not a contract and does not require immediate financial commitment or payment.
Texas Behavioral Health Executive Council Consumer Notice
In accordance with House Bill 4224 (89th Regular Session) and per Section 181.105 of the Texas Health and Safety Code, the following information is provided to help consumers understand their rights and available resources.
Consumers have a right to:
Request a copy of their mental health records
Contact the Texas Behavioral Health Executive Council (BHEC)
File a consumer complaint with Texas office of the Attorney General
Requesting Your Health Care Records
To request your records, please submit a written request to your therapist. Requests may be made via email or in writing. Records will be provided in accordance with Texas law and applicable privacy regulations.
If you have questions about accessing your records, please contact my office for assistance.
Contacting Texas Behavioral Health Executive Council (BHEC)
The Texas Behavioral Health Executive Council (BHEC) regulates licensed mental health professional in Texas. If you have questions about licensure or professional standards or to file a complaint, you may contact BHEC directly.
Texas Behavioral Health Executive Counsel
Attn: Enforcement Division
1801 Congress Ave., Ste. 7.300
Austin, TX 78701
Phone: (Investigations/Complaints – toll free): 800-821-3205
Website: https://bhec.texas.gov/contact-us/
File a Consumer Complaint
Consumers may file a complaint regarding mental health services with the Texas Office of the Attorney General: