Fees and insurance

Clear fees, no surprises.

Simple per-visit pricing. In-network with select plans, and superbills for the rest.

Initial evaluation
/ 60 min

A full first visit with a written plan.

Full psychiatric history

Diagnosis and treatment plan

Summary sent within 48 hours

Follow-up visit
Most booked
/ 25 min

Medication review and check-in.

Medication review each visit

Questions answered in full

Secure messaging between visits

Therapy session
/ 50 min

Mindfulness-informed talk therapy.

Weekly or fortnightly

Individual, couples or family

Skills practised between sessions

Insurance

Sixty unhurried minutes

Sixty unhurried minutes

In person at the office or by secure video. Here is roughly how the hour goes.

In person at the office or by secure video. Here is roughly how the hour goes.

In-network with select regional PPO plans

Superbills for out-of-network reimbursement

HSA and FSA cards accepted

Card or bank transfer at each visit

Good-faith estimate before your first visit

No surprise fees, ever

Paying for care

What to bring

What to bring

Nothing on this list is required. It simply helps us use the hour well.

Nothing on this list is required. It simply helps us use the hour well.

Sliding scale
01

Reduced fees

A limited number of reduced-fee spots for students and anyone facing financial hardship.

Superbills
02

Claim it back

A detailed receipt you can send to your insurer, usually within a week of your visit.

Programmes
03

Group pricing

Mindfulness programmes cost less per session than one-to-one care.

Bundles
04

Save on therapy

Book six therapy sessions upfront and save ten percent.

Chat with Dr. Marsh

Ask the doctor anything.

Pick a question or write your own. Nothing is too small to ask.

Chat with Dr. Marsh

Ask the doctor anything.

Pick a question or write your own. Nothing is too small to ask.

Chat with Dr. Marsh

Ask the doctor anything.

Pick a question or write your own. Nothing is too small to ask.

That is the most common place to begin. In the first visit we do the sorting together: what has been weighing on you, what you hope changes, and what can wait. You do not need a diagnosis or the right words.

No. Medication is one option among several, never a requirement. We talk through therapy, mindfulness and lifestyle approaches first, and any medication is a shared decision you can revisit or stop with guidance.

Yes. Most follow-ups happen by secure video, and first visits can too. We are licensed in three states, so telehealth works wherever you are within them.

Fees are listed plainly before you book, with no surprises afterwards. We accept most major insurance, and we offer a clear self-pay rate if you prefer to go without.

Yes. Your records and conversations are protected by medical confidentiality and HIPAA. Information is only shared with your written consent, or in the rare cases the law requires for safety.

About an hour of conversation. We listen to your story, ask a few clinical questions, and finish with a plain-language plan and a next step. No tests are done to you.

Got anything else to ask, don't hesitate.

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