11/21/2025
Every December, insurance takes center stage in my office.
Not holiday wishes. Not self care.
Audits. Clawbacks. Denials. Rising premiums.
I wrote a three part blog series about what this actually looks like from inside a small psychology practice and why it matters for you if you are trying to get therapy or a psychological evaluation.
Part 1 looks at how insurance decides what my work is “worth” and why comprehensive ADHD, learning disorder, and autism evaluations are so often underpaid or reduced to quick screenings.
Part 2 walks through the reality of audits, recoupments, and seven months of not knowing if an insurance company would take back 90,000 dollars for work already done.
Part 3 turns back to you as the client or parent, and what this broken system means for your access to care, your options on the marketplace, and why so many experienced clinicians are rethinking how they work with insurance.
If you have ever felt confused, shamed, or discouraged by your coverage, this series is for you. The problem is not that you are asking for too much. The problem is a system that was not built around real care.
Read the series on the blog and feel free to share with anyone who is wrestling with the insurance puzzle right now.
COMING DECEMBER 1 substack
