Services: Dr. Trowbridge's integrative model strives to provide the most appropriate and attentive care to every patient encounter. Thus, she does not contract with insurance carriers, which often limit services in various ways such as number of sessions, session length or forms of treatment.
If her practice has availability, Dr. Trowbridge can connect in a phone call with you to understand how her practice style may pertain to your needs and desired outcomes. This initial discussion does not create a doctor-patient relationship. Only if you and she agree will the first patient evaluation session be scheduled. Fee: None
All Patient Evaluations Consist of Two Initial Sessions:
Initial Session A - An Initial 90-Minute Psychiatric Evaluation: During your initial office visit, Dr. Trowbridge will review your "New Patient Evaluation" form information. Before this initial visit, you will complete the New Patient Questionnaire so that we can make optimal use of our time. During this session, your reason(s) for seeking treatment will be discussed.
Initial Session B - A 60-Minute Review of Diagnostic Report: This second office visit is a highly-collaborative time to clarify information gathered, discuss recommendations and agree upon your treatment plan. This visit provides the foundation for successful treatment.
Following the initial evaluation the recommended treatment plan can be implemented with the appropriate session type. Depending on the initial evaluation sessions, Dr. Trowbridge can work with each patient to deploy their preferred approach to treatment. Various pathways will be considered, but five frequent session types are described below:
Blended Psychotherapy & Medication Management Sessions: These balanced sessions blend psychotherapeutic elements with medication management. Dr. Trowbridge’s conservative approach toward psychotropic medications is to use the lowest effective dose of medication that successfully alleviates her patients’ signs and symptoms. Examples of psychotherapy treatment modalities used during sessions include psychodynamic or insight-oriented therapy, solution-focused therapy, cognitive-behavioral therapy, interpersonal therapy, and journal therapy.
Psychotherapy Only Sessions: During these sessions,
Dr. Trowbridge will address treatment using a blend of therapeutic modalities that may include psychodynamic or insight-oriented therapy, solution-focused therapy, cognitive-behavioral therapy, interpersonal therapy, and journal therapy. The doctor’s focus is for patients to leave each session having gained meaningful insights into their behavior and fresh perspectives about life choices.
45-Minute Medication Management Sessions with Therapist Collaboration:
Dr. Trowbridge enjoys working collaboratively with skilled licensed therapists who share her treatment perspective in providing care for patients. The in-person minutes with Dr. Trowbridge are tailored specifically to review medication management issues you may have. Your signs and symptoms and psychopharmacological treatment plan will be discussed thoroughly.
Dr. Trowbridge will document changes and collaboratively share appropriate information with your therapist.
90-Minute Group Sessions: A valuable treatment methodology for certain conditions may be participation in group therapy sessions led by Dr. Trowbridge. These sessions facilitate the sharing of perspectives and behaviors between patients seeking to overcome similar life challenges. Dr. Trowbridge is skilled at leading healthy group interactions which encourage and support healthy behavioral change.
Other Professional Services: Services related to a patient’s case beyond the typical patient sessions, such as the completion of forms, calls, preparation of treatment summaries, or time spent performing other functions requested by the patient may be charged additional fees.
Appointment cancellations or reschedules must be made with her practice at least 48 business hours in advance. Missed appointments, or cancellations made after this notice period, will be charged a cancellation fee.
Dr. Melanie's practice only accepts direct payments at the time of service, via credit/debit card, check or cash. If your insurance plan provides for 'out of network services', her practice would be pleased to provide a 'superbill' following each session for you to submit to your plan for direct reimbursement.
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