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6118 SE Belmont Street      Suite 410      Portland      OR      97215      503-875-5011      [email protected]

  Frequently Asked Questions

Do you offer a free consultation?
In order to free up my schedule so that I can spend as much time as possible with my clients, I am no longer offering a free, in-person or phone consultation. You are welcome to contact me via email or text and ask me as many questions as you’d like prior to scheduling your initial assessment. 

Why don’t you offer a phone consultation?
Well, there a few reasons for this:
  • My  primary focus is spending face-to-face time with my clients and this takes up the majority of my work day. I also offer after-hours support for established clients. Then there’s the required paperwork, phone calls with insurance companies, continuing education/trainings, etc. All of this adds up very quickly and leaves little free time.
  • I have found that attempting to set up a consultation typically results in a frustrating game of phone tag which inevitably leads to a referral to the online registration process in the end, so I chose to make this the beginning instead.
  • I receive A LOT of phone calls and emails. Depending on the time of the year (and the state of the union), I can receive up to 30 calls and emails per week. 
  • I am hearing impaired. Though I am not completely deaf, I do wear hearing aids and I have to remove them order to use the phone. I can get by without my hearing aids (I use my “good” ear when I’m on the phone), but it’s my least favorite way to communicate as I am afraid will miss something important. I do much better via text, email or face-to-face and those are my preferred methods of communication.

What is your approach to therapy?
I am a DBT therapist specializing in emotion regualtion. The goal of DBT (Dialectical Behavior Therapy) is to help clients build a life that they experience as "worth living." In DBT, the client and the therapist work together to set goals that are meaningful to the client. Often this means they work on ways to decrease behaviors that cause distress and replace them with effective, life-enhancing behaviors. DBT skills training focuses on enhancing clients’ capabilities by teaching them behavioral skills. Clients are introduced to concepts and theories related to empathy, acceptance, emotions, mindfulness and assertive communication to name a few, and they will be taught specific coping skills to help them respond more effectively with life's stressors. DBT individual therapy is focused on enhancing client motivation and helping clients to apply the skills to specific challenges and events in their lives.

DBT was originally developed in the early 80's as a year-long treatment program to treat severe emotion dysregulation (chronically suicidality, impulsivity, frequent psychiatric hospitalizations, extreme emotional outbursts, etc). It is now recognized as the gold standard psychological treatment for this population. In addition, ongoing research has shown that DBT is effective in treating a wide range of other disorders such as substance dependence, depression, post-traumatic stress disorder (PTSD), anger management and eating disorders.

A full (to fidelity) DBT program consists of weekly individual therapy along with weekly skills training groups as well as after hours coaching (typically for one year). What I currently offer is "modified" DBT therapy. Because I am a private practitioner, I am not able to meet all of the guidelines of a full DBT program. I do offer weekly individual therapy (with individual skills training) as well as limited after hours coaching. Unfortunately, I am no longer offering DBT skills training groups. I've also added components such as active listening, self-acceptance and self-compassion that I don't feel are given enough attention in the standard program as well as other research-based treatment modalities such as IFS (internal family systems) and bilateral stimulation.​ During the initial assessment we can discuss the options that work for you and develop a plan for treatment.

You can click on "about" (above), watch this video or check out my blog in order to get to know a little about me. If you have additional questions, feel free to email me directly at: [email protected]

Do you accept insurance?
Acuity Mental Health is contracted with the following insurance* plans:
  • Beacon
  • Blue Cross Blue Shield
  • Cigna
  • Pacific Source
  • Providence
  • Providence Preferred
  • TriCare
  • United HealthCare

*It is your responsibility to contact your insurance provider (the number on the back of your insurance card) to confirm coverage, deductible and co-pay, prior to attending your first session. Insurance coverage is always "estimated" and not guaranteed. Your insurance provider may reject your claim for reasons outside of you, or your therapist's control. If this is the case you may be responsible for the contracted session fee.

What are your fees?
Current Fees* (07/01/18):
Individual Psychotherapy: $150 (45-50 minutes)
Psychiactric Dianostic Assessment: $200 (up to 60 minutes)
​Couple/Family Active Listening Session: $200 (up to 90 minutes)

*The "contracted" insurance fee is typically lower than the fees listed above.

How do I pay?
The preferred method of payment is via automatic deduction from your credit card, debit card or HSA/FSA account. At your initial session, your therapist will enter your credit card into Stripe, a level 1 PCI Service Provider (level 1 is the highest security grade) and your fee or copay will be set up for an automatic deduction at the end of each session.
 
Accepted methods of payment:
  • Credit card (including Care Credit)
  • Debit card
  • FSA and HSA accounts
  • Personal check or money order
  • Cash (exact amount only)​

Payment is required prior to each session. If you are using insurance to cover the session, Acuity Mental Health will bill your insurance provider directly. Your monthly statements are available via the client portal.

Do you offer discounted rates or a sliding scale?
Acuity mental health accepts a limited number of clients at a discounted rate. Please contact Acuity via email ( [email protected]) or text (503-875-5011) to inquire further.

     PAYMENT PLAN: 
     Clients who are struggling financially may be eligible for the payment plan option. In a nutshell, the client agrees to have a monthly           fee automatically deducted from their bank account or credit card. This monthly payment will continue to be deducted from the 
     client's account after treatment goals have been met and/or the client or therapist end (or suspend) therapy, until the balance is paid
     in full.

About Charmagne
Fees and Insurance


If you have further questions that cannot be answered via one of the links above, please feel free to
text (503-875-5011) or email ([email protected]).