Dr. Carole Goguen, PsyD
Licensed Psychologist (CA PSY 17685)
ADHD-Certified Clinical Services Provider
25+ years clinical experience
ADHD Therapist for Women
Serving All of California
Late-Night Therapy
As Late As 10 pm
Fees and Insurance
ADHD Treatment for Women
Anxiety and Trauma Therapy for Adults
Online Late Night Therapy
Based in Los Angeles and Across California
Fees and Insurance
Investing in therapy is a significant decision, and you deserve clear, straightforward information before you take the next step. Here's everything you need to know.
Session Fee
Individual therapy sessions are $250 for 50 minutes.
Sessions are typically scheduled weekly, though we can adjust the frequency based on what works best for you — more often if you want more intensive support, or every two weeks if that fits your life better.
Your first step is a free 15-minute phone consultation, so we can talk through your situation and make sure we're a good fit before anything else.
Payment
Payment is due at the end of each session. I accept:
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All major credit and debit cards — Visa, Mastercard, American Express, Discover, JCB, and Diners Club
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Flexible Spending Accounts (FSA)
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Health Savings Accounts (HSA)
FSA and HSA cards are a great way to use pre-tax dollars to cover the cost of therapy — if you have one, it works just like a regular card.
Cancellation Policy
I hold your session time exclusively for you and don't offer it to other clients, so I ask for at least 24 hours' notice if you need to cancel or reschedule. Cancellations with less than 24 hours' notice are charged the full session fee.
I understand that life is unpredictable — if something genuinely unexpected comes up, just reach out and we can talk through it.
Insurance
Do you take insurance?
I am an out-of-network provider, which means I don't bill insurance directly. You pay for sessions at the time of the appointment, and many clients are able to get partial reimbursement from their insurance company afterward.
I'll provide you with a superbill after each session — this is a detailed receipt with all the information your insurance company needs to process an out-of-network claim.
How do I find out what my insurance covers?
Call the member services number on the back of your insurance card and ask: "What are my out-of-network mental health benefits?" Key things to ask about: your deductible, your reimbursement percentage once the deductible is met, and whether a diagnosis code is required for reimbursement.
What if I don't want to deal with the insurance paperwork?
A few services handle out-of-network insurance filings on your behalf for a small fee — Mentaya, Reimbursify, and Thrizer are options worth looking into. I have no affiliation with any of them and can't vouch for their work, but some clients find them useful.
A note on privacy and insurance
One thing worth knowing: when you use insurance — including out-of-network benefits — the insurance company may request access to your session notes as part of their review process. If privacy is a priority for you, paying out of pocket gives you more control over your records. We can talk through this during your consultation if it's something you'd like to understand better.
Why don't you take insurance?
For more information about the reasons that many therapists do not accept insurance, the following article from ProPublica may be helpful: Why I Left the Network
If you have any questions, we can discuss them in your free phone consultation.
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
Make sure your healthcare provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 877-696-6775.