FAQs

After many years of working with insurance companies, I have made a decision to go out of network for many reasons.  Insurance companies have access to your medical records and can dictate how your treatment is being conducted and for how long. Therefore, in order to protect my client's privacy as well as being able to create a more tailored treatment for each individual, I am an out-of-network provider.  If you wish, I am able to provide a supper bill that you can submit to your insurance for reimbursement.  

For a quick estimate on possible reimbursement, you may use this website https://www.meetnirvana.com/reimbursement-calculator

The answer to this question is highly individualized and depends on a variety of factors.  I ask my clients to commit to at least 12 sessions but many of them choose to stay for months and even years.

The first couple of sessions are meant as assessment and treatment planning sessions.  After we discuss all the housekeeping details such as paperwork and the informed consent, we will discuss your goals and desired outcomes for therapy.  

After we have scheduled an appointment, you will be emailed the initial paperwork packet.  Please complete the paperwork prior to your session. It is licensing requirements that you will be physically present in the state of Virginia at the time of the session.  

When conducting sessions vertically I use a HIPAA-compliant secure platform.  Many people choose a virtual session for convenience and privacy considerations.  According to the research, vertical or Telehealth sessions are just as effective as in-person therapy.  

That's one of the first things people ask me when they first meet me.  It's Russian.  I've lived in the US since I was 18 years old.