Frequently Asked Questions (FAQs)

What are Dr. Moore's professional qualifications?
I received my Ph.D. in Clinical Psychology from the University of Kentucky in 1979. I have been continuously licensed as a clinical psychologist in the state of Kentucky since 1983 and a member of the  Kentucky Psychological Association since 1984.  I had a private practice in clinical psychology in Lexington from 1984 through 2013. My practice for many years was at my office at 121 Prosperous Place. After a hiatus of 4 years I am again on a part time basis providing consultation and psychotherapy to private clients.  My resume is here.

Who are Dr. Moore's clients? 
Dr. Moore sees adults through out the life span, couples and occasionally older adolescents.

What services does Dr. Moore offer?

Consultation is the professional service of talking with a client about a problem or situation and providing a different perspective, information and/or advice.  Consultation shades into counseling and psychotherapy but is more problem focused and generally with fewer sessions.

Psychotherapy is not easily described in general statements.  It varies depending on the personalities of the psychologist and client and the particular problems you bring forward. My approach to therapy is cognitive-behavioral. Psychotherapy is not like a medical doctor visit. Instead, it calls for a very active effort on your part. In order for the therapy to be most successful, you will have to work and try out new ways of thinking and behaviors that we talk about, both during our sessions and at home.

Psychotherapy can have benefits and risks. Since therapy often involves discussing unpleasant aspects of your life, you may experience uncomfortable feelings like sadness, guilt, anger, frustration, loneliness, and helplessness. On the other hand, psychotherapy has also been shown to have benefits. Therapy often leads to better relationships, solutions to specific problems, and significant reductions in feelings of distress. But there are no guarantees of what you will experience.

Our first few sessions will involve an evaluation of your needs. By the end of the evaluation, I will be able to offer you some first impressions of what our work will include and a plan to follow, if you decide to continue. You should evaluate this information along with your own opinions of whether you feel comfortable working with me. Therapy involves a large commitment of time, money, and energy, so you should be very careful about the therapist you select. If you have questions about my procedures, we should discuss them whenever they arise. If your doubts persist, I will be happy to help you set up a meeting with another mental health professional for a second opinion.

How long are sessions and how often?
Sessions are typically  a "50 minute" hour. Sessions can be once a week, twice a week or "as needed" depending on availability.

What happens in a session?
The first 2 to 4 sessions are for evaluation and planning. In our sessions I take notes on a laptop. During our first sessions we can both decide if I am the best person to provide the services you need in order to meet your goals. If psychotherapy is begun, I will usually schedule one 50-minute session per week at a convenient time for  both. Some sessions may be longer or more frequent.

What is the cost?
The fee for sessions is $100 per 50 minute hour. In addition to weekly or regularly scheduled appointments, I charge the hourly fee for other professional services you may need, though I will break down the hourly cost if I work for periods of less than an hour. Other services include report writing, telephone conversations lasting longer than 5 minutes, attendance at meetings with other professionals you have authorized, preparation of records or treatment summaries, and the time spent performing any other service you may request of me. If you become involved in legal proceedings that require my participation, you will be expected to pay for my professional time even if I am called to testify by another party. Because of the complexity of legal involvement, I charge $150 per hour for preparation and attendance at any legal proceeding. I generate an invoice monthly.

How are payments made?
You will be expected to pay for each session at the time it is held, unless we agree otherwise. In circumstances of unusual financial hardship, I may be willing to negotiate a fee adjustment or payment installment plan. I accept checks or cash; in the future I anticipate accepting credit cards.

If your account has not been paid for more than 60 days and arrangements for payment have not been made, I have the option of using legal means to secure payment. This may involve hiring a collection agency or going through small claims court. If such legal action is necessary, its costs will be included in the claim. In most collection situations, the only information I release regarding a client’s treatment is his or her name, the nature of services provided, and the amount due.

What is the policy on missed or cancelled appointments?
Once an appointment hour is scheduled, you will be expected to pay for it unless you provide 24 hours advance notice of cancellation. If it is possible, I will try to find another time to reschedule the appointment.

Does Dr. Moore accept insurance payment?
No. Dr. Moore does not accept insurance. In order for us to set realistic treatment goals and priorities, it is important to evaluate what resources you have available to pay for your treatment.  I do not bill insurance companies for my services.  If you have a health insurance policy, it will usually provide some coverage for mental health treatment. I will provide you a copy of my bill that you can use to file for reimbursement from your insurance company, however there is no guarantee that an insurance company will reimburse. If you are considering using insurance it is very important that you find out exactly what mental health services your insurance policy covers and if they will pay for out of network services.

If I choose to have insurance reimburse me what happens?
Please be aware that insurance companies require  at a minimum a clinical diagnosis if you want reimbursement.  I will provide you with an invoice with a diagnosis and dates of service to submit. This may or may not meet the requirements of the insurance company for reimbursement. Sometimes they ask for clinical information such as treatment plans or summaries, or copies of the entire record (in rare cases). Any information I provide to you that you in turn provide to the insurance company  becomes part of the insurance company files and will probably be stored in a computer. Though all insurance companies claim to keep such information confidential, I have no control over what they do with it once it is in their hands. In some cases, they may share the information with a national medical information databank.

What type of records does Dr. Moore keep?
The laws and standards of my profession require that I keep treatment records. I make a note for each session.  You are entitled to receive a copy of the record unless I believe that seeing it would be emotionally damaging, in which case I will be happy to send them to a mental health professional of your choice. Because these are professional records, they can be misinterpreted and/or upsetting to untrained readers. I recommend that you review them in my presence so that we can discuss the contents. Clients will be charged a fee for any time spent in preparing information requests.

How confidential are the sessions?
In general, the privacy of all communications between a client and a psychologist is protected by law and I can only release information about our work to others with your written permission.  But there are a few exceptions.

There are some situations in which I am legally obligated to take action to protect others from harm, even if I have to reveal some information about a client’s treatment.  If I believe that a child or vulnerable adult (elderly or disabled) is being abused, neglected or exploited, I am required to file a report with the appropriate state agency. If I believe that a client is threatening serious bodily harm to another, I am required to take protective actions. I have a duty to warn or take reasonable precautions to protect a clearly identified or reasonably identifiable victim from an actual threat of physical violence, or if the client has communicated to me an actual threat of some specific violent act.   These actions may include notifying the potential victim, contacting the police, or seeking hospitalization for the client. If the client threatens to harm themself, I may be obligated to seek hospitalization for him or her or to contact family members or others who can help provide protection. These situations have rarely occurred in my practice. If such a situation occurs, I will make every effort to fully discuss it with you before taking any action.

In most legal proceedings, you have the right to prevent me from providing any information about your treatment. In some proceedings involving child custody and those in which your emotional condition is an important issue, a judge may order my testimony if he/she determines that the issues demand it.

I may occasionally find it helpful to consult other professionals about a case. During a consultation, I make every effort to avoid revealing the identity of my client. The consultant is also legally bound to keep the information confidential. I frequently participate in a peer supervision group however identifying information is not shared.   If you don’t object, I will not tell you about these consultations unless I feel that it is important to our work together.

Does Dr. Moore answer telephone calls?
I am often not immediately available by telephone.  I am usually available between 9 AM and 5 PM.  I will not answer the phone when I am with a client. When I am unavailable, my telephone is answered by voicemail that I monitor frequently. Voicemail may be accessed by unauthorized people, and therefore can compromise the privacy and confidentiality of communication. I will make every effort to return your call on the same day you make it, with the exception of weekends and holidays. If you are difficult to reach, please inform me of some times when you are usually available.  If you are unable to reach me and feel that you can’t wait for me to return your call, contact your family physician or the nearest emergency room and ask for the mental health professional on call. If I will be unavailable for an extended time, I will provide you with the name of a colleague to contact, if necessary.

Does Dr. Moore text and use email?
I use email communication and text messaging only with your permission and only for administrative purposes unless we have made another agreement. Email exchanges and text messages with my office should be limited to setting and changing appointments, billing matters and other related issues.  Please do not email or text me about clinical matters because email is not a secure way to contact me. If you need to discuss a clinical matter with me, please feel free to call me so we can talk on the phone or wait and discuss it during a  session. The telephone or face-to-face context  is much more secure as a mode of communication.

Does Dr. Moore use social media?
I do not communicate with, or contact, any of my clients through social media platforms like Twitter and Facebook. I participate on  social networks, but not in my professional capacity. If you have an online presence, there is a possibility that you may encounter me by accident. If that occurs, please discuss it with me during our time together.  I believe that any communications with clients online have a high potential to compromise the professional relationship. In addition, please do not try to contact me in this way. I will not respond and will terminate any online contact no matter how accidental.  If I discover that I have accidentally established an online relationship with you, I will cancel that relationship.

Does Dr. Moore do web searches on clients?
I will not use web searches to gather information about you without your permission. I believe that this violates your privacy rights; however, I understand that you might choose to gather information about me in this way. There is an incredible amount of information available about individuals on the internet, much of which may actually be known to that person and some of which may be inaccurate or unknown. If you encounter any information about me through web searches, or in any other fashion for that matter, please discuss this with me during our time together so that we can access its potential impact on your treatment.

Recently clients have started to review their health care provider on various websites. Unfortunately, mental health professionals cannot respond to such comments and related errors because of confidentiality restrictions. If you encounter such reviews of me  please share it with me so we can discuss it and its potential impact on your therapy. Please do not rate my work with you while we are in treatment together on any of these websites. This is because it has significant potential to damage our ability to work together.

Are there special requirements for minors?
If you are under eighteen years of age, be aware that the law gives your parents the right to examine your treatment records. It is my policy to request an agreement from parents that they agree to give up access to your records. If they agree, I will provide them only with general information about our work together, unless I feel there is a high risk that you will seriously harm yourself or someone else. In this case, I will notify them of my concern. I will also provide them with a summary of your treatment when it is complete. Before giving them any information, I will discuss the matter with you, if possible, and do my best to handle any objections you may have with what I am prepared to discuss.

Are there practice limitations?
Because  I testify with the Office of Disability I do not accept clients who want to be considered disabled. I also do not accept clients who anticipate litigation in which their mental health will be called into question such as in child custody disputes.  Because highly charged emotional material may be discussed in sessions clients are not to bring guns or other weapons of deadly force into the session. If you have a permit to carry a concealed weapon please leave it in your vehicle.