Personal Growth


Relationship Issues

Infidelity & Trust

Grief & Loss

Trauma & PTSD

African American Mother with Daughter
Family Having Fun


Psychotherapy Services

with 35+ years of experience


High Quality Therapy for Adult Individuals, Groups and Couples




Relationship Focused


Cooperative Contracting    for Change


Research Based


State of the Art Techniques


Clinical Supervision & Consultation

Session Rates & Payment

Rates     $150 per 50-minute session

Longer sessions may be recommended by Mr. Nagel or requested by an individual client or a couple.  For example, 100-minute sessions for couples therapy are sometimes recommended.  The rates for these extended sessions will be based on the usual therapeutic session rate.  Mr. Nagel's rates are based on his 35+ years as an experienced psychotherapist who is dedicated to providing high quality services and his enduring commitment to actively participate in ongoing clinical skills training.  Therapy for individuals or couples is an investment in your important relationships and personal happiness.  

What every consumer needs to know about using health insurance:

Like most people, I really appreciate having health insurance.  In fact, I had to have several medical procedures in the past year and I was really grateful to have my health insurance cover most of the medical expenses for those procedures.  Most people are aware of the benefits of using insurance for behavioral health coverage but need to know the risks of using health insurance as payment for therapy. I'd like to tell you about those risks now.  

In order to use your health insurance, I have to give you a mental disorder diagnosis.  And then depending on your insurance company, I may have to write a report after so many sessions to indicate that you are still sick with that mental disorder diagnosis and you are getting better but not too much better.  Then someone at the insurance company who doesn't know either of us is going to decide how well we are working together.  They are going to evaluate our work together and they will decide whether they are going to continue to pay for us to continue to work together.  And I don't know about you, but I think that you and I should make that decision about how well things are going and not someone at the insurance company who doesn't know either of us.  And then, when I send in that report, we actually have no idea who is looking at it.  And I feel uncomfortable having your information, the personal stuff you have shared with me, outside of this office.  Your privacy is very, very important to me.  While your insurance provider will promise your privacy, I can't guarantee your privacy once things are out of my hands.  So for those reasons, because I don’t like labeling anyone with a mental disorder and because I don’t want that in your records and I don’t want that information out. That’s why I prefer not to take insurance for therapy. Now, as I said, we use insurance ourselves, my family and I do. We use insurance for certain things and if you believe that based on all of that, you still want to use your insurance, I totally understand and we absolutely can bill your insurance to help pay part of the fees. On the flip side, if you’d rather not use your insurance, you can pay me directly instead.  That way you and I can decide how to work together and keep your information between us.

Cash or check accepted for payment at the beginning of each session. If paying by personal check, please be prepared to present valid picture ID for identification & identity theft purposes.

Cancellation Policy
If you do not show up for your scheduled appointment, and you have not notified us at least 24 hours in advance, you will be required to pay the full rate of the therapeutic session as booked.

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