Lake View Online
people are helped online, especially those who are not able to afford
traditional therapy sessions, do not have a desire to go to a therapy office, do
not want to make a full commitment to therapy, or do not wish to make sensitive
disclosures and discuss difficult topics in a face-to-face session. Our technological age has enabled us to bring
the therapy session to you, at your convenience.
online, or e-therapy is conducted with a range of methods, which have become
increasingly popular and accepted in recent years. These services include
scheduled electronic “chat” sessions which consist of real time information
exchanged via a computer keyboard, structured email exchanges, and group online
“chat” sessions that are accessible only to approved members of the group, or
open chat sessions moderated by a therapist. Numerous online self-help
groups for various mental and physical health conditions are popular as well. While health care researchers are exploring
the efficacy of these interventions and services, as they have not all been
subjected to the rigors of scientific research, thousands of people report
having benefitted from utilizing help on the internet.
services are therapeutic in nature, however are not
the same as traditional
psychotherapy services. We offer
guidance and support for issues and stresses that do not
require more formal
clinical interventions. We do not offer
assistance for those who are in any type of life-threatening
crisis, in need of
hospitalization, or are suicidal.
online sessions are primarily aimed at helping you:
Feel less alone with your
Clarify your feelings,
stresses, and problems
Seek alternate solutions
Understand the recovery
Improve your relationships
Consider new methods of coping
Create concrete plans for
Get support to make decisions
and take action
Gain an understanding of
obstacles to growth and happiness
we will not conduct a thorough psychiatric diagnostic process with online help,
and will not assign you a formal psychiatric diagnosis. This is because e-sessions have inherent
limitations that prevent an accurate and valid diagnostic process. You will not receive advocacy services or
medication recommendations. You may be
referred for other/additional clinical or medical services, either within our
psychotherapy practice or to another facility or health care provider. Clinical notes will be kept that briefly
summarize your e-sessions.
you are currently treated by a therapist, psychologist, or psychiatrist, we
recommend you inform them of your participation in Lake View Online. It is your
responsibility to notify them if you choose to do so.
Your Medical Record
you decide to participate in Lake View Online, we ask you to provide some personal
information. All patients complete the same personal history forms at initial
registration, whether they are provided services in the office or through Lake
View Online. You will also be requested
to consent to services and make payment arrangements prior to the beginning of
Lake View Online patients have a medical records that are kept in our Lake View
Psychotherapy office, and managed just as our other medical records are
not use your personal information in a manner different than the purpose for
which it was collected. Information
contained in your medical record is well protected, physically and
legally. NO information will be
disclosed without your expressed written consent. We abide by and are in full compliance with all
Virginia Board of Health Professions and HIPPA national guidelines governing management
and confidentiality of mental health/medical records.
can decline to submit personal information prior to the delivery of any of our
services, in which case Lake View Online may not be able to provide services to
take appropriate security measures to protect against unauthorized access to or
unauthorized alteration, disclosure or destruction of data. These include
internal reviews of our data collection, storage and processing practices and
security measures, as well as physical security measures to guard against
unauthorized access to systems where we store personal data.
restrict access to your personal information to Lake View Psychotherapy employees.
Our employees are bound by
confidentiality laws and may be subject to discipline, including termination
and criminal prosecution, if they fail to meet these obligations.
Fees for E-Services
Lake View Online does not file insurance for payment of
services. Instead, we offer very
affordable pricing options for patients.
We are willing to negotiate affordable and reasonable fees, which are
typically comparable with the expense you may bear with many insurance plans.
In general, these are the
basic services and fees:
- Initial Consultation (35
- E-Recovery Sessions (20
- E-Recovery Sessions (30
It is our policy to make all
financial arrangements prior to the start of Lake View Online sessions. You can call our main office at (757)
552-0884 to discuss all fee and payment options. We gladly accept credit cards, debit cards,
You will not receive a bill or
invoice for services, unless you request it from our main office. Your credit card transaction will reflect a
payment to Lake View Psychotherapy.
benefits for traditional therapy and counseling services vary from one health
insurance company to another and from plan to plan, but generally, insurers do
not cover the cost of e-therapy or e-consultation services provided online or
Benefits of Lake View Online
require a psychiatric diagnosis to pay for a claim. That means, to use your insurance benefits,
you must be assigned a formal diagnosis code for a mental health disorder that
correlates with those in the Diagnostic & Statistical Manual of Psychiatric
Disorders (DSM). Unfortunately, this
information will be incorporated into computerized databases, for an indefinite
period of time, and will be accessible to other bureaucratic entities such as
life and health insurance companies, disability determination, government and
military services, and some employers.
This may matter to you when there are adverse decisions made based on
your psychiatric diagnosis. It can make the difference between getting
preferred coverage, high-cost coverage, or none at all. It can make a
difference between obtaining a security clearance, maintaining your employment,
or qualifying for disability. It would
certainly matter to you if you value your privacy.
When people seek
help for a situational difficulty, they will receive a psychiatric diagnosis
even when the assistance they require is not caused directly by such. There are many codes in the DSM that describe
non-pathological/non-psychiatric problems, but insurance companies will NOT
reimburse for them.
The reality is that
individuals with relationship issues, parent/child troubles, normal grieving, work
stress, or "just having a hard time" are all things that are usually
NOT covered. This typically means your therapist will have to assign a
psychiatric diagnosis to you, just to access your coverage.
can access your entire medical record at any time they choose. They are free to audit your private notes at
any time, and do so on an intermittent basis. All details must be released to
them, and this is legally enforced. If
this access is denied, the insurance company requires any money they paid for
your claims, be reimbursed back to them.
Therapy notes, detailing your session, are sometimes required to
authorize additional sessions. This is a
dilemma for most therapists because they are required to fully document your
psychiatric diagnosis, but if the notes are too vague the insurance company
will deny benefits. Some of my patients
are very uncomfortable with this.
Furthermore, many insurance
companies are in control of your access to mental health benefits. They determine the number of sessions you can
use, how often you can use them, and which therapy services they are willing to
pay for. They usually require preauthorization before
you can use your benefits and require additional authorizations to continue to
Lake View Online, you do are not subjected to these insurance difficulties. You will not be given a psychiatric
diagnosis, unless this is desirable to you and you request it. Since there is no filing of insurance claims
for the services you receive, your experience of obtaining professional
counseling services is completely unknown to anyone but you.
will have several options for online sessions.
You may choose from corresponding by text chat by phone, or in a private
chat room hosted by Chatzy. The option
that provides the most privacy protection is our private virtual chat room at
Chatzy. You and your therapist are the
only ones allowed access to this room during your scheduled session. You will not be able to access this chat room
outside of your scheduled session.
facts about Chatzy:
- Each chat
dialogue is permanently erased immediately after the e-session.
- The way Chatzy
distinguishes between Lake View Online’s chat room and other chat rooms is by
assigning it a random ID number. This ID number is between 0 and a trillion (up
to 12 digits). That means, it is an extremely remote probability that someone would
guess your ID number and access your chat.
commands, which are carried out by your Internet browser. Thus, if you trust
your Internet browser (which you normally can), you can trust the Chatzy
service - contrary to independent chat and instant messaging programs which may
or may not include bugs or spyware.
to Chatzy, there is no way their website can transfer a virus or execute code
from another chat user on your computer. The only thing that passes from one
chatter to another is plain text. All HTML tags, and thereby embedded code of
any kind, is filtered away. Consequently, there is no need for virus protection
in relation to Chatzy.
You may call our office if you have additional
questions or need more information about Lake View Online. If you wish to schedule your first E-Recovery
Session, our office manager, Jeanette Whitehurst, will be happy to help you
schedule a day and time. Ms. Whitehurst will help match you with
one of our clinical staff.
Ms. Whitehurst will discuss payment terms with you
and assist you with completing registration forms.
We welcome you to Lake View