Frequently Asked
Questions
Choosing a mental health doctor can feel overwhelming. To help you make a decision, Dr. Bosch has provided the answers to some of the most common questions she receives from patients. For your convenience, these questions are grouped into three categories: finance, service, and psychiatry.
Frequently Asked Questions
Do you accept insurance?
Dr. Bosch strongly believes in patient-centered psychiatric care. To provide the best possible care for her patients, Dr. Bosch has chosen to be an out-of-network provider, free from the restrictions imposed by insurance companies. However, if you’d like to use insurance to cover some of the costs of psychiatric services, she is happy to provide a detailed receipt, or “superbill,” that can be submitted for reimbursement.
What are your fees?
Initial Consultation (60 minutes)……………………… $400
Typical Follow-Up (less than 30 minutes)…………. $200
Intermediate Follow-Up (31–45 minutes)…………. $300
Long Follow-Up (more than 46 minutes)…………… $400
What forms of payment do you accept?
To ensure that your appointment goes as smoothly as possible, you’ll be asked to provide a valid form of payment when scheduling your initial consultation. Dr. Bosch currently accepts credit cards and HSA/FSA cards. All payment details are securely stored. Your selected form of payment will be charged the appropriate fee after each appointment.
Do you offer Telehealth appointments?
Absolutely! Dr. Bosch understands that some people are more comfortable meeting with an online psychiatrist. In order to best serve the needs of her patients, she offers both telehealth appointments and in-person sessions at her office in Brentwood. If you’re having difficulty determining which option is right for you, reach out to Dr. Bosch so that she can help walk you through the decision.
Do you ever require in-person appointments?
In certain situations, yes. Under federal law, in-person appointments are mandatory prior to receiving prescriptions for controlled substances. These include stimulants, like Adderall and Ritalin, benzodiazepines, like Xanax and Klonopin, and certain sleep medications, like Lunesta and Ambien.
Additionally, Dr. Bosch recommends occasional in-person appointments for patients who are receiving medications that require a physical examination. This may include monitoring the blood pressure of patients on stimulants or checking for tardive dyskinesia in patients taking antipsychotics.
What is medication management?
Medication management is a crucial aspect of psychiatry that involves correctly diagnosing each patient and prescribing the most appropriate medication to alleviate symptoms.
At her practice, Dr. Bosch practices individualized, holistic psychiatric care, prescribing minimal medication at the lowest effective doses. She strongly believes in working collaboratively with her patients to determine and address their unique needs.
What types of therapy do you offer?
Dr. Bosch’s primary psychiatric services include a comprehensive diagnostic assessment, psychoeducation (teaching you about your mental health condition), and medication management. In addition, she often utilizes goal-oriented therapeutic techniques. She most commonly employs cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), and mindfulness exercises.
For certain patients, Dr. Bosch may also recommend high-quality, high-frequency meetings with a dedicated therapist, such as a like-minded psychologist. In these cases, she is happy to give referrals to trusted providers.
Some patients may prefer to pursue dedicated therapy with Dr. Bosch. If you are interested in this treatment option, please reach out to discuss it further. For questions regarding the cost of therapy sessions, please refer to the payment and fees page for more information about cost of therapy sessions.
What is a psychiatrist?
A psychiatrist is a medical doctor who specializes in diagnosing and treating mental illness, including depression, anxiety disorders, bipolar disorder, trauma, and OCD. In order to provide individualized care, the best psychiatrists employ a wide variety of techniques, such as therapy, a long-term treatment strategy that helps patients better understand themselves and cope with their mental illness, counseling, targeted, short-term care for specific problems, and medication management, finding the best medication to help alleviate troubling symptoms.
What is the difference between a psychiatrist and a psychologist?
Great question! Psychiatrists and psychologists offer complementary services in the same field.
As medical doctors, psychiatrists tend to focus more on how your mental health affects your physical body. They are able to prescribe medications in addition to offering therapy. In contrast, psychologists specialize in providing therapy and counseling services to help individuals overcome mental health challenges. Together, these professionals can supply a holistic and comprehensive approach to psychiatric care.
What is the difference between a psychiatrist and a psychiatric nurse practitioner (NP)?
Psychiatrists are physicians with specialized training in the mental health field. On average, it takes about twelve years of intensive education to become a psychiatrist. This includes four years to earn a bachelor’s degree, four years to earn a medical degree, and another four years to complete a residency in psychiatry.
Conversely, psychiatric nurse practitioners have a nursing background, either a two-year associate’s degree or a bachelor’s degree in nursing, as well as a master’s degree in nursing. In Missouri, nurse practitioners are required by law to practice under the supervision of a licensed physician.