FAQs

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Have questions about what it’s like to work together? Check out these frequently asked questions. If you don’t see your question here, click here to get in touch.

  • Most services are provided virtually on a HIPPA compliant telehealth platform for your convenience. I also have an office for in-person sessions located in Alexandria, VA. We can discuss your preference.

    In-Person Sessions Located at: 1737 King St. Suite 330 Alexandria, VA 22314

  • Dr. Koch, Psy.D. is located in the Washington, D.C. metropolitan area and licensed in Virginia and Washington, D.C.

  • Dr. Koch, Psy.D. is a PSYPACT licensed provider. PSYPACT is an interstate compact designed to allow licensed psychologists to practice telepsychology across state boundaries legally and ethically. Click this link to view of map of which states are currently participating in the PSYPACT.

    • This means if you are in one of the blue states on the map, Dr. Koch can see you virtually if you pay out of pocket for psychotherapy.

    • If you are using your health insurance to pay for sessions, you must be located in Virginia or Washington D.C.

  • Dr. Koch, Psy.D. is currently in-network with Aetna, CareFirst Blue Cross Blue Shield, and Sentara.

  • The cost of psychotherapy and psychoanalytic services can vary based on the type of service, session length, and clinician training. In the Washington, DC area, fees for individual therapy and psychoanalytic treatment reflect extensive training, ongoing supervision, and the specialized nature of this work. The best way to get an accurate estimate is to contact me directly. I will be happy to share current fee information and discuss what fits your needs and budget.

    Insurance & Out-of-Network Benefits
    Many patients choose to use out-of-network mental health benefits through their health insurance. If you have out-of-network coverage, your insurance may reimburse a portion of the cost of sessions. Superbills can be provided to submit to your insurance carrier for reimbursement.

    Before beginning services, please contact your health insurance provider to:

    • Confirm your in-network and out-of-network mental health benefits,

    • Ask about coverage for psychotherapy

    • Understand your deductible and reimbursement rates,

    • Clarify any session limits or pre-authorization requirements.

    Because insurance plans differ widely, checking with your provider helps you make an informed decision and avoid surprises.

    Sliding Scale & Accessibility
    Supporting access to care is important. Depending on availability and clinical suitability, sliding scale fees may be offered. Please inquire directly to see if sliding scale options are available at this time.

    If you have questions about fees, insurance reimbursement, sliding scale possibilities, or what to expect, I’m here to help. Don’t hesitate to reach out.

  • During your first psychotherapy appointment, you can expect several key elements that will help set the stage for your therapeutic journey.

    1. Introduction and Rapport Building: Your therapist will likely start by introducing themselves and explaining their plan for this first session. This is an opportunity for you to share a bit about yourself and your reasons for seeking therapy.

    2. Discussion of Confidentiality: The therapist will explain the limits of confidentiality, outlining what information is private and the situations where they may need to disclose information (such as threats of harm).

    3. Intake Assessment: You will undergo an intake assessment, which may include questions about your mental health history, current symptoms, medical history, and any relevant personal or family information. This helps the therapist understand your situation better.

    4. Goal Setting: The therapist will discuss your goals for therapy. This might involve exploring what you hope to achieve and any specific challenges you are facing.

    5. Questions and Answers: You will have the chance to ask any questions you may have about the therapy process, the therapist's qualifications, or anything else that concerns you.

    6. Next Steps: At the end of the session, your therapist will typically outline the next steps, such as recommendations, scheduling future appointments and discussing any reflections you might consider before the next session.

    The first appointment is primarily about gathering information and establishing a connection, so it’s normal to feel a mix of emotions. Remember that this is a safe space for you to express yourself.

    1. Contact me via the contact form on this website, or through Psychology Today.

    2. We will schedule a 15-minute phone consultation to discuss your concerns and see if we are a good fit.

    3. If you are using your health insurance to pay for services, you’ll create a Headway account to verify your information. They will also routinely send you a payment invoice after each session.

    4. You’ll receive a link from Simple Practice regarding your first appointment and online paperwork to complete prior to our first session. We will use Simple Practice for our session via their HIPPA compliant video links. There will be a new link emailed to you for each session.

    5. We will have our first session together and get to work.