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Your care is worth the investment, but be informed when deciding to seek service. Fees & Payment - You r care is worth th e investment, but be informed when deciding to seek service. How is therapy or coaching paid for? Generally speaking there are three ways to pay for service: Fee for Service or "out of pocket/private pay” : The client pays the therapist or coach directly. This allows you to have control over who you see, the type and goals of therapy or coaching, how long services will last, and who has access to your private information. *Note that private pay is the only way to pay for coaching. Insurance only covers medically necessary treatment (i.e. - you must have a diagnosis to substantiate treatment). In-Network Insurance or “Third party payment” : You and your insurance company each pay for a portion of the service. Your portion is known as a deductible, and/or co-pay/coinsurance. To use third party payment, the therapist must have an agreement or be In-network with the insurance company (see info below) . Third party payment gives the health insurance company some control over which therapist you see, the amount of money or time allowed for the therapy, and the type of therapy utilized. This may affect the goals of therapy, and for billing purposes, your confidential information. Once confidential information is sent to the insurance company, we cannot guarantee its privacy. Out-of-Network Payment : In some situations, when a therapist is not in your insurance company’s network, you can pay for the services directly, and then you can file to receive out-of-network benefits that are paid directly to you. (see the following for more information) In each case, you are responsible for paying your portion for services the day of your appointment. You can discuss the advantages and disadvantages of each payment type with your therapist/coach and come to an informed decision that is best for you. When cost is an issue, you may need to use your health benefits to access services. We encourage you to call for more information if you are currently experiencing financial hardship. We never want someone to not seek the care they need because of financial limitations; we may be able to help and/or refer you to someone who can. Cost and Payment Policy Methods of Payment: Cash, Check, Credit Card (MC, Visa, Discover American Express), Payment is due at the time of your session Rates: For services not covered by insurance or EAP, we charge a flat rate of $135 for a standard session. (*subject to change by each independent provider's policy) $135.00 for 60 minute initial intake session $200.00 for extended initial intake session (75-90 min.) $ 75.00 per 30 minute therapy session $135.00 per 38 – 52* minute therapy session (standard 45 min.) $135.00 per 53 – 60* minute therapy session (standard 60 min.) $200.00 per 75 – 90 minute therapy session (currently, this is only an option for those who are paying full fee without insurance) *Why do we charge the same rate for 45 vs. 60 min. sessions? Frankly, these are limits developed by the American Medical Association (AMA) in consultation with the American Psychiatric Association (APA). Mental health providers billing insurance must follow the limits for the sake of maintaining universally recognized standards for face to face time. Furthermore, many insurance companies do not reimburse the corresponding codes equitably. Some insurance companies will not even allow a 53-60 min. session without additional private information being shared to justify need. We prefer the longer session for clinical efficacy and effectiveness. We believe a different pay structure (especially as it affects our private pay clients) is unfair to clients, and for clinicians fair reimbursement alike. Services are provided and billed by or on behalf of each independent provider. Services may be covered in full or part by your EAP or health insurance plan if accepted by your provider (see questions to ask above). **Please be aware that with any health plans, there may be deductibles and copayments for which you would be responsible (review your policy or call your company for more information). Health Plans *Please note that each provider may not accept each insurance plan) Aetna Anthem Blue Cross and Blue Shield Cigna/Evernorth (Cigna Healthcare) Healthlink Tricare West United Behavioral Health (UHC/OptumHealth) Carelon Behavioral Health *If your plan is not listed or the provider you wish to see is out-of-network, we can provide you with documentation that you can submit to your insurance company to request reimbursements (reimbursement for out-of-network benefits) . Questions to Ask Your Insurance Company *You may be able to find information by clicking your company link in the column above left (Health Plans ). Does my plan cover mental health sessions? Does my plan cover only individual psychotherapy or will it also cover family or couples counseling? How many sessions does my plan cover in a year? How many sessions do I have left? Does my plan cover services to out-of-network mental health providers? What is the deductible I have to meet before coverage to an out-of-network provider kicks in? What is my copay or what percentage of treatment do I pay when seeing an out-of-network mental health provider? Is there a maximum amount per session the insurance will cover for an out-of-network provider? How much time do I have to file a claim for out-of-network services? Do I need pre-authorization or a referral from my PCP to see a therapist? If I need pre-authorization, do I need to call or does my therapist? What is the process to get reimbursed for out-of-network services? Health Plans Should I Use My Insurance Benefits? Be well informed when deciding to use your health plan to cover therapy. The unfortunate reality is that seeking mental health care through your insurance can sometimes have unplanned consequences. Insurance companies only cover care that is "medically necessary". This means, that they will typically only cover therapy for issues that have a recognized mental health diagnosis attached to them. Your provider will be required to submit a diagnosis in order to get reimbursed for any therapy that you engage in. When submitting a claim to your health insurance, you permit your provider to provide the clinical information that the insurance company requires to substantiate the medical necessity of your care. Thus, your diagnosis and the supporting evidence for that diagnosis becomes part of your health record. Some feel this is a risk that could potentially impact other areas of life that take your health record into account. Please be sure to talk with your therapist about any concerns before moving forward with sessions. By choosing to not use insurance, you have more choice about who you see, how long you stay in therapy and what your therapy looks like. You also gain a higher level of privacy related to your health information. When cost is an issue, you may need to use your health benefits to access services. Using health insurance may be the only way for you to get treatment. Ultimately, you can look at the advantages and disadvantages of each option and make an informed decision about what will be best for you.

A gifted Positive Design Coach who facilitates higher levels of personal motivation, growth commitment, and optimal performance in sport, business, and life. Daniel M. Harris, M.Ed. Daniel Harris is a gifted Positive Design Coach who facilitates higher levels of personal motivation, growth commitment, achievement, and optimal performance in sport, business, and life. He has a master of education in educational, school and counseling psychology with an emphasis in positive coaching. His breadth of experience in educational, business, and sports environments give him a unique set of skills relevant to supporting growth in daily living. Daniel has over 20 years of experience as the Director of Diversity and Multicultural Education at John Burroughs School. He has served as a trustee at Community School, a contributor to both the Independent Schools of the Central States (ISACS) Equity committee and the National Association of Independent Schools (NAIS) advisory think tank on diversity (Call to Action). He has provided numerous other consultations with schools, organizations and community initiatives both regionally and nationally. He was a recent contributor to the NAIS publication, Diversity Work In Independent Schools: The Practice and The Practitioner. Daniel is also a Qualified Administrator of the Intercultural Development Inventory® (IDI®) which assesses intercultural competence - the capability to shift cultural perspective and appropriately adapt behavior to cultural differences and commonalities. For over a decade Daniel also served as a site director for Aim High St. Louis, a tuition-free personal and academic enrichment program for motivated middle school students, most of whom came from challenging circumstances or environments. He also has facilitated and hosted several programs and workshops for educators and community members throughout the St. Louis region and nation, including The Equity Exchange - a think tank of private and public educatiors and professionals from across the nation exploring advanced principles and researc related to systemic change towards educational equity in all educational environments. As the Head Track & Field Coach at John Burroughs School, Daniel has been honored as a Missouri Track Coach of the Year 3 times by the MTCCCA and 1 time by the USTFCCCA. He has produced state qualifying student-athletes in every track & field season he has coached. He has led 205 individual/relay qualifiers to the state track & field championships across 16 of the 18 offered events, the majority earning all-state honors (40 individual/15 relays boys, 37 individual/15 relays girls) including 19 individual event champions and 8 relay champions (8 individual titles/3 relays—girls, 11 individual titles/5 relays—boys). Between the boys and girls teams, the program has produce 3 team state championship, 6 state finishes in the top four, 9 district championships and numerous meet and invitational titles. Burroughs now boasts many of the individual and relay performances that rank among the top fifty in Missouri class 2 & 3 history. Developing and encouraging leaders is one of his greatest passions. He is a “train smarter” coach who always pushes his staff to incorporate the latest sport science theories and methods in their coaching.

A Marriage/Relationship Intensive Weekend is a concentrated version of Intimacy Therapy designed to be a private, dedicated weekend exclusively with DMHarris. Intensive Relationship Counseling A Marriage or Relationship Intensive Weekend is a concentrated version of Intimacy Therapy designed to be a private, dedicated weekend working with one of our associates over three days. We also provide small retreats for up to four couples hosted at various hotels, resorts, or bed and breakfast locations. Should we consider a Marriage/Relationship Intensive? We (are): Unable to attend traditional sessions on a weekly basis due to scheduling conflicts, location, or other family commitments Desire quick results for the distress in our relationship, or we simply desire to strengthen our connection Are influential in our community or live in a small town/ neighborhood and desire more privacy while working on our relationship Able to invest in the relationship without using insurance (insurance does not cover this type of service) During the three day intensive, you will have professional guidance to explore concepts of intimacy (in-to-me-see), including self, conflict/communication, affection, and spiritual intimacy if desired. You will have dedicated and focused time to learn how each of these components help you develop the long term love you have desired. This type of work normally takes 10-12 weekly sessions to achieve results. Intensive Format (*can be individualized to meet your needs) The Intensive weekend normally starts on Thursdays, and last through midday on Saturday. We meet for a total of 12 hours during the three days together. Many couples choose to spend extra time either before or after the weekend to both prepare and enjoy time away from home relaxing and connecting more deeply. Day One (approximately 4.5-5 hrs.) 9:00-9:45am: Couples' Session We will spend time exploring your vision for long term love, and the current concerns in the relationship. 9:45-10:30am: Individual Session A (Self-intimacy) This will be time to explore individual needs, wants, or desires without partner pressure. *There is a Starbucks, Panera, McDonald's...within 2-5 min. of my office. You may also relax with a journal, book, or to music in my waiting area. 10:30-11:15am: Individual Session B (Self- intimacy ) Partner A now gets a short break, as Partner B explores needs, wants, or desires without partner pressure 11:15-12 noon: Couples' Session We will reconvene together to overview the process for the rest of the weekend, including how we might explore each aspect of Intimacy Therapy. This will be a time to further commit to the process of deeper connection by acknowledging the negative patterns of thoughts and behaviors that have developed. Lunch/Afternoon Break This is your time to have a nice lunch, take a walk in a park, to nap or meditate-refuel for the evening,...I will provide you with a list of several local restaurants close to my office or your chosen hotel as needed. I will also include a list of local parks or scenic areas to just relax. There are several venues within 5-10 min. of my office. 4:30-6:00pm: Couples' Session (Conflict/Communication-Intimacy) We will begin to apply principles of positive and proactive communication to promote growth in the relationship, while sharing difficult emotions and thoughts. Evening Recommendations I encourage a nice dinner, and I will forward some restaurant ideas based on your preferences. This is an important time for you to both relax and enjoy each other, as well as time to talk and reflect on your day. I encourage you to plan for adequate rest and recovery, and you may want to make reservations for Friday lunch or dinner, if you have not already. Day Two (approximately 4.5-5 hrs.) Friday Morning Consider starting your morning with light exercise, mindfulness exercises, and a nice breakfast at your hotel or local spot. 9:00am-12:00pm: Couples' Session (Conflict/Communication-intimacy) We will continue to explore how to increase intimacy through positive communication -focusing on areas of tension and differentiation that you tend to avoid. There will be breaks as needed. Lunch/Afternoon Break This is your time again for a nice lunch, or even a quick nap. You could also opt for a couples' massage - I can provide a recommendation for a few spas within 2-10min. from my office. I will include information in your initial packet to schedule that ahead of time if desired. The venue closest to my office is Massage Envy or Massage Luxe, and I can typically arrange availability for two massage therapist on Thursday or Friday afternoons. 4:30-6:00pm: Couples' Session (Affection-intimacy) This 90 min. session will be used to explore how well you give and receive affection. This will be a session about more clearly showing understanding and supporting each other's "love language." We will examine both how well you give and receive affection. Evening Recommendations This would be a great time to explore an area of St. Louis you haven't experienced. I will likely give you homework that focuses on how to show love and care for your partner. *Don't stay up too late though; we still want you prepared for your final day. Day Three (approximately 2.5-3 hrs.) 9:00-12:00pm: Couples' Session (Affection-intimacy + Spiritual- intimacy if requested) The final session focuses on the momentum gained in the first two days. We work together on clearly defining how to sustain long-term love. If requested, we can also plan for how you engage in a faith walk together, or more broadly how to function as truly intimate partners (A WE TEAM). The latter part of this session will include a symbolic gesture that honors our work together and your commitment to follow through with a plan for continued growth as you both move forward in love. If desired, we can also discuss the possibility of a tune-up session anytime after your departure (including online conferencing for clients outside of the St. Louis Metro area). Whether local to St. Louis, or from out of state, you may choose to continue with additional sessions to deepen our work together. Call Now to Schedule Your Free 15-30 min. Consultation

Get extraordinary results in your personal life, sport, professional life, business or organization. Through the process of coaching, clients deepen their learning, improve their performance, and enhance their quality of life. Positive Design Coaching Positive Design Coaching is the general term we use for many different types of coaching available from our associates. *It is important to note that coaching is not psychotherapy; there are no clinical diagnoses, goals, or interventions. The International Coaching Federation (ICF) defines coaching as partnering with clients in a thought-provoking and creative process that inspires them to maximize their personal and professional potential. Available: http://www.coachfederation.org/need/ Positive Design Coaching then is an ongoing professional relationship that helps produce extraordinary results in clients' lives, careers, businesses or organizations. Through the process of coaching, clients deepen their learning, improve their performance, and enhance their quality of life. We have a broad range of expertise and experiences in coaching areas such as Life, Business/Executive Leadership, Relationships, Health & Wellness, Sport (see Champion By Design ), among other areas. We can match you with our best suited associate to support your present needs. Choosing Your Best Path! Design thinking in behavioral health and well-being coaching supports strategic, intentional research and positioning for creating a new, more positive habit of thinking, doing, and being. In this way, design refers to a growth process where an individual or organization can explore possibilities with curiosity, logic, system dynamics, and innovation in mind. This has the net affect of promoting optimal results, including productivity and more happiness, by engaging in authentic, purposeful tasks and activities. Backwards Design is how we help you choose the best path towards achieving your goals. Stephen Covey (1989) says, To begin with the end in mind means to start with a clear understanding of your destination. It means to better understand where you're going so that you better understand where you are now so that the steps you take are in the right direction. The Seven Habits of Highly Effective People Balancing Daily! "Through balancing is where happiness and joy lives!" - David M. Harris, Founder Balancing is an active process that never stops. There is no absolute stage or point when anyone reaches a perfect equilibrium, combining both control over self and what life throws at us. The key is devleoping strategies and practices that support self-fullness (filling up your internal balancing reserves, to be at your best, allowing authenticity and purpose to overflow externally). This promotes a system of fullness because others are more likely to reciprocate their best to you from this position. The old cliche is appropriate, "You cannot care for others if you do not care for yourself." Being a Star in Your Life! Once you have developed a positive design for growth, in any area of life, leadership, performance, or business,...and your are mindful of preserving self-care and your balancing reserves, all you have to do is live it forward. Be courageous in daily living; dare to be great; avoid being held prisoner by a fear that past habits or mistakes will somehow come true again. You Are Positive By Design! Live in such a way that even if someone speaks negatively about you, no one would believe it!

Victor Farwell is a highly skilled behavioral clinician with 20 yrs of leadership experience in higher educ. admin., as well as over 30 years counseling. * Please note that I am semi-retired! I continue to work with a small number of clients, and I am happy to discuss working with you. Please note that I do not accept insurance. Please hover over this message for my contact number. * Please note that I am semi-retired! I continue to work with a small number of clients, and I am happy to discuss working with you. Please note that I do not accept insurance. Please hover over this message for my contact number. 314-707-0518 Victor H. Farwell, LCSW Victor Farwell is an erudite and skilled behavioral clinician with 20 years of leadership experience in higher education administration, as well as over 30 years of professional experience in counseling and civic engagement. Farwell started his career in higher education as the Assitant Director of Admissions and the Director of the Minority Service Center at Sangamon State University (now University of Illinois-Springfield). He then moved on to become the Assistant Dean of the College of Arts & Sciences at Washinton University in St. Louis. It is at this time that Farwell began to hone his expertise in counseling, leadership development, and academic advising skills. During the latter years of his tenure, he began to focus more heavily on providing psychotherapy services as a part time consultant. He soon realized that his passion to provide therapeutic support to youth and adults was having a great impact in the community. He founded Inner Frontiers Counseling LLC and began full time work as a licensed clinical social worker (LCSW). Farwell has been providing cognitive behavioral therapy, utilizing constructivist theory, since the late '80's. He is one of the most respected and referred to clinicians in the metro area. He uses many additional approaches to meet the needs of his clients, including as a Reiki Energy practitioner, and he also provides spiritual guidance and support.

Positive By Design, LLC is a strategic alliance of independent, well-being specialists -who support balancing, healing, and peak performance. About Us Positive By Design LLC is an idea by the founder, David Harris, to develop a strategic alliance of well-being specialists -independent practices - who have a shared mission to support balancing, healing, and peak performance in all areas of daily living. We help you Create a Life YOU Love , applying principles of positive psychology with design thinking, while encouraging advances in how you speak, think, and live. PBD LLC (David Harris), highly recommends the services of any of the independent practices/providers listed below. Referral Team (*I will continue to add trusted clinicians/coaches to my list of preferred referral options if they wish to join my mission to provide a strategic referral network of providers committed to a shared mission of well-being. ** Ho wever, please be aware that all clinicians are independent providers - the only clinician related to PBD LLC, is David Harris! ) Our Team David M. Harris Founder/Managing Principal Aurelia Deas Independent Therapist Moyenda Anwisye Independent Counselor Victor H. Farwell Independent Therapist/Coach Daniel M. Harris Independent Coach

Positive By Design News, Media Posts, & Articles Psychotherapy Networker Psychology Networker Blogs published on a regular basis ​​ A website containing a variety of mental health related articles/blogs that... Psychology Today Psychology Today Published on a regular basis ​​ A website containing a variety of mental health related articles that may be of... Featured Posts Psychotherapy Networker Psychology Today Recent Posts Psychotherapy Networker Psychology Today Archive October 2018 (1) 1 post March 2016 (1) 1 post Search By Tags psychology