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Optimal Health Therapy charges $180 per 55-minute session. We understand that therapy is an investment in your health and well-being, and strive to provide treatment that is worth that investment. We accept cash, credit cards, personal checks, health savings account, or flexible spending account cards as forms of payment at the time services are rendered. 

Please contact Optimal Health Therapy for fees regarding psychodiagnostic assessments, evaluations, and feedback.

Disclaimer for Good Faith Estimate for Private Pay and Out of Network Patients

Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” (GFE) of expected charges. The GFE shows the costs of items and services that are reasonably expected for services provided by Optimal Health Therapy LLC. The estimate is based on information known at the time the estimate was created. It does not take into account any reimbursement that you may receive as a result of out of network benefits.

The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or  special circumstances occur.

If you are billed for more than this Good Faith Estimate, you have  the right to dispute the bill.

You may contact Dr. Anne Nisenzon to let her know the billed charges are higher than the Good Faith Estimate. You can ask her to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.

Frequently Asked Questions

Can I use my insurance? 


I am not currently paneled with any insurance companies. However, I am an out-of-network provider for most PPO plans. This means that you would pay the full fee up front and I can provide you with a "superbill" which you can submit to your insurance company for reimbursement. ​It is recommended that you contact your insurance company and ask about the amount of your deductible and what percentage of behavioral health services they will reimburse you prior to initiating treatment.  ​​

There are also several benefits to not using insurance for mental or behavioral health that you may want to consider. In order to be covered for mental health services, insurance companies require information regarding your diagnosis, which then becomes part of your medical health record. Health insurance companies can also dictate the number of sessions you have and which treatments you receive. 

If you are interested in treatment but cannot afford the full fee, there may be limited sliding scale options available. You can inquire about these options during your initial consultation.

What should I expect in my first session?

After reviewing the consent form, limits to confidentiality, and treatment agreements, the rest of the session will be spent on exploring what brought you into therapy and your treatment goals. The assessment period may span a couple of sessions to ensure a tailored and collaborative treatment plan moving forward. We will also likely spend some time on education and brief coping skills to get you started. 

How long will therapy last?

Treatment length can vary by individual, depending on each person's goals and practice of skills outside of session. Most of the evidence-based treatments used at Optimal Health Therapy are designed to be effective within 6-15 sessions. We will continually check in with the progress towards your goals and your comfort with treatment to ensure your therapeutic needs are being met. 

Can I still do a telehealth session with you if I am not in Pennsylvania or California?

In addition to holding active licenses in PA and CA, I am also authorized to practice telepsychology in PSYPACT participating states. For an up-to-date list of U.S. states participating in PSYPACT, please visit If you are not in PA, CA, or one of the participating PSYPACT states during teletherapy, I am not authorized to provide services. 

Will therapy help take my pain away?

Finding a way out of pain is a very common desire and expectation for chronic pain coping therapy. Unfortunately psychotherapy cannot eliminate or directly treat chronic physical pain, as the pain you are experiencing is not "all in your head." Rather, the goal of chronic pain management is to help you increase your functioning and live a better quality of life despite the pain. If you feel pain has been holding you hostage for months or years (or decades!), we can work on addressing the frustration, anxiety, and depression that has developed and explore ways to live well even with pain. 

How do you pronounce your last name?

I get that question a lot! My name is pronounced Nice-en-son. Just remember that I am "nice"!  I generally go by Anne, though, which is much easier to pronounce. 


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