Welcome
  • Home
  • Dr. Bira
    • About
    • Media
  • Sessions
    • Therapy + Coaching >
      • Client Portal
    • Physician Wellness
    • Mindfulness
  • Speaking + Consulting
  • Audios // Store
  • Contact

THERAPY + COACHING

I see clients in Texas and Florida by video (also called telehealth). 
​I do not take insurance but focus on making movement quickly, and help you with insurance reimbursement.  
​

>>   LIMITED EVENING APPOINTMENTS AVAILABLE   <<
​

PTSD + TRAUMA

Posttraumatic stress disorder can develop after a traumatic experience.  ​I specialize in treating adults and children for trauma from accidents, deaths, sexual assaults, combat and more.  I use what research shows works, and combine approaches as needed to get symptoms resolved as quickly as possible.  I offer CPT, PE & mindfulness-based therapy.

ANXIETY + MOOD

Anxiety and depression are the most common mental health symptoms.  They may come out-of-the-blue or may be triggered by life events.  Either way, I help you take steps to explore patterns, take back control, and get better.  Includes: Panic attacks, OCD, social anxiety, guilt & worry, low self-esteem, depression, suicidal thoughts. 

HEALTH + BODY

I treat insomnia, sleep issues, chronic pain, tinnitus, tic disorders (i.e., Tourette Syndrome), and sexual dysfunction.  I also help with weight loss, smoking cessation, adjusting to medical conditions (e.g., HIV, cancer, renal disease, diabetes), and more. ​​​Cognitive behavioral therapy can be very effective for making change and adjusting.    
​

IMPROVING LIFE

Along with treating mental health disorders, I help people improve their lives through coaching.  Issues may include: navigating life events, career change, communication barriers, dating, stress management & more.  How might you live better? Let's explore that and find a path that leads you there.​​​

TEENS+YOUNG ADULTS

Teens and young adults deal with special issues related to social life, school, independence, self-esteem and college decisions.  Developing skills to manage issues means life is smoother and parents worry less -- finding a healthy path to follow now leads to more open doors later.
Picture
Request Appointment
(Toggle between office & video availability.  If you request an appt, I will call you to touch base within 24 hours.)

VIDEO + IN-VIVO SESSIONS



​VIDEO:

Picture
I have HIPAA-compliant, secure video technology that allows me to meet with clients throughout Texas.  No program or download is required -- just a simple weblink to a very protected site from any smart device.  It's the same care but from the comfort of your home or work space.  Research has shown that video sessions are just as effective as office sessions when the right approach is being used.  Please contact me to determine if this approach is right for you.  
​



​​IN-VIVO:

Picture
I sometimes hold sessions in-vivo, or in the world outside the office.  In-vivo treatment sessions are prescribed for certain treatment reasons and can be especially effective for anxiety-related disorders, such as phobias, PTSD, and social anxiety. I join my client in the process of recovery beyond the therapy office.  We will discuss this if it fits with your treatment needs.

FEES + INSURANCE

Phone consultation (10 min.) .................................. FREE   
Full Session (50 min.) ............................................... $230 (Specialized rate.  Most clients submit for insurance reimbursement.  Read more below.)
1/2 Session (25 min.) ................................................. $115
Full Diagnostic Evaluation w/ written report ....... $350/hr, estimated 5-6 hours (interview, testing, scoring, report writing, delivery)
Professional Letter (ESA, disability, etc.) ............... $220
Late Cancellations ...................................................... $50
​No-shows .................................................................... $150
Phone calls for treatment support .......................... $75 for 15 minutes or less

​
I am a private pay, out-of-network provider, meaning I DO NOT take insurance up front.  However, most all clients can get partially reimbursed through their insurance -- Please email me and I will help you navigate that process.  I also take Health Savings and Flex Spending Account payment (HSA/FSAs). 
I typically see my clients get 30-60% of my rate back in their pocket from insurance reimbursement, depending on the plan.​

I am not on insurance panels by choice.  There are multiple reasons for this:  1) Insurance does not recognize levels of specialization or training quality in providers; 2) Insurances require a formal diagnosis to be kept on record, which decreases privacy; 3) Insurances often restrict the number of sessions, which may not be in the individual's best interest; 4) Insurances require much paperwork and create delayed payouts.  Extra specialization allows a provider to offer research-based, action-oriented, high quality treatment.  Thus, to ensure that I am able to function at my best to protect my patients' privacy and provide the most efficient care, I do not work with insurance directly but do help with reimbursement in all ways possible, My focus is on alleviating your symptoms in a confidential way that is the very best for YOU.  

If you are looking for someone who takes your insurance,
the best way to find a provider is to go to www.psychologytoday.com, use the therapist finder tool, enter your city (or state if video therapy works for you), then filter the profiles by your insurance provider.  Look at the therapists, see who has good training in CBT, ACT etc. and seems personable, make a few calls, and try them out.  Finding a good therapist is a lot about finding someone with good training, but also finding a good personality match :)
Request Appointment

Mindfulness audios by Dr. Bira available HERE

Picture
​License #TX37254
DrLB@DrLindsayBira.com
2 1 0 . 9 2 0 . 5 4 6 9
​Fax:  866-412-1684

 © 2019 Dr. Lindsay Bira, LLC.  All rights reserved.  
Photo used under Creative Commons from Tobias Zils
  • Home
  • Dr. Bira
    • About
    • Media
  • Sessions
    • Therapy + Coaching >
      • Client Portal
    • Physician Wellness
    • Mindfulness
  • Speaking + Consulting
  • Audios // Store
  • Contact