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Cognitive Behavioral Therapy and Medication Management

Cognitive behavioral therapy (CBT) sessions, including the initial evaluation, are about 45 minutes to one hour in length. Medication evaluations are about 45 minutes in length and follow-up appointments related to medication are about 15 to 20 minutes in length.

CBT is usually once per week and lasts about three to five months, though some situations may require more or less frequent meetings, and can be shorter or longer in duration depending on the situation. Medication follow-up appointments are typically monthly. After the first or second session, we can give you an estimate regarding how long your treatment should last.


We do not participate in any insurance panels. We are considered “out-of-network” providers and you may be able to request reimbursement from your insurance company for a portion of our fees. We can provide you with all of the necessary paperwork to submit to your insurance company to request reimbursement. We are a fee-for-service practice and accept cash, check, and credit card, including HSA cards with a credit card logo.

Dr. Messina & Associates
1500 Corporate Circle, Suite 7
Southlake, TX 76092
Phone: 817-677-0449
Fax: 817-382-3749
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