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Cognitive behavioral therapy (CBT) sessions, including the initial evaluation, are about 45 minutes to one hour 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. After the first or second session, we can give you an estimate regarding how long your treatment should last.

Medication follow-up appointments are typically monthly. Medication evaluations are about 75 minutes in length and follow-up appointments related to medication are about 30 minutes in length. Psychological testing is usually scheduled over a period of a few hours, like in the morning or in the afternoon.

Psychological testing usually includes an initial evaluation, followed by testing, and then a feedback session to review results and the evaluation report.

Insurance and Payment

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.


Cognitive Behavioral Therapy (CBT) Dr. Messina & Associates, Cognitive Behavioral Therapy

Cognitive Behavioral Therapy (CBT)

Psychological Testing Dr. Messina & Associates, Psychological Testing

Psychological Testing

Online Counseling Dr. Messina & Associates, Online Counseling

Online Counseling

In-Person Counseling Dr. Messina & Associates, In-Person Counseling

In-Person Counseling

Psychiatry Dr. Messina & Associates, Psychiatry


Telepsychiatry Dr. Messina & Associates, Telepsychiatry


Psychiatric Medication Management Dr. Messina & Associates, Psychiatric Medication management

Psychiatric Medication Management

Anxiety Dr. Messina & Associates, Anxiety


Depression Dr. Messina & Associates, Depression


Obsessive Compulsive Disorder (OCD) Dr. Messina & Associates, Obsessive Compulsive Disorder (OCD)

Obsessive Compulsive Disorder (OCD)

Attention Deficit Hyperactivity Disorder (ADHD) Dr. Messina & Associates, Attention Deficit Hyperactivity Disorder (ADHD)

Attention Deficit Hyperactivity Disorder (ADHD)

Oppositional Defiant Disorder (ODD) Dr. Messina & Associates, Oppositional Defiant Disorder (ODD)

Oppositional Defiant Disorder (ODD)

Autism Spectrum Disorder Dr. Messina & Associates, Autism Spectrum Disorder

Autism Spectrum Disorder

Insomnia Dr. Messina & Associates, Insomnia


Panic Disorder Dr. Messina & Associates, Panic Disorder

Panic Disorder

Social Anxiety Dr. Messina & Associates, Social Anxiety

Social Anxiety

PTSD Dr. Messina & Associates, PTSD


Disruptive Mood Dysregulation Disorder Dr. Messina & Associates, Disruptive Mood Dysregulation Disorder

Disruptive Mood Dysregulation Disorder

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Separation Anxiety

Bipolar Disorder Dr. Messina & Associates, Bipolar Disorder

Bipolar Disorder

Mental Health Services Dr. Messina & Associates, Mental Health Services

Mental Health Services