What Is Sex Therapy?
Sex Therapy is a specialty within Psychotherapy and Mental Health which focuses on the treatment of concerns related to Human Sexuality and Gender.
Megan Neitling, LMHC will use Sex Therapy to help you discuss and find solutions to the issues or concerns you are experiencing. Clients will collaborate with Megan to create a specific treatment plan to meet your goals. Megan may refer you to other specialists to assist in your treatment.
Treatment often involves the use of sex education, sexual or relational enhancement techniques, books, video, photographs, diagrams, or models to assist a clients during their treatment. Often, during Sex Therapy, homework will be assigned for the individual or partner(s) to use at home. Homework can vary in the level of communication and touch, either with oneself or with their partner(s).
No physical contact will occur, on site or off site, between clients and Megan. There is no nudity involved in treatment.
No video or audio recording will be permitted during Sex Therapy or Psychotherapy sessions.
What Is An AASECT Certified Sex Therapist?
A Sex Therapist is a term for a Mental Health Clinician that specializes, or practices, within the field of Human Sexuality and Gender. Megan is an AASECT Certified Sex Therapist which means they have received extensive education, training, and clinical supervision from AASECT to provide Sex Therapy to clients. AASECT is the only accrediting body for Sex Therapists in the USA.
There are only two states in the USA (Florida & California) that regulate which professionals can call themselves Sex Therapists. In those states, to use the term Sex Therapists, the professional must be AASECT certified. Unfortunately, Indiana does not regulate the term Sex Therapy. Thus, there may be other professionals that call themselves a Sex Therapist or say they are providing Sex Therapy. However, not all of them will have completed the same level of education or training to become certified. You can find other AASECT certified Sex Therapists at www.AASECT.com
What is an LMHC?
Megan has received extensive education, training, and clinical supervision to provide therapy.
Megan attended a Master’s program in Clinical Mental Health Counseling that was accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP).
In addition to her Master’s degree coursework, she completed a 100 hours of practicum, 600 hours of internship, and 300 hours of advanced internship in Mental Health Counseling while receiving clinical supervision.
Megan then took, and passed, the National Counselor Examination (NCE) which is administered by the National Board of Certified Counselors (NBCC) in order to graduate with her Masters in Clinical Mental Health Counseling.
Megan earned 3000 hours of supervised clinical practice and accrued 100 hours of clinical supervision.
In order to become fully and indepdently licensed, Megan took the National Mental Health Counselor Examination (NMHCE) as administered by the National Board of Certified Counselors (NBCC).
What Are Your Business Hours?
Monday 10am to 4pm
Tuesday 10am to 4pm
Wednesday 10am to 4pm
Thursday 10am to 4pm
*Please Note: 3:00 pm is the latest available session time each business day.
Do you Offer Evening or Weekend Appointments?
No. Bloom Behavioral Health only provides day-time appointments for clients. Just like scheduling with other specialists, clients may need to accommodate their schedules to receive Sex Therapy or Sexualities Education.
What is Video TeleHealth?
What is a Virtual Business?
Bloom Behavioral Health is a virtual business meaning all counseling services by Megan Neitling, LMHC, CST are provided via TeleHealth.
All therapy sessions are held virtually from the comfort of your home or your work office using a secure and HIPAA compliant video platform.
What is TeleHealth?
TeleHealth can involve providing a range of services including Mental Health Therapy (individual therapy, marital therapy, group therapy), Sex Therapy, or Sexualities Education. TeleHealth involves direct interaction between a Mental Health professional and the client through a virtual video platform.
What are the Benefits to TeleHealth?
- Scheduling Flexibility: If you’re too busy to maintain traditional in-person therapy session, TeleHealth is the solution! If adding one more appointment on the calendar feels too overwhelming or just impossible, virtual therapy alleviates that barrier to care.
- Convenience & Better Client Care: With Telehealth, there is no more commuting to the office, no more rushing around in traffic, no need to take a longer lunch break to squeeze in your therapy session, no need to arrange a babysitter or childcare, and no time wasted sitting in a waiting room.
- Cost Reduction: Nearly all research suggests that Telehealth saves money when compared with traditional in-person approaches to Mental Health care. For clients, this often means lower transportation costs, less time missed from work, and less money spent on child care expenses.
- Increased Privacy: TeleHealth eliminates the possibility of someone you know seeing you in the waiting area of therapy office or leaving the office.
- Provides a Safe Space: TeleHealth allows therapy to be conducted in any private location (home office, private work office, bedroom, car, living room, etc.) When therapy is utilized in your own space, clients report feeling more comfortable which improves their ability to discuss and process sensitive or difficult topics.
- Access to Specialized Care: TeleHealth can be conducted from anywhere within the state of Indiana. People over the state of Indiana have access to Mental Health Therapy, Sex Therapy, and Sexualities Education. Since there are so few Certified Sex Therapists in the state, more folx can receive treatment.
- Same-level of Care: No client outcome difference was found between Telehealth appointments and face-to-face office visits.
- Marriage and Couples Counseling Benefits: You and your partner/spouse no longer need to be in the same physical space for therapy! Partners can be in their own personal spaces (work, home, office, etc.) and call in to the same HIPAA compliant TeleHealth Video session. Virtual Therapy is great for Couples that want to work on their relationship but can’t be together in the same space.
- Accessibility: Anyone living in the state of Indiana can become a client at Bloom Behavioral Health with virtual services. TeleHealth is also an option for people experiencing limitations with reliable transportation or access to specialized care. TeleHealth allows accessibility for people with chronic illnesses or physical disabilities. Accommodations to TeleHealth can be made for clients that are hearing impaired, visually impaired, or deaf.
Is Virtual Therapy Effective?
Research has extensively studied the effectiveness of video-based therapy. There is no difference between online therapy versus traditional in-person therapy. When Megan began providing TeleHealth, they quickly realized clients were more comfortable during video sessions than they were in the office. Virtual therapy allows clients to feel safe and secure from the comfort of their own home or office, which often increases the rate of the client’s emotional growth. This personal growth often results in meeting their therapy goals! Also, when sessions are held from your home, your pets get to join the session to provide emotional support!
How Much Does a Virtual TeleHealth Session Cost?
TeleHealth provides clients the same clinical skills, clinical knowledge, resources, and expertise as an in-person session provides. Thus, TeleHealth sessions are the same rates an in-person AASECT Certified Sex Therapist and Doctoral level clinician charges in Indiana. My rates are $200 for the initial session and $175 for all subsequent sessions, unless the client chooses a reduced rate for up to 6 months of treatment.
Is Video TeleHealth Secure? What Can I Do If I’m Concerned About Privacy?
Bloom Behavioral Health assures clients that all video sessions are held to the highest possible level of confidentiality. For this reason, Bloom Behavioral Health uses a secure video platform that protects clients information. Once your appointment is scheduled, a unique video link is sent to you. This link will open the TeleHealth Video session that is HIPPA compliant, meaning that the video platform has the highest standard of protection in the healthcare field.
To protect privacy, Bloom Behavioral Health recommends having a private space available to use during your TeleHealth sessions. Other options to help increase your privacy are: 1) use a headset instead of the phone or computer speakers, 2) utilize a white noise machine outside of the room you’re in [If you have an Amazon Alexa or Google Home, ask it to “play white noise”], 3) Sit outside if the weather is nice or sit inside your car.
How Do I Know If TeleHealth is Not Right For Me?
That is truly a personal choice to determine if TeleHealth is the right fit for you. However, Bloom Behavioral Health asks clients to try TeleHealth Video for the first session. Then, if we decide it is not a good fit, referrals can be made to in-person therapists. Many clients that were initially hesitant about TeleHealth discovered they felt comfortable having therapy online and found it more convenient for their schedules. However, TeleHealth is not an appropriate treatment method for clients with chronic suicidal or homicidal thoughts or clients that are in a crisis situation. Any client that is in immediate crisis should call 911 to receive immediate help or go directly to the nearest emergency room
TeleHealth Parity in Indiana
An Executive order was made in Indiana that stated all licensed mental health professionals within the State of Indiana are permitted to conduct their work via TeleHealth. Executive Order 20-05.
As added by P.L.185-2015, SEC.25.
How Long Is Each Session?
Sessions are typically 50 minutes in length.
Extended sessions times are available upon request for an additional pro-rated fee.
*Please Note: Some Out Of Network Insurance Benefits do not reimburse for extended therapy sessions (60+ minutes), and as such, it is typically considered an out-of-pocket expense.
What Are Your Session Rates?
$200 per 50-minute Intake Session
$175 per 50-minute Therapy Session
Clients must pay the full session fee at the time of service.
*Please note: For couples/partners therapy: The first 3 sessions will be charged at the Intake Rate of $200. The 1st session is the Couples/Partners intake. Then, the 2nd and 3rd sessions are the Individual Intakes. The fourth session, and subsequent sessions, will be charged the rate of $175.
*Read about Reduced Rates in the next F&Q section.
*Bloom Behavioral Health’s rates are commensurate to AASECT Certified Sex Therapists, Sexuality Educators, and Doctoral level clinicians.
Do You Offer Reduced Rates?
Bloom Behavioral Health believes everyone deserves access to specialized Mental Health Care and Sex Therapy. Clients may choose to use a reduced rate for up to 6 months of treatment.
Add $25 to chosen Tier per 50-minute Intake Session
$165 per 50-minute therapy session
$155 per 50-minute therapy session
$145 per 50-minute therapy session
*For couples/partners: The first 3 sessions will be charged at the Intake Rate, which adds $25 to the chosen Tier. The 1st session is the couples/partners intake. Then, the 2nd and 3rd sessions are the individual intakes. The fourth session, and subsequent sessions during the 6 months, will be charged the rate of the chosen Tier.
*Please note: every 60 days, clients using Reduced Rates will be reassessed to determine if there have been financial changes. Clients may use a Reduced Rate for up to 6 months of treatment.
*Bloom Behavioral Health’s rates are commensurate to AASECT Certified Sex Therapists, Sexuality Educators, and Doctoral level clinicians. Bloom Behavioral Health is unable accept rates below the usual, customary, and reasonable (UCR) rate for these specialty mental health services.
What Payment Methods Do You Accept?
Accepted Payment Methods
Bloom Behavioral Health accepts Credit or Debit (Visa, MasterCard, American Express, Discover), Health Savings Account (HSA), and Flexible Spending Account (FSA).
Past Due Invoices & Scheduling
Please note, clients will not be able to schedule a new session, or receive any additional sessions, until their balance is paid in full.
If the client has an unpaid invoice 24 hours prior to an existing scheduled session, Bloom Behavioral Health reserves the right to cancel the session until the invoice is paid in full.
Do You Accept Insurance?
Why We Do Not Accept Insurance
Bloom Behavioral Health has decided not to bill, or work with, insurance companies directly.
Bloom Behavioral Health feels it is important to share the reasons we decided not accept insurance. If you are curious to know more, please read below.
1) As an AASECT Certified Sex Therapist, Megan does not wish to label or diagnose sexual concerns, gender, or mental health as “dysfunctional” or “pathological”. If Megan were to accept insurance, or submit claims directly to insurance, a mental health diagnosis is required. This diagnosis would stay in your medical history indefinitely. A mental health diagnosis may impact the ability to obtain life insurance, health insurance, or certain jobs (military).
2) Insurance companies can limit the number of therapy sessions and insurance companies can determine the type, or method, of treatment that is “covered”. The insurance companies preferred treatment method is directly tied to the diagnosis provided. This limits the therapists’ ability to provide specialized care to the client. Megan wants to work directly with the client(s) to determine the best treatment options and not have insurance, or a third party, involved in the process.
3) TeleHealth is not covered by all insurance plans. Thus, insurance companies may not allow all clients to have access specialized therapy services.
4) Your insurance company determines what treatment is “medically necessary”. This means Sex Therapy, Couples Therapy, or Sexualities Education may not be a covered “medically necessary” service.
5) When you use insurance, there are increased risks to the confidentiality of your clinical notes, treatment plan, and therapy records. The insurance company will have access to your entire therapy record, if requested. Since Sex Therapy and Sexualities Education is sensitive and private in nature, Megan has chosen to not accept insurance to protect the client’s confidentiality.
Do You Provide SuperBills?
Knowing the risks to using insurance, clients can request a Superbill. Clients will submit the SuperBill directly to their health insurance company. If the client has Out-Of-Network benefits, they may be reimbursed directly from the insurance company for a percentage of the session fee, based on what their plan allows, if applicable.
Diagnostic Codes for Out Of Network Benefits
Some services, including Couples/Partners Therapy, Sex Therapy, or TeleHealth may not be covered by health insurance as a “medically necessary” service when claiming Out Of Network Benefits. Additionally, insurance may not cover the DSM Diagnostic Code Z63.0 (“Z63.0: Counseling for Marital and Partner Problems”). Most often, it is the Diagnostic Code that causes a claim to be rejected or denied for reimbursement. Bloom Behavioral Health will only use a diagnosis that fits the client’s presenting clinical concerns. Bloom Behavioral Health will not engage in unethical or fraudulent insurance billing. As a result, services may be considered an out-of-pocket health-care expense and may not eligible for reimbursement from your Insurance company. Clients are liable to pay all session fees at the time of service.
What Is Your Cancellation Policy?
Cancellation and No Show Policy
Cancel or reschedule your appointment at least 24 hours in advance.
Client reminders are sent out 48 hours prior to your session via email and/or text. It is preferred that you give as much notice as possible (more than 24 hours notice) to Bloom Behavioral Health if you need to cancel/reschedule a session so that Bloom Behavioral Health can offer the session time to another client in need.
Clients must manage the scheduling, cancelling, and rescheduling of appointments using the Simple Practice Client Portal. If there is less than 24 hours notice to cancel, you must email Megan directly.
Late Cancellations and No-Show Fees
Cancellations, no-shows, or re-scheduled sessions will be charged the full session rate (Tier 1: $145, Tier 2: $155, Tier 3: $156, or Standard Rate $175) if notice is not recieved at least 24 hours in advance.
This policy is necessary because a time commitment is made, and held, exclusively for your treatment.
*If a client has 3 or more late cancellations, re-scheduled sessions, or no-shows (consecutive or non-consecutive), Bloom behavioral Health will discuss if terminating the therapeutic service is clinically appropriate.
How Do I Request An Appointment?
How To Request An Appointment
Send an appointment request via email using the “Contact” feature below.
Expecting A Response from Bloom Behavioral Health
Please check your spam or junk folder to ensure you don’t miss an email response.
Megan will reply to your email during business hours Monday through Thursday 10am to 4pm. *It may take 3-5 business days to receive a response.
Scheduling Via Phone
If you prefer to have a phone consult to schedule your first appointment, please provide day & time options for a phone call in your email request. This call will be schedule via email as Providers are not readily available for phone calls during, or outside of, business hours.
*Please note: Phone calls do not typically exceed 20 minutes. Phone calls will consist of the following: discuss how Bloom Behavioral Health can assist you, review session fees, review accepted payment methods, and discuss the required intake paperwork. Then, we will discuss how to schedule your initial session.
Is Therapy Confidential?
All therapy sessions are confidential. Confidentiality means that protected information about a client, including the information a client shares in therapy, cannot be disclosed to others without written consent from the client.
However, the parent or guardian of minor clients will be able to obtain certain information about the client.
There are exceptions where the clinician must break confidentiality:
1. Suspicion and/or knowledge about any form of child, elder, or dependent adult abuse. [This includes currently or previous viewing, storing, taking, or distributing child pornography or engaging in non-consensual sexual activity.]
2. Threatening to harm other person(s).
3. Threatening to harm yourself.
4. If there is perceived danger to the health of others if the client is a carrier of a communicable disease. This means, if the client engages repeatedly in a behavior that transmits a dangerous communicable disease or indicates a careless disregard for the transmission of the disease to others [defined by by the state department IC 4-22-b].
If any of these exceptions to confidentially occur while a client is in treatment or requesting treatment, confidentiality will be broken and appropriate measures will be taken to ensure the safety of the client and others.
Contact Bloom Behavioral Health
Communicate Via Email
Communicate with Megan via email to schedule a phone consultation and discuss next steps.
Complete Required Intake Paperwork
Complete the required intake paperwork then schedule your session online.
Contact Bloom Behavioral Health
Email Bloom Behavioral Health below to discuss appointment availability. Please submit your name, email address, phone number, and requested Self Pay Rate with your message.
Remember to check your junk/spam folder for email responses.
For Mental Health Emergencies call 911 or visit your nearest hospital.
Confidentiality Notice: By submitting this request form, you are acknowledging that there are inherent confidentiality risks communicating via email. By communicating with Bloom Behavioral Health via email, you agree that Bloom Behavioral Health has your authority and direction to also communicate with you by email.
Contact Megan Neitling, LMHC, CST:
*To request therapy services, email Megan using the “contact” feature on the website.
Monday through Thursday 10am to 4pm
All therapy sessions are held online/virtually using secure TeleHealth Video.