TeleHealth & In Person Sessions

In response to the COVID19 pandemic and in observation of the Stay-At-Home order for Wake County, all scheduled sessions have been Telehealth since March 31, 2020.  The option for in person sessions with Angela will resume in the following manner.

In person sessions will be available to current clients who paused therapy as of March 31, 2020 or whose therapy progress is being affected by Telehealth can continue in person starting July 7th, 2020.

In person sessions will be available to any current or potential new client who prefers this form of service staring August 4th, 2020.

This decision may be revised based on how the situation develops.  Anyone who prefers to continue with telehealth sessions may do so.  Additionally, anyone who has been sick or traveled out of state in the last 14 days or has a family member meeting these two conditions are also asked to continue with Telehealth services.  Please review the below information about TeleHealth sessions and the Informed Consent document if you plan to use this option.   Additionally, if you plan to attend sessions in person, please review the information and policy document about safety for in person sessions.

For Clients Using in Office sessions

Angela will be reopening to in person session over 45 days after the move to phase 2 by our Governor.  This is to allow for the upmost caution for safety for clients and families.  Counseling sessions must be held inside a closed room and will not always allow for the constant wearing of a mask.  Additionally, shared upholstery surfaces cannot be sanitized between clients. Therefore, taking this extra time see how reopening develops and time to add safety precautions and policies is advisable.  The below documents are available for your review prior to coming to an in person sessions.  All clients attending in person sessions should expect to sign the informed consent document at their first in person session.

**INFORMED CONSENT FOR IN-PERSON SERVICES DURING COVID-19 PUBLIC HEALTH CRISIS**

**Office Safety Precautions in Effect During the Pandemic**

For Clients using TeleHealth

Angela uses a HIPPA compliant and private secure video chat service.  By 8am on the  morning of your scheduled session, you will receive an email inviting you to join the session.  Please note that all of these services are experiencing high volume at this time.  In the interest of improving client experience with video sessions and to ensure all schedules sessions can be held, Angela now has access to 2 different video conferencing services.  Vsee is designed for medical professionals and when you click the link you will be prompted to answer 2 brief questions and then enter the “waiting room.”  You may also receive a link using Zoom which will put you directly into the video link with no waiting room.

*** Informed Consent for Telemental Health Services ***

Frequently Asked Questions

How do I prepare for a video counseling session?  What should I expect?

It is important to prepare for your session by setting up a secure, comfortable place where you will have privacy and feel safe.  A laptop or desktop with a larger screen is recommended if available.  It may also be helpful to create plan in advance and discuss your need for privacy with family members when appropriate.  Good lighting on your face is helpful as well if possible.  If you need assistance developing a plan to create a safe, confidential environment please let Angela know.  Also, review the above informed consent document for more details about the risks and benefits of telemental health services.

Sometimes technical difficulties occur, but for the most part sessions will feel more similar to in office sessions than you expect.  Please consider setting up a few minutes before your appointment.  Also, be aware that credit card payments will be processed with square as they are during face to face sessions.  If your card on file has not recently been verified as up to date or you would like to use another card, please have that available for your session.

Does my insurance pay for video counseling?

Blue Cross Blue Shield is still complete covering TeleHealth Services.  Aetna will cover telehealth services and waive the copay for these services for all clients whose individual policy has televideo services listed as covered.  Magellan and Beacon Health have confirmed they will cover telehealth services.   Angela is recommending all Aetna, Magellan, and Beacon Health members call to confirm this type of coverage is on your plan.  If you are a current client please do not allow insurance concerns to prevent you from attending telehealth sessions.  Please be advised that as the reopening happens, insurance companies may stop paying their full rate for telehealth sessions as they did not prior to the pandemic.  If this occurs you, Angela will inform you and you can discuss how to handle this change with Angela at that time.

Is video counseling available for new patients?

Yes!  New clients should register online and fill out the paperwork that emailed automatically following the completion of the online portion of the new client registration.  New client paperwork must be received prior to your first session along with a copy of your driver’s license or state issue ID and insurance card.  The initial paperwork can be sent via Fax to 9195106262 or emailed to angelamcleanlmft@hotmail.com.  Alternatively if you do not have access to a printer and/or scanner, please contact Angela by phone after completing the online portion.  Copies can be left for pick up and dropped off in the secure mail box on the outside of the office door or mailed to 515 Keisler Drive, Suite 101 Cary, NC  27518.

Should I just wait to start or continue sessions after the current crisis is over?

For most clients it is not advisable to stop sessions.  Breaks of more than 1 to 2 weeks often lead to loss of progress and worsening of symptoms for depression and anxiety clients as well as couples and families.  This risk is worsened by the additional stress most of us are experiencing during this crisis.  Please speak to Angela or your current therapist before  making any changes to your current therapy schedule.

Additionally, if you have not started counseling yet but are experienced increase symptoms or increased conflict or distance with your partner, beginning video counseling as soon as possible may be a good option.  For most clients, by the time counseling is considered, problems are severe enough that waiting weeks or months to start could lead to additional problems and suffering.  Please consider a free phone consultation with Angela if you are wondering about when to start counseling.