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Insurance & Payment Options

At Center for Balanced Living, we want understanding your payment options to feel straightforward. We are in network with Blue Cross Blue Shield, Aetna, Health Options, and Medicare. Coverage and out-of-pocket costs depend on your individual plan, so please contact us to discuss your benefits before your visit.

If we are out of network with your insurance, we are willing to discuss contracted rates based on your individual insurance plan. We also offer flexible payment plans and sliding scale fees.

For those who prefer to finance their care, we accept CareCredit. CareCredit sets up a payment plan based on your balance, with several plan options to choose from, and each option carries its own interest terms. Financing is subject to approval and CareCredit terms. Contact us to talk through the options available to you.

Psychological Evaluations

A psychological evaluation is part of an overall assessment. This includes a clinical interview, a battery of cognitive, behavioral, emotional, and personality and psychopathology tests and self-report measures, a review of records, a collateral interview with family/friends/doctors/therapists, analysis of data, and report writing.

These evaluations are typically used to clarify diagnosis and guide treatment for therapeutic purposes (i.e., if you are in therapy). Clinical psychologists typically perform these types of evaluations. Psychologists will administer tests and measures for various issues related to an individual’s psychological, emotional, and behavioral functioning. Specifically, a clinical psychologist will select the appropriate tests based on the referral question. (Do I have Bipolar Disorder?)

Testing day is a long day. It is best to rest the night before. During the testing sessions, we will complete various tests that examine cognitive abilities, problem solving, verbal and nonverbal abilities, memory, attention and perhaps social perception and abilities. Individuals are encouraged to take breaks and can end testing at any time. They are also encouraged to wear comfortable clothes, and to bring snacks and drinks.

Each insurance plan is different. We call for benefits prior to your intake. We send a financial responsibility email before scheduling. We try to be as transparent about the process as we can. There are some policies that cover 100% and others that do not. The best way to know is let us look up your benefits for you.

The short answer is it depends. Each evaluation comes with a specific question and to answer those questions are different for each person. However, Dr. Serravalle works hard to complete the process as quickly as possible. Usually between 4-8 weeks.

Similar to the psychological evaluation, the neuropsychological evaluation is part of an overall assessment. However, there are a few differences here. First, the psychologist conducting the neuropsychological evaluation must be specifically trained in neuropsychological tests and measures.

At a minimum, they are licensed psychologists in their state and can practice independently and hold the equivalent of two full-time years of experience and specialized training in neuropsychology and related neurosciences. At least one of the years must be obtained post-doc, and both years are supervised by a clinical neuropsychologist.

Secondly, neuropsychologists use their in-depth knowledge of brain-behavior relationships to assess and evaluate patients with neurological, medical, neurodevelopmental, psychiatric, and cognitive conditions. They use tests, puzzles, and game-like activities to evaluate different cognitive areas of the brain, such as attention, memory, language, executive functioning, visual-spatial relations, motor skills, and intelligence. This evaluation is looking at the whole person, not just psychological functioning. The results will aid in understanding the underlying neurocognitive processes and their relation to an individual’s behaviors.

Center for Balanced Living provides psychological, psychoeducational, and neurodevelopmental evaluations.

Results answer the referral question. They are most often used to guide treatment, support school planning such as an IEP or 504 plan, and document the need for academic or workplace accommodations. Some people seek an evaluation simply to understand themselves more clearly.

Dr. Serravalle is not a forensic psychologist and does not complete evaluations for custody, fitness for duty, competency, workers' compensation, or malpractice. Through her work with the Delaware Psychological Association, she can refer you to forensic colleagues.

The purpose of this evaluation is to provide an in-depth study of the cognitive/intellectual processes and current academic levels of functioning. This evaluation might also include an assessment of memory and executive functioning. The outcome is not a diagnosis but the ways in which any deficits or strengths impact the learning environment. The results may indicate learning giftedness as well as learning disorders. This type of evaluation usually informs IEP, 504 and accommodations for school. These evaluations are not covered by insurance.

The purpose of this type of evaluation to determine a
level of risk. The evaluation is examines one’s history, static and protective factors as well as current psychological functioning. They often require collateral data/participation. These assessments are not covered by insurance.

Therapy

The first few sessions are about getting to know each other. After that, therapy asks for steady attendance and a willingness to look closely at the parts of your life that need adjusting.

Both. Our clinicians see clients in person at the Townsend office and by telehealth across Delaware. Which fits best is part of the first conversation.

Individual sessions are usually about 50 minutes. Our clinicians start and end on time out of respect for your schedule.

The main goal of Acceptance and Commitment Therapy is to help individuals recognize ways they attempt to suppress, avoid, and control emotional experiences that can create further challenges. By compassionately recognizing and addressing these challenges, an individual can become more able to make room for values-based actions that support their well-being. Learning how to accept things as they come, without evaluating or attempting to change the situation is a skill that can be developed in sessions and can be practiced outside of the sessions. ACT is not about changing or stopping those unwanted feelings or thought processes, it is about changing your relationship with them. ACT therapy can offer freedom to people who struggle with not wanting to have “full control” or an inability to “let things go”.

Cognitive Behavioral Therapy is a structured, problem-focused therapy in which individuals are taught to observe and document their negative thoughts so they can identify the associations between thoughts, feelings, physiology, and behavior. Individuals will learn to assess the rationality and usefulness of these cognitions and change dysfunctional cognitions to amore adaptive perspective. Behavioral techniques such as activity scheduling, self-monitoring of mastery and pleasure, and graded task assignments are used to help individuals overcome disinterest and expose themselves to rewarding experiences. Individuals also learn adaptive coping skills and problem-solving skills. Cognitive Behavioral counseling entails many strategies and techniques to help depressed individuals address their thinking including psychoeducation, guided discovery, Socratic questioning, role-playing, imagery, and behavioral experiments.

Dialectical Behavior Therapy (DBT) is a therapy used to help individuals develop skills to better manage stress, emotional regulation, and to help redirect behavioral patterns such as self-harm or other compulsive behaviors. DBT combines the standard cognitive-behavioral techniques, acceptance therapy, and mindful awareness. Mindfulness is one of the core elements in DBT therapy. It is a great foundation for the other building blocks that come with therapy and DBT skills. The acceptance portion of DBT helps individuals tolerate the powerful emotions that can come with therapy and life. The acceptance and mindfulness that is taught within DBT therapy create the ability to pay attention, nonjudgmentally, to the moments at hand. And reframes one’s perspective to handle it with more positive outlets and responses. The acceptance skills taught help one to no longer judge themselves for having these emotions or for being in “negative” situations. This can create less distress and panic when things come up.

Eye Movement Desensitization and Reprocessing (EMDR) is a form of therapy that is geared for individuals who have experienced physical and emotional trauma, and experience overall emotional distress from difficult life experiences. EMDR therapy is a parallel concept where your brain can heal from psychological trauma and how your body can recover from physical injury. EMDR therapy is a direct approach to one’s trauma, to be able to face the situation (at their own pace) under the supervision and guidance of a certified EMDR therapist. EMDR therapy is different from talk therapy in a few ways. EMDR therapy involves biological aspects such as eye movements (or other bilateral stimulations), that allows the brain to reprocess triggering memories.

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