For therapy services, I offer individual therapy services only at this time (no couples or family counseling). It is $150 for the initial 60-90 minute intake appointment, $125 for 45-50 minute follow up appointments.

For sport psych work (team meetings, workshops, etc), rates depend on the type of services being offered and the number of athletes or coaches involved. Generally, we will start at the $125 for 45-50 minute price point. I am able to travel to provide these types of services, but charge $50/hour of travel when I leave Boone county. I am happy to offer a limited amount of pro bono or discounted appointments for clients who are financially unable to otherwise pay for services. Please, do ask if this is something you might need. I would never want money alone to stand in the way of someone working to better themselves and work towards important goals!

After the initial assessment, we will roughly determine if short-term (5-12 appointments) or long-term therapy would be most appropriate for your concerns. It's typically helpful to meet weekly for the first few appointments, but as symptoms become more managed, we can change to every other week or even once a month.

Yes! As a licensed psychologist, I have ethical and legal mandates to keep all information you share with me, even your identity, confidential. This is incredibly important to me, knowing that your ability to talk openly and freely is a significant component to addressing your concerns. Diagnostic information and appointment dates are shared with insurance providers, if used. When working with minors, I generally make the arrangement that we will keep information shared private from parents except in situations where the child is clearly making dangerous choices (but the situation is not one that reaches the otherwise established boundaries for breaking confidentiality.)

Information may be shared with other entities in the case of imminent suicidal or homicidal intent, need to report child or elder abuse, or in certain legal situations when compelled by a court order.

I have a limited number of hours to offer clients and am often at or very near capacity in my caseload. Thus, I ask for at minimum 24 hours advance notice if you want to cancel your appointment time. You can call or text me at 573-777-0387 or send an email to reneemapes@gmail.com. Clients are asked to pay $75 for no show/no call/late cancelations (emergency situations and unpredictable illnesses are exempted). Insurance does not cover these types of charges, so be sure to record your appointment time accurately.

Sometimes I am able to offer a slightly later start time; however, if clients show up more than 25 minutes late for their scheduled appointment time we will need to reschedule and it will be counted as a late cancelation with the $75 charge.

I accept cash, check, and all major credit cards. Check and see if you have an HSA (health savings account) through your employer; use these pre-tax dollars to cover any costs you may have! Payment is due at the beginning of the session. However, I know that life does happen and am happy to allow clients to carry a small balance if they encounter temporary financial hardship.

I am a provider for Aetna, Anthem/Blue Cross and Blue Shield of Missouri, Coventry, MHN (Mental Health Network), New Directions EAP, United Behavioral Health, and United Health Care.

It is critical that you CALL your insurance company and confirm benefits prior to our initial appointment. You will need to know if you have a co-payment (and what that payment is) or if you need to meet a deductible (and how much that is). I am not able to make these calls for you and every plan can be different, even within the same company. If your insurance company refuses coverage, you are liable for all charges incurred. I can be very stressful to discover you might owe several hundred dollars because we've met a number of times before being informed that the services are not covered (insurance companies are notorious for taking 6-8 weeks to process claims and a large bill can accumulate in that space of time). So check before we meet!

I can try to help you with any insurance-related questions you may have, but ultimately the insurance company itself will be the best source of information. Insurance companies can be so confusing at first! But it does get easier to understand with time and a little investigating.

Call your insurance company to see what out of network benefits you may have. Sometimes insurance companies are willing to add people to their panel, even if only a one time exception, if asked. We can also make arrangement for self-pay or help you find someone who is in network.

My schedule is relatively flexible to meet Monday through Friday during most of the day and Saturday mornings. Currently, I do not offer evening appointments. I work throughout the year, around - but not on - most major holidays.

I always conduct an initial assessment in person and prioritize meeting in person after that. In some situations, including in between appointments, it can be arranged to talk over the phone for additional support or help with an emergency situation.

I do not provide psychiatric services, but I am happy to provide you with a referral to a doctor or psychiatrist if you would like to explore the option. I am not pro or anti- medication, knowing that every person and situation deserves a thorough review of symptoms and context to determine what would be the best course of action. If you've had difficulty finding a suitable medication in the past, I might recommend talking with a psychiatrist or considering the possibility of having special testing done (a test that can help determine what medications might work best with your body).

I highly prioritize providing any/all critical or urgent care to existing clients; persons in my care are strongly encouraged to contact me after hours with questions or concerns they might have. I try to respond to all contact from clients within 24 hours or less.

1. Call 911.
2. Go to any hospital emergency room or
3. MUPC (http://www.muhealth.org/locations/missouripsychiatriccenter/) if in the Columbia, MO area.
4. National Suicide Hotline: 1-800-273-8255 (http://www.suicidepreventionlifeline.org/)