Appointment Details

WPH is out of network and does not directly accept insurance/medicare, so payment (by check or cash) is required at the time of service. Dr. Trettin bills patients directly by providing an invoice with appropriate appointment and diagnoses codes; patients can check with their insurance about reimbursement for an out of network provider (reimbursement varies and depends on insurance company). WPH does not offer a sliding scale, but Dr. Trettin tries to work with people through frequency of sessions and accessibility.

Initial session fees:

  • $550 for initial evaluation (lasts up to two and a half hours)
  • $100 for initial paperwork (preliminary time spent processing and documenting information is extensive; patients are provided with thorough appointment summary upon completion of this paperwork)

Ongoing session fees:

  • $275 for 45-minute integrated medication-therapy appointments (fee includes Dr. Trettin’s time outside of sessions working on charting, notes, emails, calls, etc.)
  • $100 for extensive paperwork (e.g., long disability forms or involved/complicated letters)

Dr. Trettin values an integrated medication-therapy approach (even if people also have a separate therapist), which requires the above longer appointments. She does not offer a pure “medication-management” appointment. Sessions are through a secure and confidential psychiatry-based video service or potentially in-person (if fully vaccinated against Covid).

Office hours to see patients are Monday, Tuesday, and Wednesday throughout the day; there are also evening times available on Tuesdays. The initial session is usually scheduled for Wednesday during the day. Dr. Trettin meets with people anywhere from once a week to every three months depending on the issues. She is accessible in between sessions by email (preferred) or phone.

Dr. Trettin is currently booked for initial evaluations and is asking potential new patients to reach back out via email after December 1st if still interested in scheduling given this practice information.