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FSA and HSA for Mental Health: What Is Eligible, How to Document Therapy and Psychiatry

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The first time Adaeze Okafor swiped her HSA debit card at her therapist’s office in Brooklyn for what was, technically, an HSA therapy reimbursement through direct point-of-sale payment, the receptionist looked at the card, looked at Adaeze, and said with the certainty of someone who had explained this fifty times before, “You can use this … Read more

Cognitive Behavioral Therapy for Insomnia (CBT-I): The Evidence-Based Sleep Treatment Most Doctors Do Not Mention

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Marisol had been taking zolpidem for nine years when her new primary care doctor in Tucson finally said the thing nobody else had: “The pills are not fixing your sleep. They are masking it.” She was 52, waking at 3 a.m. every night, exhausted by 10 a.m., and convinced she was broken. Her doctor handed … Read more

ADHD Specialist Near Me: How to Find a Diagnosing Psychiatrist or Psychologist Who Takes Insurance

Marcus Rivera was thirty-four when his marriage almost ended over a forgotten anniversary dinner reservation. He had set three reminders. He had told his wife that morning he was looking forward to it. By 7:48 p.m., when she was sitting alone at Bavette’s in Chicago’s West Loop with a glass of Sancerre, Marcus was still … Read more

Menopause and Mental Health: Hormonal Changes, Anxiety, Depression, and HRT Considerations

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Priya was 47 when her therapist of seven years said the sentence that changed her life: “I think your depression is hormonal, not psychological, and we should get you to a menopause specialist before we change another antidepressant.” Priya had been on three different SSRIs in two years. None of them had quite worked. She … Read more

Maintaining a Therapeutic Relationship Across Years: Pacing, Pausing, Returning, and Knowing When to End

Therapy Across Years, Not Months The cultural script around therapy treats it as an episode. The patient enters with a problem, works on the problem, and exits when the problem is resolved. The reality for many people who use mental health care over a lifetime is different. Therapy is a relationship that can span decades, with periods … Read more