Rabjohn Behavioral Institute, PLLC
1839 Cannon Dr, Ste 101
Mansfield, TX 76063
817.539.2282
Information you need
Q: Does RBI file insurance claims?
Rabjohn Behavioral Institute is not currently on any insurance panels, and RBI does not bill or accept payments from insurance companies. This classifies RBI as an out-of-network provider. Payment arrangements are exclusively between Rabjohn Behavioral Institute and its clients.
However, many of our clients do use their health insurance to help them with our charges. This can be easily done by submitting the itemized receipt that we give you for each appointment to your insurance company, who will reimburse you directly. For this process, we are considered out-of-network providers.If you would like to use your insurance to offset our charges, we suggest that you discuss three points with your insurance provider:
What is your specific coverage for outpatient mental health care?
What is your deductible for out-of-network mental health coverage?
What is your annual maximum coverage for outpatient mental health?
Q: What are the fees for an appointment at RBI?
Psychiatric care at Rabjohn Behavioral Institute is provided on a fee-for-service basis. Our fees vary depending on the length of the treatment session. Payment is required at the time of service. Currently, we accept all major credit cards, debit cards and cash. We do not currently accept checks.
70 minute diagnostic evaluation with Dr. Rabjohn: $500.00
20 minute follow-up medication visit with Dr. Rabjohn: $200.00
75 minute child evaluation with Dr. Redd: $500.00
70 minute diagnostic adult evaluation with Dr. Redd. $500.00
20/30 minute follow-up medication visit with Dr. Redd: $200.00
** Please see Dr. Redd's paperwork for other fees listed
90 minute evaluation with the Nurse Practitioner, Michelle Vasquez $500.00
30 min medication follow-up with Michelle Vasquez: $175.00
50-minute psychotherapy visit with Gramigna/Gortney: $125.00
Weekly Life-Coaching with Ms. Laurie Carroll: $125.00
Q: Why doesn't RBI accept insurance?
RBI believes it is important for all Americans to have health insurance. However, we also believe that our allegiance and responsibility is to you, the client. Because of the severity of psychiatric illness, we feel it is best to limit third-party party interference with your treatment. By staying out-of-network, Rabjohn Behavioral Institute’s team of dedicated professionals can spend more time with you at each appointment while simultaneously protecting the confidentiality of your psychiatric medical record by keeping it between you and us.
Another important reason why RBI has chosen to not contract with insurance companies is to limit their involvement in treatment decisions. Currently, many insurance companies prefer physicians to follow pre-determined algorithms and limit testing to keep costs down. Rabjohn Behavioral Institute believes very strongly that your treatment team should decide which treatments are best for your unique diagnosis and needs and which testing should be performed to ensure accuracy if a diagnostic question arises.
Q: How can you ensure my private health information and visit remains confidential?
A cornerstone of our treatment philosophy is that psychiatric diagnosis and treatment information should be kept as confidential as possible.
RBI utilizes an electronic medical record (no paper records regarding diagnosis and treatment are kept in office) that is HIPAA-compliant and password-protected. RBI will only release information to other physicians after a client’s written consent. We also try very hard to schedule clients in a way that keeps the number of people in our waiting room to a minimum.
Our treatment team will be more than happy to discuss any concerns regarding confidentiality with you at any of your appointments.
Q: Does RBI offer treatment other than medications?
At Rabjohn Behavioral Institute, we believe very strongly in the benefit of psychiatric medications to combat the symptoms that arise from mental illness. However, we also realize that medications are not for everyone. At your appointment, you will have the opportunity to discuss a variety of treatment options available for your diagnosis. Routinely, these options consist of medications, outpatient psychotherapy, and behavioral modifications (exercise, diet, massage, etc.).
Q: What is a psychiatrist and how is that different from a therapist?
Dr. Rabjohn and Dr. Redd are both psychiatrists. A psychiatrist is a physician (MD or DO) with specific training in the diagnosis and treatment of mental illness. After graduating from medical school and receiving their medical degree, psychiatrists complete an additional four years of residency training in psychiatry. This training consists of rotations in internal medicine, neurology, inpatient and outpatient psychiatry, emergency psychiatry and various specialty psychiatric clinics. They receive training in multiple forms of psychotherapy. Psychiatrists are specialists, just like cardiologists or radiologists are obstetrician-gynecologists are specialists. A psychiatrist can prescribe medications while therapists and psychologists cannot. Both Dr. Rabjohn and Dr. Redd are board-certified by the American Board of Psychiatry and Neurology.
A psychologist is someone who has completed graduate training in psychology. Depending on their program, they receive either a PhD or PsyD, which are both doctorates in psychology. Psychologists can do clinical research or perform counseling or specific forms of psychotherapy. They tend to have extensive training and will usually complete an internship upon completion of their degree. One of the biggest distinctions between psychologists and psychiatrists is that psychologists cannot prescribe medications. There are several excellent psychologists in the area that both Dr. Rabjohn and Dr. Redd refer to and consult with on a regular basis.
Ms. Michele Gortney and Ms. Melissa Gramigna are both licensed professional counselors. Both are highly trained in cognitive behavioral therapy, interpersonal psychotherapy, psychodynamic psychotherapy and motivational interviewing.
Q: Does RBI accept Medicare or Medicaid?
No. RBI does not currently accept any form of payment from Medicare or Medicaid.
WHAT TO EXPECT AT RBI PSYCHIATRY
Initial Phone Call
When you first call Rabjohn Behavioral Institute for an appointment, one of our receptionists will want to know how you were referred to our office and get a general idea of what RBI can assist you with.
A referral is NOT required to be seen for an evaluation at Rabjohn Behavioral Institute. Our receptionist will be happy to answer any questions you may have. Due to our heavy call volume, you may be asked to leave a message. If so, then one of our associates will typicall return your call within 24 business hours.
What Is a Psychiatric Evaluation?
Most likely, your Primary Care Physician requested that you be seen by a qualified psychiatrist for an evaluation. Our evaluations at RBI are typically 60-70 minutes long. During this time period, you will have a full opportunity to "tell your story" and inform RBI what symptoms you experience and how those symptoms affect your ability to function. The primary goal of the evaluation is to determine the psychiatric diagnosis so that we can recommend the best possible treatment. Based on the diagnosis, the last part of the appointment will be spent discussing with you, the client, a variety of treatment options individualized for you.
A psychiatric evaluation at Rabjohn Behavioral Institute specifically consists of a history of present symptoms, past psychiatric history, alcohol- and drug-abuse history, past medical history, a social history, family history and any additional information that can help us determine how you developed into the person you are today... and how RBI can help you obtain a higher level of functioning.
For some disorders, Rabjohn Behavioral Institute encourages the use of standardized rating scales so we can accurately track a client's symptoms. At your Primary Care Physician’s office, there is a good chance that they recorded your pulse and blood pressure, which are objective measurements. By converting your subjective symptoms to an objective, standardized scale, RBI can follow those symptoms over time and use either psychotherapy or psychiatric medications to target specific symptoms. This practice is becoming more and more popular in psychiatric clinics.
We always encourage clients to try, if possible, to bring along a close friend or family member to their first appointment. This allows RBI to ask your friend or family member what changes they have noticed and how they feel those changes have affected you, the client. For example, it may be important for our clinician to ask your spouse if you toss and turn at night and have restless sleep, something that may be hard for you to answer. As a reminder, at RBI, we discuss nothing with friends or family members without your verbal and written consent.
What Is "Psychiatric Treatment" and how long will it take?
At RBI, psychiatric treatment can be anything that we recommend to improve your current level of functioning. Typically, this will involve some form of medication management, possibly individual psychotherapy and behavior modifications (eating healthier, avoiding stressful triggers, etc.).
There is no exact answer as to how long it takes to respond to psychiatric treatment. At Rabjohn Behavioral Institute, follow-up appointments are scheduled based on the severity of the illness. Once it is determined that a client has responded appropriately to treatment, the client is usually free to return to their Primary Care Physician for their psychiatric care. For example, once a client feels they are no longer suffering from depression and they are functioning at a level they feel is appropriate, they are not required to follow-up further at RBI and they can return to their Primary Care Physician for their medications. Prior to this occurring, Rabjohn Behavioral Institute will contact the Primary Care Physician to discuss the case so that the transition is smooth and our treatment plan is followed.