Welcome to my Blog and Client Toolbox
As an AuDHD Therapist, one of my greatest joys is crafting resource lists, tools, and guides for clients and others who benefit from learning more about how to support themselves and others. You will find a variety of content here and are welcome to request content you’d like to see added in the future.
The background photo of this section is from Beyond Wonderland 2023. A double rainbow from June 16, 2023, the night before a Mass Shooting at an Electronic Music Festival in George, Washington that claimed the lives of 2 and greatly impacted many other attendees. For more on Mental Health Support for Mass Shootings, check out my page on this by clicking the button below.
Client Toolbox and Guides
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Future Clients : Complete an Interest Form
Complete this form below and I will do my best to offer you what you’re looking for - or help you find someone who can.
Once you complete the form, I will reach out with my availability to set up a time for us to connect to discuss working together.
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Incoming Clients: Complete your Intake Paperwork 24 hours before your first Appointment
I’m excited you’ve decided to work with me. I look forward to getting to know you more.
It’s okay to be anxious, nervous, and unsure if you’re doing the best thing. Vulnerability - especially with a new person - is scary and nerve wracking.
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Current Clients: Request an Appointment
Once we have been working together for 8-10 sessions, clients have the option of self-scheduling appointments on an as-needed or as-requested basis if regular appointments are not feasible or necessary. Use the button below to request an appointment based on availability or contact me via email to schedule an appointment.
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What are Out of Network Benefits and What is a SuperBill?
More therapists than ever are choosing to forgo contracting with Private Insurance Companies in the interest of maintaining more control over their practice, income, and to provide options for out of pocket payment, therapy without needing to offer diagnoses or assessment, or flexibility in quantity or length of therapy sessions.
Some therapists have the option to give you something called a Superbill. This is essentially a fancy receipt with all the information your insurance company will need to file a claim to utilize Out of Network Benefits to get reimbursed for some - or even all - of the expense of therapy.
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Verify Your Out of Network Insurance Benefits via Reimbursify
Kimberly Louvin, LCSW is out-of-network (OON) for many health insurance plans. Many individuals have health insurance plans that will reimburse a portion of your costs for OON treatments. Future Clients can verify their Out of Network Benefits via Reimbursify and submit claims directly via Reimbursify with SuperBills Complete a quick form to authorize this practice to obtain your specific coverage & deductible information for you.
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Submit Out of Network Claim via Reimbursify
When utilizing Out of Network benefits you’ll likely need to pay your therapist the entire session fee at the time of service, and depending on your specific plan, your insurance company will mail you a check to reimburse a portion of that cost.
For information about how to Learn about your Out of Network Benefits, check out my blog post on this.
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Looking for an Adult Autism Assessment or Self-Assessment Tools?
As a late-diagnosed Autistic Woman who realized much of my anxiety was due to several decades of masking who I truly am and mirroring others during social interaction, I understand and am passionate about supporting others through the process of receiving a diagnosis as an adult and integrating that into life.
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Open Path Wellness Library
All clients of Kimberly Louvin, LCSW have access to a FREE Library of online courses about varying topics such as relationships, anger management, communication, self-esteem, financial wellness, healthy sleep, parenting, stress reduction, and more.
Clients are provided a login key via email after completing an Intake Appointment and coursework is private.
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Expanding Soon: Tailz Treehou Therapy Toolkit Shop
Stay tuned as I expand the online store also known as “Tailz Treehou” - an inside joke from a Stardew Valley playthrough.
Tailz recommends a journal, clicky pens, a yoga mat, and a cute sticker as a starter pack for anyone prioritizing self-care and mental health.
Assertive Communication
Hey there, fellow non-confrontational people-pleasers struggling to have, express, and articulate your needs…
Do you relate to this SNL Sketch from last weekend about people pleasing? (go check it out if you need a laugh)
Are you tired of experiencing overwhelming anxiety every time you have to speak up for yourself?
Do you wish you could assert your boundaries without feeling like you're auditioning for a role in an action movie?
Well, grab your popcorn and buckle up, assertive communication may be something worth learning more about.
In the intricate web of human interactions, communication serves as the cornerstone upon which relationships are built, nurtured, and sustained. Among the various styles of communication, assertive communication stands out as a powerful tool for fostering mutual respect, understanding, and empowerment. Learning about assertive communication is not merely a skill to acquire but a transformative journey towards self-confidence, resilience, and healthier relationships.
"Being assertive does not mean attacking or ignoring others' feelings. It means standing up for your own rights and needs without violating the rights and needs of others." - Albert Ellis
Assertive communication is characterized by the ability to express one's thoughts, feelings, and needs in a clear, direct, and respectful manner.
Unlike passive communication, where individuals may shy away from expressing themselves, or aggressive communication, which often involves domination and disregard for others, assertive communication strikes a delicate balance between self-advocacy and empathy for others.
Key characteristics of assertive communication include:
1. Clear expression: Assertive communicators clearly state their thoughts, feelings, and needs using "I" statements. They express themselves in a straightforward manner without resorting to vague language or hints.
2. Respectful tone: Assertive communication is characterized by a respectful and calm tone of voice. It avoids yelling, sarcasm, or other forms of hostility, while still maintaining firmness and conviction.
3. Active listening: Assertive communicators actively listen to others, showing genuine interest and empathy in their perspectives. They validate others' feelings and opinions, even if they disagree with them.
4. Setting boundaries: Assertive individuals are able to set and maintain healthy boundaries in their interactions with others. They assert their rights and limits while respecting the rights and boundaries of others.
5. Confidence and self-assurance: Assertive communication reflects confidence and self-assurance. It involves standing up for oneself and expressing one's needs and desires with conviction, without feeling guilty or apologetic.
6. Problem-solving orientation: Assertive communicators focus on finding constructive solutions to conflicts or disagreements. They are open to negotiation and compromise while advocating for their own interests.
7. Non-verbal cues: Assertive communication involves appropriate use of body language, such as maintaining eye contact, using open and relaxed gestures, and having an upright posture, which convey confidence and sincerity.
Overall, assertive communication promotes healthy and effective interpersonal relationships by fostering mutual respect, understanding, and cooperation. It helps individuals assert their rights, express their needs, and build confidence in their interactions with others.
Why might someone lack Assertive Communication skills?
There are several reasons why someone might lack assertive communication skills:
1. Upbringing and cultural factors: Individuals may have been raised in environments where assertiveness was not encouraged or valued. Cultural norms and societal expectations can also influence communication styles, with some cultures placing a higher emphasis on deference or avoiding confrontation.
2. Low self-esteem: People with low self-esteem may lack confidence in expressing their thoughts, feelings, and needs assertively. They may fear rejection, criticism, or conflict, leading them to adopt passive or aggressive communication styles instead.
3. Fear of conflict or rejection: Some individuals avoid assertive communication because they fear conflict or rejection. They may prioritize maintaining harmony in relationships over expressing their own needs or preferences, leading them to be passive or accommodating.
4. Lack of communication skills: Assertive communication requires specific skills such as active listening, using "I" statements, and setting boundaries. People who have not learned or practiced these skills may struggle to communicate assertively.
5. Past negative experiences: Traumatic or negative experiences in the past, such as bullying, abuse, or rejection, can undermine a person's confidence and ability to communicate assertively. These experiences may lead to a fear of being vulnerable or speaking up for oneself.
6. Social anxiety: Individuals with social anxiety may experience intense fear or discomfort in social situations, making it difficult for them to assert themselves or express their thoughts and feelings openly.
7. Cultural or gender norms: Cultural or gender norms can influence how assertiveness is perceived and expressed. For example, women may be socialized to be more nurturing and accommodating, while men may be expected to be more dominant and aggressive. These norms can affect individuals' comfort level with assertive communication.
8. Lack of role models: If someone has not been exposed to assertive communication models or mentors, they may not have had the opportunity to learn and practice assertive communication skills.
Addressing these underlying factors through therapy, counseling, or assertiveness training can help individuals develop and improve their assertive communication skills over time. By building self-esteem, learning effective communication techniques, and challenging negative beliefs or fears, individuals can become more confident and assertive in expressing themselves.
Developing assertive communication skills takes practice and self-awareness.
Here are some steps individuals can take to improve their assertiveness:
1. **Understand assertive communication: (note: you’re already doing that if you’re reading this)** Learn about assertive communication and its key principles. Understand that assertiveness involves expressing your thoughts, feelings, and needs clearly, directly, and respectfully, while also considering the rights and feelings of others.
2. **Identify your communication style:** Reflect on your current communication style. Are you more passive, aggressive, or assertive? Recognize situations where you tend to struggle with assertiveness and the thoughts or feelings that arise in those situations. (Check out this quiz to dive in more)
3. **Practice self-awareness:** Pay attention to your thoughts, feelings, and physical sensations when communicating with others. Notice any patterns of behavior or automatic responses that may hinder your ability to be assertive.
4. **Set clear boundaries:** Identify your personal boundaries and be clear about what you are and are not comfortable with. Practice saying "no" when necessary and setting limits on others' behavior when it infringes upon your rights or well-being.
5. **Use "I" statements:** When expressing your thoughts, feelings, or needs, use "I" statements to take ownership of your experiences. For example, instead of saying, "You always interrupt me," say, "I feel frustrated when I'm interrupted."
6. **Practice active listening:** Develop your listening skills by actively listening to others without interrupting or jumping to conclusions. Show empathy and understanding by paraphrasing what the other person is saying and validating their feelings.
7. **Express yourself assertively:** Practice asserting yourself in low-stakes situations first, such as with friends, family, or colleagues. Start by expressing your opinions or preferences calmly and directly, using assertive body language and tone of voice.
8. **Manage emotions:** Learn to manage your emotions effectively, especially in challenging or confrontational situations. Practice relaxation techniques such as deep breathing or mindfulness to stay calm and composed.
9. **Seek feedback:** Ask for feedback from trusted friends, family members, or colleagues on your assertiveness skills. Be open to constructive criticism and use it as an opportunity for growth and improvement.
10. **Seek support:** Consider seeking support from a therapist, counselor, or assertiveness training program if you're struggling to develop assertive communication skills. A professional can provide guidance, feedback, and practical strategies tailored to your individual needs.
Tools, Tricks, Online Communities for Autistic, ADHD, and AuDHD Humans - especially fellow Late-Diagnosed adults
As a therapist focusing on providing assessment and support for adults seeking to learn if they too are part of the ever-expanding group of adults who are discovering Autism, ADHD, and the combo AuDHD experiences are aspects of their lives, I’m creating a library of resources, online communities, and meme libraries to facilitate and foster self discovery, community builidng, and a way to explore where we see ourselves amidst the stories of others online.
This list will evolve, expand, and shift over time as I delve more deeply into what’s available. If you have feedback on anything on this list and it’s value to be here - or not here - please reach out to me directly and I will do my best to get back to you.
For now, enjoy the list :)
Late Diagnosis Resource Library
Memes
Online Communities
ADHD Specific
Autism Specific
AuDHD Specific
Support for Partners & Relationships
Irreverent / Non Advice Focused Subreddits (may not be suitable for all)
Other Mental Health Focused Subreddits
Other Online Communities
Discord
stay tuned! reach out to me if you have links to add here
Facebook Groups
stay tuned! reach out to me if you have links to add here
Articles
stay tuned! reach out to me if you have links to add here
Books
stay tuned! reach out to me if you have links to add here
Videos
stay tuned! reach out to me if you have links to add here
Content Creators
stay tuned! reach out to me if you have links to add here
Tangible Tools
Online Tools
Goblin Tools https://youradhdone.com/goblin-tools-review/
Late Diagnosis Integration Resources for Autistic Adults & our Friends, Family, and Community
As a therapist who’s also someone who didn’t know I was autistic until I was in my 30s, I can validate that diagnosis is the BEGINNING of a journey, not the end.
Late diagnosis can come with a whole host of emotions and - if you’re like me- those emotions can be overwhelming due to a number of reasons including Alexithymia, a lifetime of emotional suppression, and a general sense of feeling overwhelmed with a whole new lens on life.
I’ve written a blog on how to access a diagnosis and maintain an active wait list of folks looking for assessment in Oregon, Washington, Tennessee, and Florida.
This post will focus on resources for recently diagnosed adults and friends, family, and others who are connected to folks who’ve recently discovered a diagnosis and are looking for community, support, or to learn more about how to integrate the diagnosis into daily life, what it may mean, and how to support ourselves and others in self-discovery.
Recommended Resource Lists from Other Therapists
Everything You’d Wanna Know About Adult ADHD and Autism by Dr Christine Henry
In process - comment things to add
Over time, I plan to offer in-depth reviews of these resources, but for now, I hope this list is helpful for those seeking guidance.
Recommended Books
Unmasking Autism: Discovering the New Faces of Neurodiversity Hardcover – April 5, 2022
Autism in Heels: The Untold Story of a Female Life on the Spectrum Hardcover – December 4, 2018
In process - comment things to add
Recommended Workbooks
In process - comment things to add
Recommended Online Communities
Autism Late Diagnosis/Self-Identification Support and Education
Tell me you're neurodivergent without telling me you're neurodivergent
Autistic Connections: is a great group for autistic folks and a lot of people there are late diagnosed- it's led by Matt Lowry, LPP, and he also has a cool podcast on iTunes and Spotify called Autistic Culture where he and his co-host examine autistic traits in different things from history, pop culture, etc.
Recommended Content Creators
In process - comment things to add
Recommended Podcasts
neurodivergent moments
oh that's just my autism.
When Neurodiversity Meets Exsistentialism
Neurodivergent Magic
Neurodivergent Narratives with Sandra Coral
Coordinating Chaos with the ADHD Lady
The Autistic Woman Society
The Neurodiversity Podcast with Emily Kircher-Morris
The Square Peg
Accessing Out of Network Health Insurance Benefits : Reimbursement Options
When utilizing Out of Network benefits you’ll likely need to pay your therapist the entire session fee at the time of service, and depending on your specific plan, your insurance company will mail you a check to reimburse a portion of that cost.
Some therapists have options to submit Out of Network Claims on your behalf and may establish their own policies and practices such as “Balance Billing” where the therapist will submit an out of network claim on the client’s behalf and the client will be responsible for a portion of the billed amount - depending upon the Insurance Company’s practices and policies. Other therapists may offer options to submit SuperBills on behalf of clients and have reimbursement sent directly to the client through various apps or billing services.
Ask your Therapist for a SuperBill
Some therapists have the option to give you something called a Superbill. This is essentially a fancy receipt with all the information your insurance company will need to file a claim. Once you get your Superbill from your therapist you can then use it to submit a claim for reimbursement following the processes outlined in the information you learned when you contacted your insurance company.
Submit the SuperBill to your Insurance Company Directly or Via an App
There are several ways to file a claim for reimbursement. Some insurance companies require you to do it through their website but you may also be able to use an app. There are a few options, the most common being Reimbursify. Reimbursement apps will help you through the process of filing claims, though they may charge a small fee.
Commonly Used Apps to file Out of Network Benefit Claims
I have not utilized these apps - yet - so I am not able to comment on how they work, but want to share these as options for current and prospective clients.
Screenshot from TheSuperBill.com
TheSuperBill - clients can check out of network benefits with TheSuperBill, submit SuperBills, track claims, and receive reimbursement, information about out of network billing, and support from TheSuperBill regarding claims if there are bumps along the road.
Screenshot from Reimbursify.com
Reimbursify - After clients receive a Superbill, they can submit SuperBills via Reimbursify, track claims, and receive reimbursement, information about out of network billing, and support from Reimbursify as needed about how to reach out to the Insurance Company
Thrizer - Thrizer is similar to Reimbursify and TheSuperBill and is an emerging app that works in similar ways.
Accessing Out of Network Health Insurance Benefits
As we head into the fall, many folks are considering accessing mental health therapy to process life, specific events from the first half of the year, or return to therapy as the season cools and we begin to feel the anxiety that some of us face as the sunlight wanes and the temperature drops.
More therapists than ever are choosing to forgo contracting with Private Insurance Companies in the interest of maintaining more control over their practice, income, and to provide options for out of pocket payment, therapy without needing to offer diagnoses or assessment, or flexibility in quantity or length of therapy sessions.
Some therapists have the option to give you something called a Superbill. This is essentially a fancy receipt with all the information your insurance company will need to file a claim to utilize Out of Network Benefits to get reimbursed for some - or even all - of the expense of therapy.
As we head into the fall, many folks are considering accessing mental health therapy to process life, specific events from the first half of the year, or return to therapy as the season cools and we begin to feel the anxiety that some of us face as the sunlight wanes and the temperature drops.
More therapists than ever are choosing to forgo contracting with Private Insurance Companies in the interest of maintaining more control over their practice, income, and to provide options for out of pocket payment, therapy without needing to offer diagnoses or assessment, or flexibility in quantity or length of therapy sessions.
Some therapists have the option to give you something called a Superbill. This is essentially a fancy receipt with all the information your insurance company will need to file a claim to utilize Out of Network Benefits to get reimbursed for some - or even all - of the expense of therapy.
Not all insurance companies offer out of network benefits and not all out of network benefits cover mental health therapy, but it’s worth an ask if you’ve found a therapist you want to work with who isn’t in-network with your Insurance Provider.
Be sure to ask your therapist if they offer SuperBills BEFORE beginning your first session so that you can make the most informed choices regarding who you share your story with and the financial impact of accessing therapy on your finances.
As a therapist, I am currently working to become an in-network provider with public insurance in the State of Oregon, but have no intention of becoming in-network with private insurance for the foreseeable future. I do however want to provide clients with tools, options, resources, and support to utilize out of network benefits for Mental Health Therapy.
I will be creating several different guides and links I offer to clients regarding utilizing Out of Network benefits and other resources recommended by fellow therapists. I hope these are helpful and I welcome emails with any errors in my posting so that I can maintain accurate and adequate tools in this toolbox.
These guides are NOT intended to be all-encompassing nor are they guaranteed to result in reimbursement or coverage, they are merely guides.
First of all, what does out of network really mean?
When you go to therapy, you can pay a few ways.
If you pick a therapist that doesn’t accept insurance at all, you’ll pay their entire fee out of pocket.
Therapists can be considered an “out of network” provider if they offer a SuperBill or offer Courtesy Billing, but you will be responsible for paying out of pocket costs - up to the full session fee - and nearly all insurance reimbursements require your therapist to assign a diagnosis to you in order for services to be deemed “medically necessary” and covered by insurance benefits. Diagnosis isn’t a dirty word, but I’ll save that for another blog post, just know that nearly all of us qualify for a diagnosis for the experiences we are seeking mental health therapy for.
If your therapist takes your insurance plan, they’re in network and you pay a predetermined co-pay up front; your insurance pays the rest to your provider later.
Okay, so how do I figure this out?
The first step I encourage potential clients to take in utilizing out of network benefits is to contact their insurance company (often via phone) and discuss the availability of their Out of Network Benefits. This helps to limit the number of surprises clients experience and helps empower clients to make decisions regarding their healthcare to choose a therapist based on best-fit rather than feel limited to only in-network providers who may or may not have specialty training or experience in the areas of support clients desire or will benefit from the most.
Before contacting your insurance company, you may want to check out the information available to you via any online portals associated with your insurance provider.
Step 0: Check Your Out of Network Benefits Online
On your insurance company website, you can find your Summary of Benefits. While reading through your plan’s summary look for phrases like “out-of-network deductible” and “coinsurance.”
Your out-of-network deductible is how much you have to pay before you can access your out-of-network benefits and be reimbursed. For example: your deductible is $500 and once you pay that amount your insurance company will cover 100% of services. You’ll have met your deductible after you pay $500 and will be eligible for reimbursement.
This means that if you spend $1,000, you’ll be responsible for $500 of that and then your insurance company will reimburse you for all or a portion of the remaining $500. This is normally in the form of a check and is mailed directly to you after you submit a claim. (Note: you will still have to pay out of pocket for your sessions at the time of service.) Your deductible will reset at the beginning of each plan year (not necessarily the calendar year beginning of January 1, so be sure to check) but every out of pocket health expense you have to pay will go towards meeting your deductible.
Coinsurance is the portion of the service fee that you will have to cover. If your therapists’ session fee is $140 and your coinsurance is 50%, you are responsible for $70 and your insurance will reimburse you the other $70. Your coinsurance doesn’t kick in until you reach your deductible so you will have to pay the full session fee until you’ve done so.
If your insurance company has an allowed amount, this means there’s a max that they will pay. Let’s say your allowed amount is $140 for each session, your coinsurance is 50%, but your therapists’ fee is $200. In this case your insurance company will only cover a max of $70 and you will have to pay $130.
Another perspective on Out of Network Benefits (from ZenCare):
Let’s say your out-of-network deductible is $1,000, and your insurance company pays for 100% of services after you meet that amount. That means you’ll have to pay $1,000 out of pocket, after which you’ll have “met your deductible.”
In this scenario, if you spend $1,500 on therapy services, you’ll have to pay $1,000 out of pocket (e.g. $100 at each session for 10 sessions), but a portion of the remaining $500 will be reimbursed to you in the form of a check (mailed to you after you submit your claim). Deductibles reset every calendar year, and any health expense you pay out-of-pocket contributes to meeting it.
Coinsurance: This is the percentage of the service fee that you’re ultimately responsible for paying.
Let’s say your therapist charges $100 per session. If your coinsurance is 25%, you’re only responsible for paying $25. Just remember that this comes in the form of a reimbursement: you’ll need to pay the full $100 upfront, then your insurance will send you a check for $75 after the session, once you’ve met the deductible and submitted a claim.
Some insurance companies determine an “allowed amount,” which caps the session fee that they’ll cover. If your insurance has determined $100 is their “allowed amount” per session, at a 25% coinsurance rate, your insurance company will still only reimburse you up to $75, no matter what the therapist’s session fees are. In other words, if your insurance has an allowed amount of $100 but your therapist’s session fees are $200 per session, you won’t get reimbursed more; you’ll still be reimbursed $75, and will be ultimately responsible for $125.
Step 1: Call Your Insurance Company to Verify Benefits & Reimbursement Processes
When inquiring about out-of-network mental health benefits with your health insurance company, it's important to communicate clearly and gather all the necessary information. Here's a step-by-step guide on how to do so:
Gather Information: Before reaching out to your health insurance company, gather all relevant information about your current policy. This includes your policy number, the name of the insurance company, and any documentation you may have received when you enrolled.
Contact Customer Service: Call the customer service number provided by your health insurance company. This information is usually found on your insurance card, the company's website, or any communication you've received from them.
Be Prepared to Identify Yourself: When you call, you'll likely be asked to verify your identity for security purposes. Have your policy number, date of birth, and other identifying information ready.
State Your Purpose Clearly: Explain that you're calling to inquire about the out-of-network mental health benefits available under your policy. You might say something like: "I'm calling to understand the out-of-network mental health benefits included in my policy."
Ask Specific Questions: Make sure to ask specific questions to gather the information you need. Here are some questions you might consider asking:
Can you explain the coverage details for out-of-network mental health services?
What percentage of the cost will be covered by the insurance for out-of-network mental health visits?
Is there a deductible or out-of-pocket maximum that applies to out-of-network mental health services?
Do I need to get pre-authorization or submit any documentation before seeking out-of-network mental health care?
Are there any limitations on the number of sessions or types of therapy covered?
How much of my deductible has been met this year?
What is my out-of-network deductible for outpatient mental health? (Outpatient means treatment outside a hospital.)
What is my out-of-network coinsurance for outpatient mental health?
Do I need a referral from an in-network provider to see someone out-of-network?
How do I submit claim forms for reimbursement? (Claims are forms that are sent to your insurance company to receive reimbursement for sessions you paid for out of pocket.)
Understand Costs and Reimbursement: Ask about how reimbursement for out-of-network services works. Will you need to pay the full cost upfront and then get reimbursed by the insurance company, or will the provider bill the insurance directly?
Take Notes: While on the call, take notes on the information you receive. This will help you remember the details later and have a record of what was discussed.
Request Documentation: If the representative provides information verbally, ask if they can send you a summary of the benefits in writing. This way, you'll have a reference to refer back to.
Clarify Anything Unclear: If there's anything you don't understand, don't hesitate to ask for clarification. It's important to have a clear understanding of your benefits.
Thank Them and Follow Up: After the conversation, thank the representative for their assistance. If you need to take any further steps, such as seeking pre-authorization or finding an out-of-network provider, make sure you understand what's required and the necessary timelines.
Remember that insurance policies can be complex, so it's okay to ask questions until you have a full understanding of your benefits. This will help you make informed decisions about your mental health care.
Step 2: Access Therapy and Pay for Sessions
When utilizing Out of Network benefits you’ll likely need to pay your therapist the entire session fee at the time of service, and depending on your specific plan, your insurance company will mail you a check to reimburse a portion of that cost.
Some therapists have options to submit Out of Network Claims on your behalf and may establish their own policies and practices such as “Balance Billing” where the therapist will submit an out of network claim on the client’s behalf and the client will be responsible for a portion of the billed amount - depending upon the Insurance Company’s practices and policies. Other therapists may offer options to submit SuperBills on behalf of clients and have reimbursement sent directly to the client through various apps or billing services.
Step 3 : Ask your Therapist for / Receive a SuperBill
Once you get your Superbill from your therapist you can then use it to submit a claim for reimbursement following the processes outlined in the information you learned when you contacted your insurance company.
Step 4: Submit the SuperBill to your Insurance Company Directly or Via an App
There are several ways to file a claim for reimbursement. Some insurance companies require you to do it through their website but you may also be able to use an app. There are a few options listed below.
Reimbursement apps will help you through the process of filing claims, though they may charge a small fee.
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Commonly Used Apps to file Out of Network Benefit Claims
TheSuperBill - clients can check out of network benefits with TheSuperBill, submit SuperBills, track claims, and receive reimbursement, information about out of network billing, and support from TheSuperBill regarding claims if there are bumps along the road.
Reimbursify - After clients receive a Superbill, they can submit SuperBills via Reimbursify, track claims, and receive reimbursement, information about out of network billing, and support from Reimbursify as needed about how to reach out to the Insurance Company
Thrizer - Thrizer is similar to Reimbursify and TheSuperBill and is an emerging app that works in similar ways.
I have not utilized these apps - yet - so I am not able to comment on how they work, but want to share these as options for current and prospective clients.
For other resources regarding Out of Network Benefits, check out these popular blogs about this topic;
https://blog.opencounseling.com/out-of-network-therapist-tips/
https://www.zocdoc.com/blog/what-does-it-mean-to-get-an-out-of-network-therapist/
These guides are NOT intended to be all-encompassing nor are they guaranteed to result in reimbursement or coverage, they are merely guides.
Mass Shooting Mental Health Support
From Instagram @satanizreal
Moving Forward with Hope
In the aftermath of the Beyond Wonderland 2023 shooting, I find myself reflecting on the initiation into a community that I always knew I’d find, but also knew it would be a tragedy that would bring me there.
I am now a part of a statistic of folks who’ve experienced being an attendee at a large-scale event where someone chose to bring a gun and commit senseless violence.
I am now technically a “Mass Shooting Survivor.”
In light of this, I’ve created a subsection of my website for Mass Shooting Mental Health Support.
Many festival-goers came together through Facebook, Reddit, and Discord to create resources for one another as we processed and proceed forward.
You can find resources to mental health support hotlines, coping strategies, lists of therapists willing to support attendees, and a link to a peer-support Discord Channel by clicking the button below.
Personal Reflections on the Wake of Beyond Wonderland 2023:
Having worked in public education for a decade, I’ve experienced dozens if not hundreds of lockdown drills.
I’ve sat with teenagers and families in the wake of lockdown events when threats were made and folks recounted what it was like to send the “I love you Mom” text from underneath their desk hoping they made it home from school that day.
I’ve been a part of dozens of crisis response teams known as “flight teams” where I stepped away from my daily role as a school social worker to be present at another school the day after a lockdown event of a foiled school shooting or after a tragic loss to suicide or gun violence in the community.
I am no stranger to supporting folks after crisis and have completed training in EMDR to begin offering post-trauma support later this year.
On June 17, 2023, I experienced a new layer to this type of pain, grief, and emotion: it was now a chapter in my story that I had been a part of and survived what could have been a much more deadly gun violence event.
I experienced firsthand the wave of emotions in clicking send and receiving back a message that I could feel was rift with the emotions of “my child could have died tonight.”
A text between my mom and I at 3am on June 18, 2023.
I hope I never have to send or receive another message like this again, but in the meantime, I will continue to fight for a world with less senseless gun violence such as this : a domestic dispute where a young soldier attempted to kidnap his girlfriend and ended up killing an engaged couple who were trauma nurses, wounding a festival attendee and a festival volunteer trying to keep others safe.
I hope I never have to experience the anxiety of waiting for text messages and calls from loved ones who are at an event where a mass shooting occurs.
Being 100% real, I know that I will experience that though.
I know that this will not be the last time I or someone I love are this close to a mass shooting event.
We live in a society that sees violence as a means to solve and address interpersonal conflict and inner turmoil.
We live in a society where PLUR (Peace, Love, Unity, and Respect) are becoming simultaneously more and less common.
Do better. Stay connected. Ask for help.
There is a Pattern: Mass Shooters are often disgruntled men who may have a pattern of abuse in their interpersonal relationships
As the news continues to emerge and the details continue to unfold, it becomes more clear that many folks are still unwilling to see the patterns between events. I’ll address the patterns I see at another time, but a consistent pattern across the 377 Mass Shootings of 2023 that have left over 400 fellow humans dead, over 1400 wounded, and countless others experiencing trauma is acts of intimate partner and domestic violence committed by folks who chose to use violence instead of words to address their pain.
This is Happening So Often that A.I. can generate a “response” so helpful it’s worth sharing….
The paragraphs below are AI generated with minimal editing….
Rising Above Darkness: Reflections on the Beyond Wonderland 2023 Shooting
On June 17th, 2023, the Beyond Wonderland music festival, known for its vibrant energy and joyful celebration, faced a tragedy that shook the EDM community to its core. What was meant to be a night of music, camaraderie, and love turned into a nightmare for many as senseless violence struck. This incident reminds us of the fragility of life and the importance of peace, love, unity, and respect as attendees and the community began to process what unfolded.
The Darkness Unleashed
As the music echoed through the air and the colorful lights danced across the crowd, an act of violence unfolded nearby at the edge of the campgrounds at the Gorge Amphitheater, shattering the peace and joy that many were rolling through at the festival grounds. The indiscriminate shooting unleashed chaos and fear, leaving innocent bystanders injured and families grieving the loss of loved ones. The reverberations of that night were felt not only within the festival gates but also across the world as news of this tragedy spread.
Strength in Unity
In the face of such tragedy, the true spirit of humanity emerged. Strangers became allies, extending helping hands and offering comfort and support to those affected. Acts of heroism proliferated as people risked their own safety to protect others. The aftermath of the shooting witnessed an outpouring of solidarity, compassion, and love from both the local community and global supporters, reminding us that in unity, we find strength.
Resilience and Healing
As the healing process began, the community stood firm in its resolve not to allow fear and hatred to define them. Counseling services, support groups, and community-led events sprang up, providing spaces for survivors and their families to process their trauma, grieve, and find solace in their shared experiences.
Rebuilding Trust and Security
The tragic events of that night prompted a collective reflection on safety measures and security protocols at live events. Organizers revisited their existing security frameworks, implementing enhanced measures to prevent such incidents in the future. The collaboration between event organizers, local authorities, and security experts became paramount in order to regain the trust of festivalgoers and ensure their safety.
The Unbroken Circle of a Kiddie Pool full of plastic ducks our group passed out to folks throughout Friday, Saturday, and Sunday at the Gorge Campground to promote community and connection - before, during, and after the events of the weekend.
Remember, there’s no right or wrong way to grieve and process.
Process your feelings so they don’t process you.
in PLUR,
Kimberly
If you’re unfamiliar with what happened or would like more information on how to support those injured or the families of those killed, check out the links below:
Wikipedia Article about Beyond Wonderland 2023 Shooting
GoFundMe for Josilyn Ruiz - one of the two women who died in the shooting (Brandy’s fiance)
GoFundMe for Brandy Escamilla - one of the two women who died in the shooting (Josilyn’s fiance)
Remembering Brandy and Josilyn
An Overview of the Timeline of the Shooting
Educator Burnout is Real
Is your soul tired of witnessing the ways that public education is discussed in the hallways of the internet where teachers, educators, principals, support staff, and others are degraded for needing to take sick-time to attend to their own well-being to continue working?
Is your heart committed to public education, but your mind and body are struggling to navigate the post-2020 landscape of public education?
I’ve been there, I am there.
I want to be there for you.
Today, I turn 35.
A few years back, I set a personal goal for myself that I wanted to be in a position of leadership and/or influence within the sphere of public education improvement advocacy work by the time I was 35.
I knew that my dream of “fixing” the public education system so it would be more focused on what children and families actually need rather exclusively quantitative measurements was a dream that would lead me to a dead end time after time.
I was beginning to learn that much of the public education system in the United States is designed to focus on quantitative versus qualitative outputs and outcomes, which makes it very difficult for mental health and wellbeing to become focus areas.
Feelings can’t easily be quantified universally.
Trauma doesn’t easily have a metric that all students, staff, and families can be measured against to determine what threshold of pain warrants an intervention.
Socioemotional learning has begun to emerge alongside other revolutionary ideas such as school social workers, school-based mental health centers, and clinical consultation within special education departments for students receiving supports through the IEP and 504 accommodations processes.
This work has intrigued me and it’s been the work I’ve dedicated my career to - alongside recovering from my own burnout and creating tools to support others' burnout recovery, intervention, and prevention.
This fall, I’ll be pivoting to a new role that is yet to be determined.
Alongside this pivot, I’ll be launching online Educator Support Networks to offer 1-1 and group support for burnout, professional development in areas commonly requested from school staff and students surrounding mental health, and creating autism-affirming content, resources, interventions, and tools for TODAY’s public education landscape.
Things are not the same as they were in 2018 and we need to adapt the way our students have.
Students show us what they need, it’s time we listen.
If you’re an education professional looking to join a network of other professionals seeking support and cutting edge interventions for your work with a focus on post-pandemic realities in schools, join my email list and I’ll send you more information when it’s ready.
There WILL be free opportunities to connect and the email list will get first-access.
I hope you’ll join me in celebrating my birthday by committing to yourself to take steps to prevent, intervene, and stave off the burnout that often feels nearly inevitable in public education in 2023.
Pitch:
Do you work in the public education system and find yourself burned out and wondering if you can continue in your career for another school year?
Do you find yourself having nightmares about school violence, testing standards, observations, IEPs, or all of the other tasks put on your plate that exceed your capacity to complete within a 40 hour work week?
Do you work as a leader in education and find yourself struggling to know how to support your team in ways that once worked, but now feel like they are bordering on “toxic positivity’"?
Is your soul tired of witnessing the ways that public education is discussed in the hallways of the internet where teachers, educators, principals, support staff, and others are degraded for needing to take sick-time to attend to their own well-being to continue working?
Is your heart committed to public education, but your mind and body are struggling to navigate the post-2020 landscape of public education?
I’ve been there, I am there.
I want to be there for you.
Coming Fall 2023, I’ll be launching an online support network for Education Professionals with an email newsletter, virtual support groups, and regular workshops to provide professional development and personal support for those of us who’ve dedicated our professional career to helping raise and tend to the next generation.
Click here and sign up today : https://www.kimberlylouvin.com/educatorsupport
Autism in adult women: discovering you’re autistic as an adult is a roller coaster
Having a brain that operates differently isn’t a problem to be solved, it’s an operating system to be learned. Let’s learn together.
If you are an adult seeking assessment and diagnosis for Autism, contact me.
As a late-diagnosed Autistic Woman (more about me here) who realized much of my anxiety was due to several decades of masking who I truly am and mirroring others during social interaction, I understand and am passionate about supporting others through the process of receiving a diagnosis as an adult and integrating that into life.
You may experience anger, fear, grief, anxiety, and a sense of existential dread about what could have been different if you had known sooner or even social anxiety about the idea of unmasking and losing relationships.
I am here to help and happy to offer my experience and time to clients seeking support.
Reach out today for a free 15-20 minute consult call and let’s see if I can offer you what you’re looking for.
If you are an adult who is looking to connect with a mental health professional about Neurodivergence - specifically Adult Autism Assessments and Integration Work (what does it mean to learn about Autism as a facet of identity as an adult?) - I am a mental health professional licensed to provide you support.
I offer ongoing mental health therapy and support to clients who live in Oregon, Washington, Tennessee and Florida and can offer one-time consultations and referral support to clients outside of those states.
I can partner with you and another professional you are already working with to provide specific support around Autism, Neurodivergence, and integrating an adult diagnosis into your life.
This support often looks like supporting individuals who have received diagnosis from a psychiatrist and don’t know how to unpack the myriad of mental stories and feelings that new awareness can bring.
Maybe you’re finding yourself here because you think you are autistic and are looking for a mental health professional to talk to about confirming your self-assessment.
Maybe you have completed multiple online Autism Self-Assessments such as the ones offered by Embrace Autism including the following assessment tools available at no-cost and want to talk through the results.
The AQ-10 Autism Spectrum Quotient (AQ-10) is a quick questionnaire that primary care practitioners can use to see if a person should be referred for an autism assessment.
The Autism Spectrum Quotient (AQ) is a self-administered questionnaire used to measure autistic traits in adults (age 16+) with IQ in the normal range (IQ >=80).
The Empathy Quotient (EQ) is a self-administered questionnaire designed to measure empathy in adults. It tests the ability to tune into how someone else is feeling, or what they might be thinking.
The Systemizing Quotient–Revised (SQ–R) is a self-report questionnaire comprising 75 items, which is used to assess so-called systemizing cognitive styles. Systemizing is the drive to analyze or construct systems. Look at the What it tests section for a more comprehensive explanation of systemizing.
The Ritvo Autism Asperger Diagnostic Scale–Revised (RAADS–R) is a self-report questionnaire designed to identify adult autistics who “escape diagnosis” due to a subclinical level presentation.
The Aspie Quiz is a self-administered questionnaire to measure autistic traits in adults (age 16+) with an IQ in the normal range (IQ >=80). In fact, it measures both autistic and neurotypical traits in five domains: talent, perception, communication, relationship, and social.
The Camouflaging Autistic Traits Questionnaire (CAT-Q) is a self-report measure of social camouflaging behaviours in adults. It may be used to identify autistic individuals who do not currently meet diagnostic criteria due to their ability to mask their autistic proclivities.
The Adult Repetitive Behaviours Questionnaire-2 (RBQ-2A) is a self-administered questionnaire that measures restricted and repetitive behaviours in adults.
If you’re looking to discuss an autism assessment, integration of an autism diagnosis, or want to learn more about what assessments are like, what therapy with an autism affirming therapist is like, or something else related to Adult Autism: click here, scroll down, complete the brief form, and I will email you within 5 days about a time we can connect.
Services Now Available Across the Pacific Northwest - Coming soon to Tennessee
As of January 31, 2023, I am currently full to clients seeking ongoing therapy.
I maintain a wait list and am able to offer referrals to other therapists to help clients access support as soon as is available.
To request to be added to my wait list, visit this page and complete an inquiry form.
Additional Announcements:
I am now able to offer mental health services to clients in the state of Washington in addition to Oregon and Florida. By spring, I will be able to see clients who live in Tennessee as well
I now offer Adult Autism Assessments. Assessments are completed over 2-3 sessions for adults seeking a diagnosis and can support in finding a neurodivergent affirming therapist. I maintain a wait-list for Assessments and ongoing therapy clients and am able to offer referrals to other local therapists in the meantime. Request an assessment today to learn more.
By spring, I will be able to accept Oregon Health Plan (OHP) as a form of payment for clients living in Oregon. As always, Superbills can be offered for clients wishing to use Out of Network (OON) insurance benefits.
Yin Yoga for Anxiety & Burnout
As the seasons change, maybe you find yourself longing for a way to slow down without getting stuck in seasonal depression.
I recommend trying a Yin Yoga class.
I also offer several for free via YouTube. Keep scrolling for details :)
Yin Yoga classes are not what many think of when they think of Yoga.
Poses are held for 3-7 minutes in a single position with the goal being to focus on, observe, and sit with sensation.
We do not sit with pain, but we may experience discomfort.
When we can learn to use the power of our breath to sit with physical sensation, we can give our anxious minds a break from the thought patterns they can easily become trapped in when we aren’t observing our physical sensations.
I have used Yin Yoga for over 5 years to support me through Anxiety, Overwhelm, Panic Attacks, PTSD, and recovery from grief, loss, and unexpected change.
I don’t offer advice I don’t take and I don’t promise quick fixes.
Check out some of my most popular classes available on YouTube and contact me by clicking “get in touch” at the top of my website to inquire about private and group classes I offer online.
75 MINUTE Yin & Restorative Yoga for Anxiety and Burnout
60 MINUTE Hip Opener with Brene Brown Quotes Infused
6 MINUTE Guided Waterfall Meditation for Mindfulness & Slowing Down
30 MINUTE Yoga Nidra Guided Meditation for Anxiety Relief
In the interest of the Full Moon, check out one of my favorite Full Moon Classes as well.
Happy Spooky Season!
Covid Recovery Yin Restorative Yoga
In 2021, I recorded a series of Covid Recovery classes and built a small community to share our triumphs, challenges, tips, and tricks for regaining control over our lives, body, and mind as we moved into a new chapter of "normal" and decide what we want as survivors.
Those of us who are continuing to recover and rebuild need community and I offer the recordings crafted with the intention of building community together via movement and breathwork to you.
If you are struggling with Long Covid and are interested in considering adding movement practice into your recovery, check out these classes.
In March 2021, I hit my 1 year mark in my personal recovery journey from COVID19.
My body regained strength, I began offering Weekly Free Yin Yoga to the Long Haul COVID Recovery community.
In 2021, I recorded a series of Covid Recovery classes and built a small community to share our triumphs, challenges, tips, and tricks for regaining control over our lives, body, and mind as we moved into a new chapter of "normal" and decide what we want as survivors.
Those of us who are continuing to recover and rebuild need community and I offer the recordings crafted with the intention of building community together via movement and breathwork to you.
If you are struggling with Long Covid and are interested in considering adding movement practice into your recovery, check out these classes.
I also offer several other Yin and Restorative Yoga Classes that may be useful in supporting the emotional experience of recovering from illness, burnout, and life transitions.
In addition to these classes, I also offer short anxiety-relief mindfulness exercises such as Box Breathing.
I am a private practice therapist and offer mental health support as well to clients via Unbroken Circles Therapy. These classes are offered as movement and mindfulness, not as mental health support. I am not a licensed medical provider and caution all yoga students participating in at-home yoga to refer to the guidelines and guidance of their medical provider when engaging in physical activity.
Autism Assessments for Adults
Having a brain that operates differently isn’t a problem to be solved, it’s an operating system to be learned. Let’s learn together.
If you are an adult seeking assessment and diagnosis for Autism, contact me.
Late Diagnosis is a process.
Having a brain that operates differently isn’t a problem to be solved, it’s an operating system to be learned. Let’s learn together.
If you are an adult seeking assessment and diagnosis for Autism, request one here.
Check out my specialty page on Autism for more information.
Maybe you’re finding yourself here because you think you are autistic and are looking for a mental health professional to talk to about confirming your self-assessment.
If you are an adult who is looking to connect with a mental health professional about Neurodivergence - specifically Adult Autism - I am a mental health professional licensed to provide you support.
I offer ongoing mental health therapy and support to clients who live in Oregon, Washington, Tennessee, and Florida and can referral support to clients outside of those states and consultation to other professionals on an individualized basis.
Click here, scroll down, complete the brief form, and I will email you about a time we can connect.
Maybe you have completed multiple online Autism Self-Assessments such as the ones offered by Embrace Autism including the following assessment tools available at no-cost and want to talk through the results:
The AQ-10 Autism Spectrum Quotient (AQ-10) is a quick questionnaire that primary care practitioners can use to see if a person should be referred for an autism assessment.
The Autism Spectrum Quotient (AQ) is a self-administered questionnaire used to measure autistic traits in adults (age 16+) with IQ in the normal range (IQ >=80).
The Empathy Quotient (EQ) is a self-administered questionnaire designed to measure empathy in adults. It tests the ability to tune into how someone else is feeling, or what they might be thinking.
The Systemizing Quotient–Revised (SQ–R) is a self-report questionnaire comprising 75 items, which is used to assess so-called systemizing cognitive styles. Systemizing is the drive to analyze or construct systems.
The Ritvo Autism Asperger Diagnostic Scale–Revised (RAADS–R) is a self-report questionnaire designed to identify adult autistics who “escape diagnosis” due to a subclinical level presentation.
The Aspie Quiz is a self-administered questionnaire to measure autistic traits in adults (age 16+) with an IQ in the normal range (IQ >=80). In fact, it measures both autistic and neurotypical traits in five domains: talent, perception, communication, relationship, and social.
The Camouflaging Autistic Traits Questionnaire (CAT-Q) is a self-report measure of social camouflaging behaviours in adults. It may be used to identify autistic individuals who do not currently meet diagnostic criteria due to their ability to mask their autistic proclivities.
The Adult Repetitive Behaviours Questionnaire-2 (RBQ-2A) is a self-administered questionnaire that measures restricted and repetitive behaviours in adults.
Additional Self Assessments that can be helpful in discussing Autism, ADHD, AuDHD and assessing one’s experience of life include:
The Adult ADHD Self-Report Scale for DSM-5 (ASRS-5) is a self-report screening scale for attention deficit hyperactivity disorder (ADHD) in adults. It’s the updated version of the ASRS v1.1.
The Adult ADHD Self-Report Scale (ASRS v1.1) is a self-report screening scale for attention deficit hyperactivity disorder (ADHD) in adults, consisting of two parts. Part A is the main test, while part B offers more information that can be discussed with your medical professional.
The Executive Skills Questionnaire (ESQ) is designed to rank your executive skills. Executive function skills are mental processes that allow us to plan, focus our attention, recall instructions, juggle multiple tasks successfully, and self-regulate.
The Toronto Alexithymia Scale (TAS-20) is a 20-item, self-administered questionnaire that measures difficulty in identifying and describing emotions, which is a big part of alexithymia.
The Toronto Empathy Questionnaire (TEQ) is a self-report questionnaire measuring a person’s emotional ability to understand and respond to others.
The Extreme Demand Avoidance Questionnaire for Adults (EDA-QA) is a self-administered questionnaire that measures traits and behaviors related to Pathological Demand Avoidance (PDA) in adults (age 18+) with IQ in the normal range (IQ >=80).
The Reading the Mind in the Eyes Test (RMET or Eyes Test for short) has been widely used to measure theory of mind—the ability to recognize and understand another person’s mental state—or social intelligence.
The VIA Inventory of Strengths (VIA or VIA-IS for short) is a self-administered, scientifically validated questionnaire that provides a rank order of an adult’s 24 character strengths and virtues.
I can partner with you and another professional you are already working with to provide specific support around Autism, Neurodivergence, and integrating an adult diagnosis into your life.
This support often looks like supporting individuals who have received diagnosis from a psychiatrist and don’t know how to unpack the myriad of mental stories and feelings that new awareness can bring.
As a late-diagnosed Autistic Woman (more about me here) who realized much of my anxiety was due to several decades of masking who I truly am and mirroring others during social interaction, I understand and am passionate about supporting others through the process of receiving a diagnosis as an adult and integrating that into life.
You may experience anger, fear, grief, anxiety, and a sense of existential dread about what could have been different if you had known sooner or even social anxiety about the idea of unmasking and losing relationships.
I am here to help and happy to offer my experience and time to clients seeking support.
Reach out today for a free 15-20 minute consult call and let’s see if I can offer you what you’re looking for.
Misdiagnosis Monday Series by Dr. Megan Neff
Maybe you want to learn more about what it may be like to be Autistic as an adult, because your main reference points are Young Sheldon, Rain Man, or Bones, or other media portrayals…
Check out Dr. Megan Neff’s website for a great writeup here: https://neurodivergentinsights.com/blog/autism-in-adulthood
