How do I know you are the right therapist for me? While there is no way to know if we will be a good fit, we encourage you to look through the rest of our website.  We have done our best to provide as much information about our philosophy, specialties and experience on this website.  If this website resonates with you, then we might be right therapists for you. 


What are your fees, what form of payment do you accept, and when is payment due? Payment is expected at the time of service; payable by credit card, check or cash. If you are paying by cash or check, payment is due on the day you have a session with us, otherwise we retain a credit or debit card on file to automatically charge for your appointments on a weekly basis. 


As the intake coordinators, Dr. Alicino ($550) and Dr. Sachs ($675) typically conduct the intakes for CBT Spectrum. This is an initial meeting lasting 120 minutes. Dr. Dugan ($475) conducts intakes for BFRB (Body Focused Repetitive Behaviors) related cases and some other selected cases. During the intake you will be asked specific questions in a semi-structured way to best understand why you are seeking therapy, your current needs, assess psychiatric symptoms and review psychiatric, educational, occupational, and social histories. At the end of the intake, the doctor will provide you with her clinical impressions and propose next steps and a treatment plan. If you are inquiring as a parent, depending on the age and cognitive profile of your child you will be asked to join all or part of the intake.

Depending on a patient's need we see patients for 45 minute sessions, extended sessions of 60 minutes, and double sessions of 90 minutes. Most patients meet for 45 minutes. We can also schedule an intensive outpatient plan depending on your situation. 

Follow-Up Rates:

  • Dr. Sachs: 45 minute sessions are $325; 60 minute sessions are $433; double sessions of 90 minutes are $650

  • Dr. Alicino: 45 minute sessions are $275 60 minute sessions are $367; double sessions of 90 minutes are $550

  • Dr. Dugan: 45 minute sessions are $230; 60 minute sessions are $307; double sessions of 90 minutes are $460

Do you offer Sliding Scale or Reduced Rates? Our doctors reserve a limited number of appointments to see patients on a sliding scale. To fill out a sliding scale application, CLICK HERE


How can I be sure my therapy is confidential? The law protects the privacy of all communications between a patient and a psychologist. In most situations, we can only release information about your treatment to others if you give us your written and signed authorization. There are some limits to confidentiality which include, for example, a requirement for us to contact others without patient authorization if a patient threatens to harm himself/herself, if we learn of a situation where a child is being abused or neglected or if a patient communicates an immediate threat of serious physical harm to an identifiable victim. Such situations are extremely rare in out practice, but if one arose during your treatment, we would make every effort to fully discuss it with you before taking any action and we would limit our disclosure to only necessary information.