top of page

My fee is $250 per 45-minute contact hour for individual therapy, and $275 for a 50-minute couples therapy session. I also offer a limited number of sliding scale slots for clients who qualify. These session times are usually offered during the first half of the day, though some exceptions are possible. Peripheral services including:  extended phone calls/emails/text messages (outside of standard scheduling/billing communication), collaboration with other professionals involved in your care (with your signed consent), and correspondence when indicated, are billed on a pro-rated basis at my regular hourly session rate. 


Acceptable forms of payment are: Check, Debit/Credit cards (with small processing fee), and Venmo (@David-Ruso). Payment is expected at the time of your session unless another arrangement is made.


I am an out-of-network provider for all insurance companies. Some insurance companies provide partial reimbursement for out-of-network providers. I can provide you with a monthly statement to submit to your insurance company for reimbursement if you wish. Please check with your insurance company directly for information about your coverage. Insurance companies often require a qualifying diagnosis to meet medical necessity and hence reimbursement. Therefore, some clients prefer to receive counseling services without involving their insurance provider and to maintain confidentiality and not receive a diagnostic label.

bottom of page