​​​​​​​​​​​​OTR offers a wide variety of services. 

Please find below a general list of our services and summary of fees.

(All our fees and services can be flexible to your needs and financial limitations.

We accept various insurance plans)

THERAPY & CONSULTATION SERVICES

Individual Therapy (individual clinical sessions for children, adolescents, and adults)-150$ per session

  • Each clinician has a specific background and we aim to provide the best match for your treatment
  • All those who are Law Enforcement/First Responders of any type are screened and assigned by Dr. Sarah Farnaby


* CONSULTATION: OTR staff can provide consultation for agencies and individuals in reviewing cases, providing a clinical support and perspective for First Responders, aiding in clinical team needs, and clinical development of programs. (fees are negotiated)


​* Dialectical Behavioral Therapy Skills Training (DBT): Skills training sessions according to DBT manual

  •     Each DBT Training Skills Session-$150 (1 hour)  $100 (30 min)
  •     Sessions completed by Dr. Simona Efanov (Old Town Alexandria office)
  •     DBT requires regularly scheduled individual therapy outside of DBT with a separate clinician


Family Therapy: Integrative Family Systems and Functional Family Therapy trained clinicians-$175 per session


* Couples Therapy (Limited openings and we do not provide divorce mediation)-$160

  • Couples Counseling for Law Enforcement/First Responders with Dr. Sarah Farnaby
  • General Couples Counseling and Couples Counseling for Law Enforcement/First Responders with Melanie Flossman, MSW, MPA LCSW and Dr. Simona Efanov, PsyD, LCP


* Groups: Please contact us or stay up to date on current groups being offered at both offices.  

  • individual group member charge $25. 
  • site contracted flat rates negotiated for groups held off-site

 

TRAINING AND SUPERVISION

Clinical Supervision for Licensure for Professional Counselors (MA/MS) and post-grads-$85 per session (We are also a Maryland LCPC Approved Supervisor)


Workshops: Various psychoeducational topics, such as stress management, presented by OTR staff. 

 

* Professional Supervision Group (Old Town Office): an open group for professionals seeking additional support and supervision in the field.  Dr. Farnaby leads this group and addresses vicarious trauma and self- care issues as well within the work we do. There will also be specialists in attendance at times to provide consultation on cases. (25$ a person per group) ***please check in for current group possibilities***
    
 * Professional Case Consultation is also available with negotiable fees. 
 

Community Education events (contractual trainings as requested by service providers, government   employees, and community organizations) will be a to be determined charge with all fees being negotiable

INSURANCE AND FEE INFORMATION

*Sliding Scale is considered on a case by case basis upon request and based on current reimbursement rates of healthcare plans and income


Current Healthcare Plans Accepted: 
Aetna, Carefirst, Magellan, Amerihealth, CIGNA, Tricare Certified


  • We recommend you check with your health care plan on changes and coverage.
  • Although we may accept your plan you may have a deductible to meet requiring you to pay the healthcare plan reimbursement rate of services in full until your deductible is met.  Co-pays also vary depending on your plan.
  • Also many plans are complex and may not cover mental health services or utilize subsidies for the mental health coverage. 

​​

Credit Cards and Personal Checks accepted. 

SFarnaby

Services

​​Over The Rainbow, LLC

S. Farnaby