​​​​​​​​​​​​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)


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



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


*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. 



​​Over The Rainbow, LLC

S. Farnaby