S. Farnaby


​​​​​Over The Rainbow, LLC


​​​​​​​​​​​​​​​​​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)

***OTR often has a wait for next availability. Please be aware that you may not always be able to acquire an appointment immediately.*** 


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

  • Each clinician has a specific background and we aim to provide the best match for your treatment
  • Please indicate if the following areas are a specialty you need in order for us to provide more intake information:
    • All those who are Law Enforcement/First Responders/Public Safety of any type.  
    • Humanitarian Workers and Military Personnel in between assignments or deploying in the near future. 
    • If you have recently experienced a sexual assault, domestic violence, or violence of any type. 

* PSYCHOLOGICAL TESTING/EVALUATION: We can provide these services for various referrals. It is important to check with your health plan for authorization for testing. We DO NOT provide court evaluations. 

* CONSULTATION: OTR staff can provide consultation for agencies and individuals in reviewing cases, providing a clinical support and perspective for various populations and topics related to our backgrounds, aiding in clinical team needs, and clinical development of programs. (fees are negotiated)

Family Therapy: We utilize Integrative Family Systems and Functional Family Therapy approaches by trained clinicians-$175 per session (Family Sessions are limited in availability). 

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

  • Couples Counseling for Law Enforcement/First Responders/Public Safety with Dr. Sarah Farnaby
  • General Couples Counseling and Couples Counseling for Law Enforcement/First Responders/Public Safety 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 $30. 
  • 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/BCBS, Magellan, Amerihealth, CIGNA, EAPs, & Tricare/Humana

(If you are a Tricare Referral please provide your authorization and be aware that there may still be a wait for next availability.)

  • 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.