Services
Care is tailored to each child’s presentation, developmental level, and family goals. Below are the concerns and treatment areas Dr. O’Brien most frequently supports.
Treatment approaches
Recommendations depend on clinical appropriateness, diagnosis, age, developmental level, and family goals. Not every approach is used with every client.
Fees and privacy
Dr. O’Brien’s practice is private pay, which means families pay directly for care rather than billing insurance. This is a deliberate choice—one that keeps treatment decisions in the hands of the clinician and family, where they belong.
To cover sessions, insurance companies generally require a formal mental health diagnosis—which then becomes part of your child’s permanent record, even when the concern is situational, mild, or something most children experience at some point.
Insurers often limit the number of approved sessions and may end coverage before treatment is finished. Care plans get shaped by coverage rules rather than by what your child actually needs.
Every insurance claim shares information about your child and family with the insurer, where it may be reviewed by multiple third parties and can follow your child’s records into the future. Private pay keeps your family’s information between you and Dr. O’Brien.
Without insurer constraints, sessions can move at your child’s pace, focus on your family’s goals, and adapt as needs change. A superbill is available upon request for families seeking possible out-of-network reimbursement; insurance reimbursement is not guaranteed. Dr. O’Brien accepts Visa, MasterCard or HSA funds, and can assist with financing through CareCredit.
Please note
Outpatient telehealth may not be appropriate for every level of risk or clinical need.
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The initial consultation is designed to help families understand what Dr. O’Brien can offer and what kind of care would best support the child.