Frequently Asked Questions

Yes. Please call to find out if working together is the best choice for you.

Call 585-746-0607 or fill out the contact form. We will have a 5-10 minute phone consultation (free of charge) to assess whether or not I would be a good fit for your needs.

I understand that it is important to get an appointment as soon as possible. I do my best to see new patients within one week, and at times am able to see someone on the same or next day.

Appointment days and times currently vary. I will do my best to find a day and time that best fits your schedule.  Morning, afternoon, and early evening appointments are available.  Please call to discuss the details during our initial phone consultation.

Please bring a list of all medications you are taking and any documentation (medical or otherwise) that you feel would be helpful for me to know. When you schedule your appointment, you will be sent a link and temporary password to the secure client area on my website. Click on Log In, enter your username (your email address) and temporary password. You’ll be directed to a new page to change your password.

Once you’ve done this, you’ll be able to see your scheduled appointment, as well as other features on this site. To use your time in session more efficiently, please complete the forms that appear when you log in. If you don’t have time, no worries, we can do it when you arrive. Learn more about what to expect at your first appointment.

No. All appointments must be scheduled in advance.

No.  For privacy considerations and to provide more personalized care, I am not a participating provider with any insurance company. If you have a PPO policy, you may be reimbursed by your insurance for a portion of the out-of-network charges. Please check with your insurance company for out-of-network coverage information. I will collect payment directly from you at the time of service and provide you with the necessary documentation needed to for you to file your insurance claims. However, I cannot guarantee that my services will be covered by your insurance policy.

I accept all major credit and debit cards, checks, and cash. I also accept Health Savings Account cards if you have money withdrawn from your paycheck pre-tax to pay for non-covered medical expenses.

It means I am not a contracted provider on your insurance plan. If you would like to seek reimbursement for your visits, call your insurance to find out what your out-of-network benefits are. It is important to find out what your deductible is, and then once your deductible is met, what percent the insurance company will reimburse you for visits. Payment is expected at the time of service and any reimbursement from the insurance would be paid back to you directly.

Please inquire about my current rates during our initial phone consultation.

Cash or Check can be accepted in person at the time of your appointment.

Major Credit Cards are accepted. I also accept Health Savings Account cards if you have money withdrawn from your paycheck pre-tax to pay for non-covered medical expenses.

Please note: payments are due at the time of service.  You will not receive a superbill until you have paid in full.

Yes. Distance counseling sessions are available via secure & private video chat. You must be a resident of New York State.

Please note: Distance counseling is not appropriate for all issues and situations. Please ask when you call for more information.

In general, treatment often requires closer monitoring at the beginning or when symptoms are worse, and less when symptoms are better or stabilized. Nevertheless, treatment is tailored to the needs of each individual, and thus varies greatly in length and frequency of appointments.

In many cases a combination of medication and therapy is the best treatment. Therapy can help address thought and behavior patterns that limit progress.

Dr. Castle works closely with medical providers and will work with him/her to provide the best care for you. Upon your request, I can refer you to a provider.

If you arrive late for an appointment, you will be seen for the remaining time and charged for the full session as scheduled.

Cancellations require 24-hour advanced notice; otherwise you will be charged for the missed session. If you need to cancel or reschedule please contact me and I will do my best to find a time that best fits your schedule.

If you experience an emergency, call Dr. Castle immediately at 585-746-0607.  If she is not available to talk with you, especially after hours and on weekends, leave a detailed message and call 911 or go directly to the nearest emergency room.

Suicide Crisis Telephone Numbers:

  • National Suicide Prevention Lifeline – 800-273-TALK (8255) or TTY 800-799-4889
  • Monroe County Lifeline – 585-275-5151/800-310-1160 or TTY 585-275-2700

In general, the law protects the confidentiality of all communications between doctors and patients. No information is disclosed without prior written permission. However, there are some exceptions to this rule that are required by law. Exceptions include:

  • Suspected child abuse, dependent adult, or elder abuse. The provider is required to report this to the appropriate authorities immediately.
  • If a patient is threatening serious bodily harm to another person. The provider is required to notify the police.
  • If a patient intends to harm himself or herself. The provider will make every effort to work with the individual to ensure their safety. However, if an individual does not cooperate, additional measures may need to be taken.