Antonio Primavera
Psychotherapist

Therapy for individuals, couples, families, and children

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MY pRACTICE


About Me and My Practice:

I am an American and a graduate of Harvard University. My psychological training has included Counseling Psychology, Marriage and Family Therapy, Narrative Therapy, Psychoanalytic Psychotherapy, and Transpersonal/Integral Psychology. I work with adults, couples, families, children, and adolescents.

My approach to psychotherapy is not "one-size-fits-all." I realize that every individual is unique and different, so my way of working depends on the person and their needs and concerns. In this way, the therapy evolves and changes to accommodate the specific needs of the person with whom I work.  Too many practitioners are married to their fixed theories and ways of working, and so try to squeeze a patient into a therapy that does not suit them or their needs, doing more to validate the doctor's theories than to help the person they are supposed to be helping.  

I am also a committed researcher and community volunteer, and I spend much of my time practicing free therapy in Barrio Tepito of Mexico City. I believe that psychotherapy should be accessible to all. After covering the basic cost of providing the service, any additional payment goes a long way in helping me to provide psychotherapy to people who would otherwise be unable to afford it.

Sessions:
Sessions are, at minimum, once per week, and last 50 minutes (unless arranged otherwise). Sessions always start and end on time, therefore it is important to arrive on time. If you arrive late to any session for any reason, you are choosing to forfeit that amount of time from the scheduled session. Even if you arrive 40 minutes late to a 50-minute session, you will be charged the full fee for that abbreviated session. There are no exceptions to this policy.

Cancellation Policy:
24 hours notice is required to cancel a scheduled appointment. Otherwise, usual fees will apply.

Fees:
$1000 (MX Pesos) per 50 min. session (unless agreed upon otherwise).  If my fee is higher than your ability to pay, please contact me and we will try to arrive at a fee that will work for you.  I can, at least, provide alternatives.  The most important thing is that you get the help you need.  

Billing and payments:
You will be expected to pay for each psychotherapy session at the time it is held. Payments may be made in cash only.  PayPal or bank transfers are accepted in advance for phone/Skype sessions.

Insurance
Like many therapists, I do not take insurance. However, many PPOs and HMOs will cover all or a portion of the fee. If you would like to use your insurance, please contact your insurance company and ask what coverage you have to see an "out-of-network provider." Make sure you tell them that I have a PhD. as insurance companies usually reimburse at a higher rate for therapists with a PhD. Your insurance company will tell you what your coverage is. When you come to the office, you will pay for your sessions as you go. If you request it, I can give you an invoice once a month that you can submit to your insurance company for reimbursement.

I decided not to work directly with insurance companies for several reasons:

  • All health insurance companies require a "mental disorder" diagnosis. Many people that come to therapy want to learn new skills and different strategies and do not necessarily have a diagnosis.
  • Insurance companies are a big business with ties to the big pharmaceutical companies. They are more interested in their profits than in the well-being of those they are supposed to serve. Often, insurance companies will not pay for therapy sessions unless the patient is prescribed medication. It is my view that most people do not need medication, and that medication (in many cases) is harmful. At any rate, I believe that the doctor, in consultation with the patient, should decide whether or not medication is necessary, and not insurance company bureaucrats.
  • Insurance companies typically severely limit the number of therapy sessions for which they will pay.   
  • Many insurance companies put severe restrictions on what types of services they will cover. For example, most insurance companies do not cover marriage and family therapy or psychoanalysis.
  • With insurance companies, many of your choices and treatment options are limited. This takes away your ability to be actively involved in determining what type of care you receive.
  • Health insurance jeopardizes personal confidentiality. When a bill is submitted to an insurance company on your behalf, your confidential information is processed by the insurance company and then stored in a national database. Anyone who is involved in the processing or handling of your claim has access to your records and anyone who has a legitimate reason to access the medical database, such as insurance companies and future employers, can view your confidential records. Theoretically, a potential employer or other entity could discriminate against you based on this information.

For all of these reasons, I have decided as a therapist not to accept health insurance directly.

Privacy:
All the information about a patient's psychotherapy is confidential.  This practice’s privacy policy prohibits the release of any information concerning a patient to anyone without the patient's explicit and informed written authorization.

After hours coverage:
I am often not immediately available by telephone. Messages may be left for me at my e-mail address: primavera@post.harvard.edu. I routinely check my voice and e-mail for messages during regular business hours, as my phone is turned off during sessions. If you are difficult to reach, please let me know some times when you will be available.

Phone/Skype Sessions:

I have been working with current patients using the telephone or Skype for about six years, and the results have been very good.  I realize that many people cannot commit to the normal business hours in which therapy is typically conducted.  I offer on-line therapy, either by telephone or Skype.  Please click on the 'practice' button for more information about my practice.  If you have any questions, please send me an e-mail.  Billing is currently pre-paid through either PayPal or Dwolla.  All telephone/Skype communications are via a VPN (Virtual Private Network), so that privacy is secured.  

For appointments or more information, please click 'practice' above.

Consultations in Mexico, D.F.

For appointments or more information,
please send me an e-mail.
I will answer promptly.

primavera@post.harvard.edu
www.antonioprimavera.com
TelUSA: 617.254.4878
antonioprimavera.blogspot.com

Offices:

Muro Aulico
Calle de Milton 28
Colonia Nueva Anzures
Delegación Miguel Hidalgo
11590, México, D.F.
Map

and

Centro Pro-Bienestar Personal
Nuevo León 217
Colonia Hipódromo Condesa
Delegación Cuauhtémoc
Mexico City
Map

 
and
NOW IN COYOACAN (see Garden Sessions)