The Youth and Family Institute is not considered an in-network provider for any insurance companies and does not bill insurance directly. However, many insurance companies accept insurance reimbursement requests. Our clinic can provide “insurance-friendly” Superbill statements at the end of each billing period that can be submitted to insurance companies for reimbursement. We recommend checking with your insurance in advance to see if they allow for reimbursement requests for out-of-network providers.

While the Superbills contain all relevant information in an insurance-friendly format, some insurance companies require the clinic’s tax ID and patient codes to be submitted in addition to the Superbill.

Below are a few of the common procedure codes and clinic codes applicable to services provided at the Youth and Family Institute:

Initial Consultation (first session): 90791
Individual Therapy: 90834
Individual Therapy Tele-Health: ​​90834 +95

Other relevant clinic information:
Tax ID: 874751899
NPI: 1558071068

We also offer a sliding scale fee structure which is granted based on financial need. For adults ages 18-35, we also require that their parents complete the sliding scale application form including tax returns.

Superbills are a record of appointments which can be submitted to insurance companies for reimbursement. They include service codes and other information that insurance companies require for “out-of-network” reimbursement requests.

Examples of information found on a Superbill include: patient diagnosis codes (specific to the individual client), client and clinician name, CPT codes, and clinic info (.e. clinic Tax ID/EIN and clinic NPI).

A Superbill only includes sessions attended by a client (canceled and missed appointments are not eligible to be added to a Superbill).

Yes, our practice offers services both In-Person and via Zoom. In person services are offered at practice locations in Claremont and West LA. We offer Telehealth to patients who reside in California. All Telehealth sessions are conducted over a HIPPA-compliant Zoom. Patients opting for in-person services will need to sign an In-Person Consent Form.

Being in crisis yourself, or seeing a loved one go through one is frightening and one of the most difficult things a person can experience. We truly wish that we could provide immediate services to everyone who contacts us, and believe that access to evidence-based mental health treatments is crucial. Even so, we cannot provide immediate crisis services to individuals who have not completed the YFI Intake Process. However, there are resources that can help while we complete the intake process. We recommend crisis hotlines  such as Lines For Life, Crisis Text Line (Text HOME to 74174), the National Suicide Lifeline, or one of the hotlines listed on APA’s website (including more specific helplines). In the case of a crisis where you or a loved one needs urgent emergency help and are in immediate danger of attempting suicide, you can visit your local ER, where trained staff will help keep you or your loved one safe while you receive help.

Most YFI Intakes take approximately three weeks to complete. However, because our Intake Process has multiple steps (patient initial outreach, scheduling a 15-minute informational call, receiving YFI Intake Paperwork, scheduling an Intake Session, sending a treatment plan, and scheduling an appointment with the assigned clinicians), the length of the intake process can vary.

• We can usually schedule a 15 minute informational call within a week
• Scheduling Intake Assessments usually takes 1-2 weeks
• After the initial intake, within a week we can send you a treatment plan/team and start meeting

• Co-Occuring and severe trauma, anxiety, OCD, depression
• Suicidal and non-suicidal self-injurious behaviors
• Interpersonal conflict, irritability, and aggression
• Attention Deficit Hyperactivity Disorder (ADHD)
• Excessive overcontrol and perfectionism
• Autism spectrum disorders and NVLD
• Borderline Personality Disorder (BPD)
• Bulmia and Binge Eating Disorder
• Addictions and substance abuse

Because each patient’s situation is unique, it can be difficult to predict how long successful treatment will take, and may vary by the individual. Cognitive Behavioral Therapy (CBT) typically takes between four to six months of weekly sessions, but may take longer. Dialectical Behavior Therapy (DBT) treatment often takes at least six months to a year, and may take longer depending on the patient’s needs.

Comprehensive DBT for adolescents includes three elements: individual therapy (including phone coaching), skills training, and parent coaching. If an adolescent is referred for comprehensive DBT, it means that they will receive therapy in each of these areas on a regular basis.

• Patients in DBT have lives that are unbearable as they are currently being lived.
• Patients in DBT are doing the best they can.
• Patients in DBT want to improve.
• Patients in DBT need to do better, work harder, and be more motivated to change.
• Patients in DBT must learn and practice new behaviors in all areas of their lives.
• Patients do not fail at DBT.

• The most caring thing a DBT therapist can do is to help patients change in ways that bring them closer to their own ultimate goals.
• Clarity, precision, and compassion are of the utmost importance for therapists when conducting DBT.
• The therapeutic relationship is a real relationship between equals: one who is expert on change and one who is expert on themselves.
• Principles of behavior are universal, affecting therapists no less than patients.
• DBT therapists need support and work collaboratively as part of the treatment team.
• DBT therapists can fail.
• DBT can fail even when therapists do not.

• Dialectical Agreement: The DBT team agrees to adopt a dialectical philosophy. There is no absolute truth. When polarities arise, we agree to look for the truth in both positions and to search for a synthesis by asking questions such as, “What is being left out?” This agreement does not suggest that strong opinions are undesirable. Rather, it points to the direction we commit to taking when opposing views threaten to divide the team.
• Consultation-to-the-client Agreement: The DBT team agrees that the primary goal of our meetings is to strengthen our own skills and motivation as DBT therapists. We also agree not to act as intermediaries for clients in communication with other professionals, including members of this team. When we intervene on behalf of clients, they may lose opportunities to develop their own problem-solving skills. DBT providers strive to provide these learning opportunities and intervene only when doing so is likely to be effective. We agree to not treat clients—or each other—as fragile.
• Consistency Agreement: The DBT team agrees that consistency among team members—even when working with the same client—is not necessarily expected. We don’t need to teach the same things, in the same way, or agree on what the “proper rules” of therapy are. Each of us can make our own decisions about how to proceed, as long as we stay within the DBT frame. This means that we do not need to agree with each other’s approaches to a specific client, nor do we need to tailor our behavior to match one another’s.
• Observing-Limits Agreement: The DBT team agrees that each of us is responsible for observing our own personal and professional limits. We agree to communicate those limits to clients and to each other. We will not judge limits that differ from our own, but instead ask whether they are effective in the given context. The team may offer suggestions to broaden or narrow limits, while still accepting each other’s limits without judgment.
• Phenomenological Empathy Agreement: The DBT team agrees to search for non-pejorative and phenomenologically empathic interpretations of our clients’ and each other’s behavior. That means we commit to understanding how a person’s thoughts, emotions, and actions make sense within the context of their lived and subjective experience. We also agree to practice a non-judgmental stance toward our clients, their family members, and one another. When one of us struggles to do this, we agree to assist—and validate—each other back into that stance. We agree to assume we, and our clients, are trying our best and want to improve.
• Fallibility Agreement: The DBT team agrees that all therapists are fallible and make mistakes. We agree to let go of defensiveness or the need to prove our virtue or competence. We assume, ahead of time, that we have probably either done whatever problematic things we’re being accused of, or some part of it. Because we are all fallible, we also agree that we will inevitably violate all of these agreements. When that happens, we will rely on each other to highlight the polarity and move to a synthesis using DBT principles.
• Antiracist Agreement: Our DBT Team agrees to continually assess and strengthen our competencies in anti-racist and anti-oppressive practice. We will explicitly name and address transphobia, sexism, racism, homophobia, ageism, ableism, and related forms of oppression as a therapy-interfering behaviors. We commit to receiving feedback non-defensively when oppressive language or behaviors are named, and to making repairs—to each other and our clients—when harm has occurred.

Missed appointments or cancellations made less than 48 hours in advance are still billed at your set session rate. Exceptions can be made for declared weather emergencies or documented medical illness. A weather emergency qualifies if the school district you are zoned for is closed due to weather conditions on the day of your appointment.