Frequently Asked Questions
What is a child and adolescent psychiatrist?
According to the American Academy of Child and Adolescent Psychiatry, "a child and adolescent psychiatrist is a physician who specializes in the diagnosis and the treatment of disorders of thinking, feeling and/or behavior affecting children, adolescents, and their families. A child and adolescent psychiatrist offers families the advantages of a medical education, the medical traditions of professional ethics, and medical responsibility for providing comprehensive care." Child and adolescent psychiatrists in the US have completed an undergraduate degree, four years of medical school, three to four years of general psychiatry residency training, and two years of child and adolescent psychiatry fellowship training. Dr. Grayson has completed an undergraduate degree, four years of medical school, completed internal medicine internship, 2 years of neurology residency training, completed general psychiatry residency training and completed child and adolescent psychiatry fellowship training.
Do you take insurance?
We are an out of network provider for all insurance plans. We do not accept payment directly from any insurance company. Patients/parents are responsible for all fees associated with treatment at time of appointment. We will provide you with the paperwork necessary for you to submit a claim to your insurance for reimbursement and take advantage of any out of network benefits.
There may also be additional services recommended that may not be reimbursable by insurance, like school-based evaluations or reports. These will be discussed as the situation arises.
What are your fees?
AS OF JAN 1 2023
New patient appointment (up to 180 min)- $950
Brief follow up (up to 25 min)- $265
Extended follow up (up to 50 min)- $365
One time consultation/second opinion (180 min)- $1,000
Legal fees: Please ask for legal fee schedule
Note there are no additional fees for services provided outside appointment times including phone calls, pharmacy call-ins, letters, reports, consultation with other professionals by phone (with your express written permission), preparation of records or treatment summaries. Dr. Grayson may ask that you make follow up appointments for paperwork and documentation that is more than a letter or one-page form. This is necessary because it allows you to see what is filled out and is a springboard for discussion that can contribute to your treatment.
How do I know if I have out-of-network benefits?
What will happen at my first visit?
In a typical initial evaluation, Dr. Grayson will meet with the youth and parents/guardians together, and then each separately, to define the youth's strengths, difficulties, and goals. Occasionally initial evaluation is split over 2 visits.
Components of a complete psychiatric evaluation include: a descriptions of current concerns, other behavioral or psychiatric symptoms, functioning at home and school, developmental history, educational history, family background, history of previous psychiatric treatment and testing, medical history and review of previous records. With permission she will also contact youths therapists, school and other providers for collateral information.
She will then discuss diagnostic possibilities and treatment options. Sometimes Dr. Grayson will also recommend further outside testing such as psychoeducational testing or laboratory studies.
What should I bring to my first visit?
Please bring completed forms, copies of any past testing/evaluations, and school documentation including the last report card and a copy of your child's IEP or 504 plan.
What should I tell my child about the reason for the first visit?
Are there special circumstances related to divorce and informed consent?
How do you handle confidentiality between parents/guardians and children/adolescents?
What happens if I arrive late, cancel, or miss an appointment?
If you are unable to make an appointment, please let Dr. Grayson know as soon as possible by calling the office and leaving a voicemail message or canceling online. Because your appointment time is reserved for you, you will be charged the full fee for the scheduled service(s) unless you cancel 24 hours in advance (not including weekends or holidays). Exceptions to the missed appointment fee will be made for weather emergencies. If you are late for your appointment, you will be seen for the remaining appointment time and will be charged the full appointment fee.