Frequently Asked Questions

New clients

How do I become a client of Design Psychiatry?

Please submit this form with your desired contact info. You should expect to hear back about scheduling an introduction within 1-2 weeks via the contact method you provide. Please note: this introduction is a complementary service to answer questions and provide an overview of available services – this meeting does not create a patient-doctor relationship.

How do I contact Design Psychiatry to ask another question not covered here?

Please use the same form used for requesting an introductory meeting. You should expect to hear back about scheduling an introduction within 1-2 weeks via the contact method you provide. Please note: this introduction is a complementary service to answer questions and/or determine whether you are a good fit for Design Psychiatry – this meeting does not create a patient-doctor relationship. Note also: If you have already met with Dr. Hawkins for an introductory meeting, please feel free to use any other contact info provided at the time of that meeting (email/phone/patient portal), but you may also resubmit a contact form.

Populations served by Design Psychiatry

What services does Design Psychiatry offer?

Please see our services page. If you have a question about available services, please submit this form.

Can I still receive services if I do not live in Ohio, Florida or Michigan?

Design Psychiatry offers some healthcare advisory services that are not geographically limited. All clinical services that include direct patient-care or that establish a physician-patient relationship (such as therapy or medical services), the client must be in a state where the provider (Dr. Hawkins) is licensed, which include OH, FL and MI. Please fill out this form if you have any questions.

Does Design Psychiatry treat clients with substance abuse issues?

Yes, Design Psychiatry treats clients with various substance abuse issues at various stages of change. However, sometimes it takes more resources than a solo private practice can maintain to treat someone with active addiction to certain substances. Often it is beneficial to engage with a team that has 24/7 call (not available with Design Psychiatry) as well as integration with a larger team that may include nursing, social work/case management, group therapy, peer counseling, a 12 step program, and/or direct admission to a detox unit, residential, partial hospitalization program, intensive outpatient program, or sober living. If you are unsure whether Design Psychiatry may be able to meet your need, please feel free to make an inquiry via the contact form. You should expect to hear back about scheduling an introduction within 1-2 weeks via the contact method you provide. If you or someone you are seeking care for is in urgent need of care (such as for symptoms of current intoxication or withdrawal), please seek help immediately via your established care providers or, if necessary, presenting to the nearest emergency department or calling emergency services (911).

Does Design Psychiatry treat clients over 65 years old?

Yes, Design Psychiatry treats adults of all ages. There are some psychiatrists who have additional specialty training (an additional 1 year fellowship) and choose to focus their practice in Geriatric Psychiatry, with a specialization in the challenges, diagnoses and treatment strategies that come with older age. Unfortunately, there are not close to enough of these psychiatrists to meet the need. Dr. Hawkins, like many general adult psychiatrists, has received extensive training in serving this population in the course of residency and in his professional endeavors since has continued to maintain a diverse clientele that includes older persons. Of note, Design Psychiatry is not credentialled with Medicare, and Superbills cannot be reimbursed by Medicare. However, the additional cost of seeing a private practice psychiatrist and paying “out-of-pocket” may still be worth it for some clients depending on their needs and priorities. One of the most important strategies of an adept psychiatrist treating older persons is providing consistent and quality communication with a wider team that may include family, caretakers, primary care physicians, hospitals, nursing facilities, etc., and the time required for these additional steps of coordination is often not within the budget of a busy practice with reimbursement limited by the restrictions of insurance/Medicare coverage and oversight from a third party healthcare employer.

Does Design Psychiatry treat children and adolescents?

No, Design Psychiatry treats persons ages 18 and older.

Does Design Psychiatry provide formal/standardized testing for disability or neuropsychiatric exams?

No, Design Psychiatry does not provide these services.

Does Design Psychiatry offer interventional therapeutics such as Ketamine/Esketamine, TMS, or ECT?

No, Design Psychiatry does not offer these treatments in-house, though if these interventions are appropriate to consider as part of your treatment, they may be considered as part of a larger care plan. Design Psychiatry can provide you with an extensive discussion/education around the risks, benefits and alternatives of these options. If a client of Design Psychiatry decides to pursue one of these interventions, that client has the option of coordinating a transfer of care elsewhere or being referred out for these while keeping other elements of care (such as therapy and medication management) with Design Psychiatry.

Finances/Billing

Does Design Psychiatry take my insurance?

No. Design Psychiatry is not contracted with any insurances.

Why?

There is a short answer and a long answer to this question. The short answer is that insurance companies do not provide incentives for a physician to become “in-network” which align with the priorities and incentives of either the client or the physician, nor with the pursuit of the highest quality of care.

Can I get reimbursed by my insurance for care at Design Psychiatry?

If you have private insurance (not Medicare or Medicaid), it is possible that you may be partially or fully re-imbursed for your care depending on the details of your insurance policy as it applies to “out-of-network” providers. However, Design Psychiatry does not gaurantee reimbursement from any insurance. Design Psychiatry is not credentialed with Medicare or Medicaid, and visit claims cannot be submitted to these entities for reimbursement.

How does reimbursement work?

When you complete an initial evaluation or a follow-up that is focused on therapy and/or medical management, you are issued a “Superbill” which you can submit to your insurance for out-of-network reimbursement.

How do I know whether my insurance offers reimbursement for these services?

Most insurance plans include information about out-of-network benefits, such as reimbursement rates and deductibles, in the policy details. If this is unclear, your insurer can provide specific guidance—either through your online member portal or by calling the number on your insurance card.

How much does it cost to be a client with Design Psychiatry?

It depends on the level of support and time requested. The goal of Design Psychiatry is to match each client’s needs and goals with the best level of support for that client’s budget and resources (whether this is through Design Psychiatry or another form of service, from another psychiatric provider or from a different specialty/field entirely). Some people are seeking a single visit for a second opinion or diagnostic clarification, while others may be looking for regular weekly support through a period of intense change. Please see our services page for the costs per visit time. All care plans are individualized and may be revisited at any visit at a client’s request (clients are encouraged to review their goals and progress at each visit). All clients should know where they stand from the first visit with respect to their larger goals, short term objectives, and when and how they can judge progress towards their goals. Although some clients may not have clear goals or objectives when they are first seeking care, it is the shared responsibility of the client and of Design Psychiatry to support the development of these as early steps in treatment.

Does Design Psychiatry require payment up front?

Yes. Clients are required to keep a credit/debit card on file and to pay at time of delivery of services, including for no-shows or last minute cancellations (see services).

Privacy

Are there privacy advantages to seeing a psychiatrist in a solo private practice?

Yes. Design Psychiatry is wholly committed to the highest level of privacy. Information submitted to this practice is viewed by physicians operating under HIPAA with an active medical license only (all information is directly reviewed by Dr. Hawkins or a covering physician for any periods of his absence). With telehealth visits, there are no additional persons involved in any way. There are no additional billing/coding staff, secretaries, receptionists, nursing, medical assistants, etc. The only information submitted to insurance is by clients at their own discretion after their own review of their superbill. These superbills contain intentionally nondescript information for further protection of your privacy. For in person visits (to a shared workspace), there may be other clients as well as a receptionist physically present to greet clients, but this person does not have any access to your records beyond a first name or preferred pseudonym.

If I submit a contact form, who receives my information?

Contact forms hosted through SimplePractice transmit information securely to be reviewed directly by Dr. Hawkins according to the website privacy policy. If you become a patient, your information will additionally be governed by Design Psychiatry’s Privacy Policy in accordance with state and federal privacy laws (HIPAA).

What is SimplePractice and why is it used?

Design Psychiatry™ uses SimplePractice as its secure electronic health record (EHR), scheduling system, patient portal, and telehealth platform. SimplePractice is a HIPAA-compliant third-party provider that helps facilitate secure clinical operations. SimplePractice employs administrative, technical, and physical safeguards designed to protect the privacy and security of PHI. While no electronic system can guarantee absolute security, the practice uses this platform in accordance with HIPAA requirements and applicable professional standards. Additional information about SimplePractice’s privacy and security practices is available at:
https://www.simplepractice.com/privacy/. Additional information about SimplePractice’s Client Portal Privacy Policy is available at: https://sean-hawkins.clientsecure.me/privacy.

How will charges from Design Psychiatry appear on my credit card charges?

Design Psychiatry is committed to your privacy and to your ability to seek help or guidance without justification or explanation to any other party reviewing your finances. Charges appear on credit card bills as “Professional Services” as a default, though this can be modified at your request.

Does this website use cookies or analytics tools?

We may use analytics tools or similar technologies to understand website traffic and improve functionality. These tools may collect anonymized usage information. You may adjust your browser settings to limit or disable cookies.

Does Design Psychiatry sell my information from visiting this website or from becoming a client?

No. We do not sell website visitor information. Design Psychiatry may use limited third-party services (such as website hosting or analytics providers) to operate the site, but website information is not sold for marketing purposes. Under HIPAA protections, Design Psychiatry cannot (ethically or legally) disclose who its clients are or any information to any party about any client unless this is requested by the client in writing or if by a court order (with very specific exceptions around immediate safety concerns). Refer to Design Psychiatry’s website privacy policy for more details.