FAQ

GENERAL QUESTIONS

Are you offering tele-behavioral services? Where is your office located?

We are currently offering 100% ONLINE tele-behavioral services.

Our office is in Downtown Redlands.

312 Brookside AvenueRedlands, CA 92373

You can park on street or directly behind building (includes handicapped parking and ramp to lobby). You can enter through the side of building into lobby and head left to our administration office for check-in. All rooms are located on first level.

Are you taking new patients?

Yes! We are committed to providing accessible care in a real and tangible way and will do our best to get new patients in within a week. Our afternoon and early evening appointments fill up quickly. If you are flexible with your schedule, we can probably get you in more quickly. Call us today at (951) 271-0397 to set up an appointment.

What are your office hours?

Our assistant is happy to answer any questions Monday through Thursday from 9:30 am – 5:30 pm. Our clinicians’ schedules vary typically within this time frame. Calls are usually returned within 24-48 hours, except holidays, after which calls are usually returned the next business day.

What forms of payment do you take?

Schaepper Psychiatry is a Fee-for-Service practice. We accept VISA, MasterCard, Discover, and American Express cards, checks, or cash.

Also, we ask all new patients to provide your credit card information to keep on file to reserve your first appointment. That way your card can be quickly processed at the end of your appointment, and you will receive maximum session time from your provider.

Do you accept insurance? Why Not?

We offer a free consultation call for therapy; it’s a chance to talk, share a little bit more about what has been going on, and make sure we feel like a good fit to you.

We do not bill insurance directly, so we are considered “Out-of-Network Behavioral Health Providers.” If you have any out-of-network benefits or if you have a health savings account you would like to use, we are happy to provide you with a Superbill receipt at each visit, so you can submit it to your insurance provider.

If using insurance is important to you, we recommend you call your insurance to verify ahead of time whether they would reimburse you and to what % for an out-of-network behavioral health service. Many of our patients have had success in getting some sort of reimbursement.

After years of working within the confines of insurance, where some services are limited and require more time spent on paperwork, we decided as a team to focus 100% on you. Because of this, we can provide accessible, high quality, up to date, and uniquely tailored services to you.

What do I do to get started?

Call (951) 271-0397 or email our office here to set up any appointments, make changes, or to cancel.

What safety measures are you taking for Coronavirus? Do you offer phone, video, or teletherapy sessions?

Yes! We use both Doxy.me and Zoom  (HIPAA-protected) platforms and when needed phone calls for tele-behavioral services and coaching.  Because we are licensed in the state of California (CA), it is important to note that we can only provide psychiatry and therapy if you are a resident in CA. We can provide teletherapy if you are traveling short term.

Telecoaching services are not bound to CA.

SPECIFICALLY IN RESPONSE TO CORONAVIRUS

There is nothing more important to us than the health and well-being of our clients, and staff.  As the recent reports of coronavirus (COVID-19) within the US has emerged, all of us at Schaepper Psychiatry have been working hard to ensure we continue to provide a safe place for you and your family to come to for services.

How to explain Coronavirus to kids?

– Check out this great video –
Coronavirus Explained! (for kids), by Dr Michelle Dickinson

– If you have any questions about the coronavirus, we suggest you visit the CDC website.

We look forward to seeing you soon at your next visit to Schaepper Psychiatry. 

Can you prescribe a 90 day supply of medications? What if I'm scared to go to the pharmacy? What if I or my pharmacy run out of medications?

Yes, we can prescribe 90 day prescriptions, depending on the medication and whether your insurance will approve it. If you are nervous to go out, contact your pharmacy to see what provisions they offer.  If you or your pharmacy run out of medications, contact us and we will work with you and your pharmacy.

How long are typical sessions and fees per session for psychiatric treatment?

For individuals (both child and adult) seeking psychiatric treatment, there are three standard appointment types as follows (all include telemedicine options):

  1. First appointment, intake or evaluation = 1 hour, $300 (Dr. Schaepper, MD) or 1 hour, $225 (Dr. Buckman, Psychiatric Nurse Practitioner)
  2. Ongoing appointment = 30 minutes, $150 (Dr. Schaepper, MD) or 30 minutes, $125 (Dr. Buckman, Psychiatric Nurse Practitioner)
  3. Intensive therapy = 45 minutes, $225 (Dr. Schaepper, MD) or 45 minutes, $175 (Dr. Buckman, Psychiatric Nurse Practitioner)

The rate for any letters, forms and legal fees are charged at a rate of $300/hour (Dr. Schaepper, MD) or $225/hour (Dr. Buckman, Psychiatric Nurse Practitioner).

Specifics for Dr. Schaepper and Dr. Buckman: She does not do one-time appointments for disability, for example. She only provides the following letters for ongoing patients: 1) Individualized Education Plan (IEP) letter outlining psychiatric needs and recommendations for the student; 2) Disability Forms that review the individual’s history and current psychiatric needs and recommendations; 3) Legal Fees including writing a summary or attending adoption, placement, treatment referrals, custody, court attendance, depositions, and travel time.

How long are typical sessions and fees per session for therapy and coaching?

For individuals, couples, or families seeking therapy, there are four standard appointment types and all include Teletherapy options.

The rates, fees, and session times are as follows:

  1. Individual first appointment = 60 minutes, $200
  2. Ongoing individual appointment = 45 minutes, $150; 30 minutes, $100
  3. Couples/Family first appointment = 90 minutes, $300
  4. Ongoing couples/family appointment = 60 minutes, $200; or extended 90 minutes, $300
  5. Intensive therapy = 2-3 hours at same visit (can be in home if needed), $400-550

Letter & Form Writing: Please note that Dr. Estrella only provides the following letters for ongoing patients. She does not do one-time appointments for support animals or write disability letters.

Do you have a cancellation policy?

If you cannot attend your scheduled session, please note that we ask for a 48-hour notice prior to the time of your appointment in order not to be charged.

We understand that life happens, and we will not charge for the first late cancellation; yet if it happens again, we will charge the full fee to your card on file.

What if I am in crisis and can’t get anyone?

We are a community-based, private practice and not an emergency clinic. Your clinician will let you know the best way to contact them in case of a crisis; but in a more immediate crisis, contact the police (911), a hospital emergency room, a crisis intervention service, or your primary care physician.

What languages do your clinicians speak?

Psychiatry: English, French, and German

Therapy: English and Spanish (Rudimentary French)

What’s the difference between psychiatry, therapy, and coaching?
We all struggle at times with our thoughts, emotions, physical body, and life’s circumstances –  and we all want to live our best life!

Psychiatry and therapy both deal with moderate to severe mental health issues, such as when sadness or stress have morphed into depression or anxiety. It’s important to note that your life does not need to be a mess to benefit from seeing a therapist or psychiatrist.

Both Dr. Schaepper and Dr. Estrella have extensive experience in life coaching and integrate strength-based, solution-focused, and mindful practices into their care. Still, it can be helpful to know what services are provided to aid you in making your decision.

Psychiatrists typically work with moderate to severe mental health issues that may require medication. Your day-to-day life functioning (mindset, health, family life, work) may be impaired, and you are unsure how to move forward.Challenges are spilling over into all areas, you can’t stop the anxious thoughts, or get yourself to care anymore.

A psychiatrist is trained as a medical doctor, can provide therapy and prescribe medications, conduct evaluations, and sign for educational, medical and disability related plans.

Some have specialties, like Dr. Schaepper who did a fellowship in child and adolescent psychiatry and ran a psychiatric training program for 13 years. Some love therapy and like Dr. Schaepper refuse to see someone for less than 30 minutes in order to really provide holistic care.

A marriage and family therapist is trained to provide relational therapy for moderate to severe mental health issues. They are typically licensed with a masters, and some like Dr. Estrella also have a Ph.D. in MFT. They can also have specialties, like Dr. Estrella who has trained in Emotionally Focused Therapy for couples and is in training for Sex therapy.

MFTs can provide evaluations to ongoing clients. For instance, Dr. Estrella can provide a clinical and personality evaluation to assess what diagnosis may be the best fit, as well as severity, or she offers a prepare/enrich couples assessment for relationship health (typically done with premarital couples).

Coaching is used to help us close a gap between where we are and where we want to be. For example, I may be single and wanting to date again. Or maybe I’ve had a tough time advancing at work, and I’d like to move forward with support from someone who’s able to see the bigger picture and provide real time feedback and strategies to create transformation in my life.

Coaching is usually for someone who is already creating positive results in other aspects of their life but would like to focus on transforming an issue. While you may feel emotional at times or confront limiting beliefs, you typically have enough resources internally and around you to create your vision.

What are the risks and benefits of psychiatry, therapy, and coaching?

The success of your work with your clinician or coach is directly correlated to your participation in the establishment of your personal goals, your regular attendance of your sessions, and your follow through with any homework assignments. Your input and feedback are important to your clinician and are essential in order to provide the best possible care and service to you.

However, there are risks associated with doing any of this work, including but not limited to: you may cry, get emotional, face your fears, end a relationship, and may find that it gets tougher before it gets better.

You can count on us to walk with you through it all, reminding you of how far you’ve come and helping you stay focused on what matters to you.

Do you cross refer? Can I work with one or more of your clinicians?

One of the unique benefits we offer to clients is our multi-disciplinary team of clinicians. If you are receiving services from more than one clinician at Schaepper Psychiatry, please note that we regularly consult with one another regarding treatment plans and how to provide the best continuity of care.

We also recognize the importance of having choices. Therefore, we will gladly provide multiple referrals for outside services if preferred.

With what age ranges do you work?

We work with infant to end of life and everything in between.

Do you work with people from diverse backgrounds, ethnicities, and religions? Are you LGBTQIA affirming?

We welcome ANYONE that wants to get better. There is always room at our table. Our context, the different ways in which we identify ourselves, and how the world around us relates to us inform how we see ourselves and what’s possible.

If you find that these aspects of your identity need to be addressed in our work, please let us know.

Is there anyone you won’t see?

Anyone not ready to work and only looking for medication. We have a broad range of experience, yet there are certain issues that are typically better seen by a specialist. The following are issues that we do not work with:
therapy for sexual addictions; couples therapy for ongoing domestic violence; and disability summaries unless you are an ongoing patient; and forensic cases.

If divorced, we will ask that you provide court documents showing legal custody arrangement by the first appointment. Otherwise, we will refer out.

OUR APPROACH

What can I expect in the first session?

PSYCHIATRY – The Intake Appointment (1 hour) is for an initial psychiatric evaluation and includes reviewing your current problems, medical and psychiatric history, risk/safety evaluation, diagnoses, and setting collaborative treatment goals. We ask that you bring a list of any medications you are taking,

THERAPY & COACHING – The Individual Intake Appointment (60 minutes) is for an initial evaluation and includes review of current problems, strengths, medical and mental health history, risk/safety evaluation, diagnoses, and setting collaborative treatment goals.

Couples and Families Intake Appointments (90 minutes) – We ask that you plan on two to three sessions to complete the initial evaluation, which will include being seen together, individually, and then again as a couple or family to determine treatment goals. This is critical for an accurate assessment of the needs of all participating family members.

Intensive Therapy (typically 2-3 hours which is 3-4 sessions) is recommended for those that want to do specific therapeutic work in a condensed time period. Sometimes we need focused support in the short term to help set ourselves up for the bigger picture, which may include times of crisis or transition.

Intensive Therapy is commonly used by new parents adjusting to parenthood, couples going through major changes that need immediate attention, family counseling when family is in town, dealing with loss and grief, etc.

What do you do in follow-up sessions with clients?

PSYCHIATRY – The Ongoing Appointment (30 minutes) is where the individual works on his/her goals, practices skills, and collaboratively determines if the treatment plan and medications are on point. Family members are asked to join in these sessions when needed.

The Intensive Therapy (45 minutes) is recommended for those that want to do specific therapeutic work in addition to medication management. It is not available for first-time patients.

THERAPY & COACHING – The Ongoing Appointment (30, 45, or 60 minutes) is where the individual, couple, or family works on goals, practices skills, and collaboratively implement the treatment plan. For individuals, family members are asked to join in these sessions when needed. For couples and families, this may include being seen individually or together, depending on your goals, typically for an hour.

The Extended Appointment (90 minutes) is recommended when you would like to take something more in depth, in times of crisis, or for couple and family intake evaluations. Some couples prefer the longer appointments, depending on your needs.

What kind of groups do you have in your practice?And are your groups online?

We offer a variety of groups for relationships, marriage enrichment, business culture development, and anxiety. We currently offer two online groups for adults and teens who want to shift their relationship with anxiety to be able to live a rich, healthy, meaningful life. They last 10 weeks and a new cycle will begin April 19, 2020 with an intensive. Call today to learn more!

What could I be doing to help myself before the first session?

For many people, your treatment journey starts the moment you commit to making changes in your life. It is normal to experience nervousness before the first session, and we encourage you to spend some time reflecting what it is that you really want to accomplish or experience through our work together, as well as why this is important to you.

How do I know you are the right clinician for me? And what if I know one of you from the community?

Trust yourself. Ask us questions and ask around. We’ve been in this area for quite some time! Read our pages here and feel free to call and set up a free 15-minute discovery call if you are interested in doing therapy with Dr. Estrella.

In respect to our community, we are super friendly; so it might help to know that we do not work with family, close friends, or family of close friends. We will work with you if you decide you are comfortable entering a professional relationship, much like most of us don’t hang out with our OBGYN, yet we may see them around town at times. This may change the nature of our relationship, yet we will be sure to discuss this beforehand. If you are still unsure, you can always call or email us to confirm.

Is there anything special you will need from me before first session?

Please bring with you a list of any medications, assessment reports pertaining to your care, legal documents for children if divorced, or other paperwork that you deem important for your treatment. Also, please bring in your registration packet if you filled it out on a hard copy.

KIDS, TEENS, AND FAMILIES

Does everyone need to come to the first session?

Anyone impacted significantly by the person seeing our clinicians is encouraged to attend the first session. Typically, the clinician will meet with all of you together, then one by one, and then gather together again to discuss next steps.

What ages of kids do you see?

Psychiatry: All ages.

Therapy: Toddler, pre-teen, and teenagers that are open to coming to therapy.

How much will you tell me as parent if I bring in my kid/s for treatment?

Privacy is crucial to successful progress in psychotherapy. Therefore, communication between clinicians and patients who are minors (under the age of 18) are confidential.

However, we recognize that parental involvement is also essential; parents and other guardians who provide authorization for their child’s treatment are encouraged to be involved in your children’s treatment.

Consequently, your clinician, in the exercise of his or her professional judgment, may discuss the treatment progress of a minor patient with the parent or caretaker. If there is information that the clinician feels might be beneficial for the child to share with the parent(s), the clinician will work with that child on how to appropriately share that information with the parent(s), including possible joint sessions with the parent(s).

Clinicians may discuss with a parent essential information pertinent to the child’s well-being or disclose behavior that puts them at risk.

We ask that when counseling minors (clients under the age of 18) that the parent or guardian remain in the building during the psychiatry/therapy session. If for any reason you feel uncomfortable with your child or youth meeting alone with the clinician, please make this known to the clinician so that other arrangements or referral to another clinician can be made.

Please ask questions! And tell your kid this before the first appointment so that they know they can share openly.

Is there anything you can do to help us navigate divorce or co-parenting?

Yes, most definitely. Our therapist uses a modified conscious uncoupling process with couples that are splitting and can work with you both either individually or where possible together to create a cohesive story of what happened, what’s going to change, and ground rules for all involved to support rebuilding trust through this transition.

Is there anything special you will need from parents before first session?

Yes, we will need any documents or testing reports from other professionals (school, MD, etc.), medications list, an Individualized Education Plan (IEP) if the child has one, and any forensic reports, if necessary. If parents are already divorced, by the first session we ask that you bring a copy of your most recent court order indicating legal guardianship for our records.

COUPLES THERAPY

Do both partners have to come for couples therapy? What if I need to work on myself?

Couples therapy is more effective when both individuals in the partnership are working on cleaning up their side of the fence, as well as making room to tend to the actual relationship. Typically, in the first session we chart a path either toward strengthening the relationship and commitment or separation and divorce.

Couples are encouraged to plan on two-three sessions to complete the intake process, unless one or both are on the fence about the relationship. While together is preferred, one person taking a stand and showing up significantly different in their relationship can create powerful transformation. If you are wanting to come in individually first, it is important to note that your clinician may recommend you do coupes therapy elsewhere eventually in order to provide neutrality for both partners.

Are you open to working with alternative couples (i.e., open, poly, etc.)?

Yes, no matter your identity, often couples come in for differences in values or needing guidance as they enter unknown waters. Dr. Estrella will work with you typically to find a way to create an agreement that works for all involved.

What is a secret policy and what’s yours?

It is important that you know that your clinician utilizes a “Secrets” policy when conducting family or marital/couples therapy. Please feel free to ask your clinician about his or her “Secrets” policy and how it may apply to you.

On occasion during the counseling process, individual partners may be seen for an individual counseling session. In this case, the individual session is still considered as part of the couple’s counseling relationship.

Information disclosed during individual sessions may be relevant or even essential to the proper treatment of the couple. If an individual chooses to share such information with your clinician, the clinician will offer the individual every opportunity to disclose the relevant information and will provide guidance in this process. If the individual refuses to disclose this counseling information within the couple’s session, the clinician may determine that it is necessary to share the information or discontinue the counseling relationship with the couple.

What is sex therapy?

Sex therapy is a type of counseling for an individual or couple wanting to resolve some sort of sexual difficulty, often related to performance anxiety, pain, or relationship problems.

We meet in the therapist’s office and will first conduct a thorough sexual, physical, emotional, and spiritual health assessment. We also will look at how your context, emotional safety, sexual literacy, and values may be influencing your sexual expression or experience.

There are numerous mental and behavioral techniques found to support in resolving painful sex, increasing responsiveness sexually, decreasing anxiety, etc.

Our biggest and most overlooked sexual organ is our brain, and together we will deconstruct how you’ve related to sexuality and work to help you relate in a new and empowered way.

In terms of sex therapy, what types of issues do you specialize?

I work with women and men who want to experience freedom from pain, anxiety, or shame in respect to sexual expression. Common issues I work with are mismatched desires, coming out of a sexual drought, low sexual desire, painful intercourse, sexual trauma, reconnecting after baby, and bedroom boredom.

Do we have to have major problems to benefit from couples counseling?

No way! The sooner you come in the better! So often what might seem slightly annoying to feel or go without now and will only balloon into something larger over time. Often, we didn’t grow up with a healthy model for mutual love, intimacy, and vulnerability; and it can provide support to come in, set goals, receive feedback and strategies to improve your situation, and then bring your vision to life!

PSYCHIATRY QUESTIONS – DR. SCHAEPPER & DR. BUCKMAN

What can I count on you to provide?

You can count on us to be present, listen closely, address whatever you are dealing with directly in a compassionate and focused way. We will work hard and ask you to stretch and do what you need to do to create change.

Do you prescribe medications only, or do you do therapy?

Both. You will get the best of both therapy and medication support from our psychiatric team.

What is the best way to get in touch with you?

Contact our administrative assistant first; she will make sure we get your message, and someone from our team will be in touch within 24-48 hours.

What's NAMI and why should I ask you about it?

Living with mental health challenges is not only tough for you, it is also difficult for your family. NAMI is a non-profit that provides resources for all of you. None of you need to go it alone. They offer groups as well. Dr. Schaepper is an active member of their San Bernardino Chapter board.

THERAPY QUESTIONS – DR. JULIE ESTRELLA

What can I count on you to provide?

You can count on me to be authentic, open, compassionate, and direct. I will walk with you into whatever tough stuff with which you choose to engage and remind you of your strengths and whatever is calling you forward.

What it’s like working with your mom?

Lovely, eye-opening, and fun! Seriously. We’ve always been close; yet since joining this practice, we have grown immensely in both our professional and personal relationship. We are constantly investing in our own lives as well as that of our family and community. We do this work because it works! Leaning into whatever scares you and living life bold are things I learned from my mom.

How long have you been in practice?

I’ve worked as a therapist since 2012 in a variety of settings, and I earned a joint masters and Ph.D. in Marriage and Family Therapy (MFT). I have been in private practice since 2016.

What modalities do you use in your client work?

We all have our favorite lens through which to look at life, relationships, and well-being. And since I’ve been in school my whole life and work with many therapists, it can be helpful to know which frameworks I may pull from in session.

I integrate transformational, humanistic, strength-based, social justice, experiential, mindfulness, and ACT therapy, and attachment lenses. When I’m with someone, I pay attention to the stories they tell themselves, the way they are being in the moment, how aware they are to their impact, their many hats or identities in the world, and how this influences their view of self and others.

This helps open new ways to relating to their life in the present, in a nonjudgmental way through committed action moving toward their values, thus helping them feel safe and connected in life.

What is your professional training and experience?

I have a masters and Ph.D. in Marriage and Family therapy, a masters in international public health that is used mostly to plan travel, and post-grad training in emotionally focused therapy and sex therapy.

What is the best way to get in touch with you?

You can email me at info@livelifeboldgroup.com.

Still have questions?

Just shoot us an email or call our office at (951) 271-0397.