VPA News

Persistence Without Panic: How to Follow Up Without Feeling Pushy There is a distinct and familiar emotional pattern that follows the act of asking for something: a rush of adrenaline during the send, then a long, quiet dip while waiting for a response. When...

No One Teaches You How to Ask for More—But You Can Learn There is a moment—a small but strangely charged moment—when a psychologist opens a blank document to begin drafting a letter to an insurance company. It isn’t clinical documentation. It isn’t a referral note, or...

Why Self-Advocacy Feels So Awkward for Therapists—and Why You Should Do It Anyway There is a particular kind of dread that creeps in when a psychologist, after years of training in nuance, containment, and empathic attunement, sits down to write an email not to a...

Why Psychologists Struggle to Think Like Business Owners (And Why That Has to Change) There’s a certain flavor of unease that arises in the psychologist who opens QuickBooks for the first time and realizes—with no small measure of dread—that she is not just a...

It’s Not Greedy to Know Your Breakeven There’s a curious silence that falls over many psychologists when asked to name their breakeven. Not their fee, not their average reimbursement—but the number beneath it all, the one that determines whether the practice they’ve...

You’re Not a Bad Clinician for Wanting a Better Contract There’s a moment in almost every psychologist’s private practice career when a familiar feeling sets in—not burnout, exactly, and not quite anger, but something quieter and harder to name. It shows up late in...

The Loneliness of Ethical Boundaries in a Dysfunctional System There’s a particular kind of silence that follows an ethical decision. Not the kind born of indecision or doubt, but the silence that settles after the choice is made—after the contract is declined, after...

The Department of Vermont Health Access (DVHA) has created a "Psychotherapy and Other Psychiatric Services Supplement" to the General Provider Manual and the Medicaid General Billing and and Forms Manual. Information for psychotherapy providers was consolidated into...