About Dr. David Guion

I, Dr. Guion, work with adolescents (typically 18 and above), adults, and couples, with an interest in working with folks presenting with anxiety, depression, relationship issues, trauma, men’s issues, ADHD, grief/loss, and substance use concerns. I am LGBTQ+ affirming. I take a collaborative approach with clients and work to ensure agreement on goals and understanding of the therapeutic process. In addition to addressing client goals, I hope to encourage clients’ curiosity, self-awareness, and values.

I use an integrative approach in therapy, based on your situation. I draw particularly from training in interpersonal psychotherapy and Acceptance and Commitment Therapy (ACT) and pull from other theory and techniques, including Dialectical Behavior Therapy (DBT), mindfulness, motivational interviewing, cognitive behavioral therapy (CBT), and humanistic approaches. In marriage therapy, I draw from emotion focused therapy (EFT), that seeks to address unhelpful patterns, and also from findings from researchers like the Gottmans. I have worked and trained in a variety of settings, including a college counseling center, outpatient clinics, an inpatient addiction treatment center, and correctional settings, and I enjoy working with a diverse group of clients.

I earned my Ph.D. in Counseling Psychology from Virginia Commonwealth University (VCU) and completed my pre-doctoral internship at VCU’s University Counseling Services. I am a licensed clinical psychologist in the Commonwealth of Virginia. I previously earned a B.S. in Commerce from the University of Virginia and worked in the business world for a while. That change helped me better understand the impact of work on my life and clients' lives.

I focuse on psychotherapy at Compassion Counseling but does some assessment/testing work, such as intellectual functioning. Please inquire about any particular requests.

Note that ACT emphasizes developing helpful relationships with our thoughts and feelings, engaging in the present moment when helpful, and engaging in what matters to us. DBT emphasizes emotion regulation, distress tolerance, present centered awareness, and interpersonal effectiveness skills. CBT emphasizes altering the interactions between our thoughts, behaviors, and feelings.

Accessibility

Compassion Counseling and Psychological Services accepts the following insurances and provides in-person and telehealth sessions:

-Anthem

-United Behavioral Health/Optum

-Optima

-CIGNA/Evernorth

-Aetna

-Medicare

 

Rates

 

Talk therapy

 

Online or in-person (rate applies if not done through insurance) for individuals and couples

45-60 mins | $135 |

 

Psychological testing

 

Done on a limited basis (e.g., intellectual functioning assessments). Please inquire for further information if interested.

 
 
 
 

Good Faith Estimate

Effective January 1, 2022, a ruling went into effect called the "No Surprises Act" which requires practitioners to provider a "Good Faith Estimate" to individuals who are uninsured or utilize self-pay. The Good Faith Estimate (referred to throughout this document as “GFE”) works to show the cost of items and services that are reasonably expected for your health care needs for an item or service, a diagnosis, and a reason for mental health services. The estimate is based on information known at the time the estimate was created. The GFE does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur and will be provided a new GFE should this occur. If this happens, federal law allows you to dispute (appeal) the bill if you and your provider have not previously talked about the change and you have not been given an updated GFE. 

Under Section 2799B-6 of the Public Health Service Act (PHSA), health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request, or at the time of scheduling health care items and services to receive a GFE of expected charges. 

Note: The PHSA and GFE do not currently apply to any individuals who are using insurance benefits, including "out of network benefits” (i.e.., submitting superbills to insurance for reimbursement). 

Timeline requirements: Providers are required to provide a GFE of expected charges for a scheduled or requested service, including items or services that are reasonably expected to be provided in conjunction with such scheduled or requested item or service. That estimate must be provided within specified timeframes: 

  • If the service is scheduled at least 3 business days before the appointment date: no later than 1 business day after the date of scheduling;

  • If the service is scheduled at least 10 business days before the appointment date: no later than 3 business days after the date of scheduling; or

  • If the uninsured or self-pay individual requests a GFE (without scheduling the service), no later than 3 business days after the date of the request. A new GFE must be provided, within the specified timeframes if the individual reschedules the requested item or service.

Common Services at Compassion Counseling and Psychological Services, LLC 

  • 90791: Initial Psychotherapy intake (not timed)

  • 90834: Ongoing therapy appointments (approx. 38-45 minutes)

  • 90837: Ongoing therapy appointments (approx.. 53-60 minutes)

  • 90847: Family/Couples appointments (approx.. 45-60 minutes)

  • 96130: Psychological Testing & Interpretation (first hour)

  • 96131: Psychological Testing & Interpretation (each additional hour)

  • 96136: Psychological Testing Administration/Scoring (first 30 minutes)

  • 96137: Psychological Testing Administration/Scoring (each additional 30 minutes)

Common Diagnosis Codes at Compassion Counseling and Psychological Services, LLC

Below are common diagnosis codes at CCPS; however, the list is not exhaustive. With that said, diagnosis codes can change based on many factors. Please speak to your provider with any questions or concerns. 

  • Adjustment Disorder (F43.23)

  • ADHD (F90.09)

  • Depression (F32.9)

  • Anxiety (F41.1)

  • Posttraumatic Stress Disorder (F43.10)

CCPS recognizes every individual’s mental health treatment journey is unique and personalized. How long you need to engage in mental health services and how often you attend sessions will be influenced by many factors, including, but not limited to: 

  • Your schedule and life circumstances

  • Your provider’s availability

  • Ongoing life challenges

  • The nature of your specific challenges and how you address them

  • Personal finances

You and your provider will continually assess the appropriate frequency of services and will work together to determine when you have met your goals and are ready for discharge and/or a new "Good Faith Estimate" will be issued should your frequency or needs change.