There are two models of psychiatry regarding fees.
The first model of practice accepts insurance reimbursement. Because of the deeply discounted reimbursement and the administrative costs of obtaining reimbursement, appointments are usually of shorter duration. The records of patients may be required for insurance reimbursement.
The second model of practice does not accept insurance reimbursement. My practice is of the second model. It allows more time with my patients and their families. Practice records are in paper, and copies of those records are only available to third parties with the approval of my patient or the parents of my patient, if a minor.