Our Services & Fees

  • 60 Minutes - $300.00

    Your first appointment with Ashley is designed to be a comfortable and collaborative experience. During this comprehensive initial consultation, Ashley will take the time to get to know you—your history, current concerns, goals, and any previous mental health treatment you’ve received.

    The session typically includes a thorough assessment of your emotional, psychological, and physical health, including a review of symptoms, lifestyle factors, and any relevant medical conditions. Ashley uses a compassionate, evidence-based approach to understand your unique needs and to begin developing a personalized treatment plan that may include medication management, therapy recommendations, lifestyle changes, or a combination of strategies.

    This is also your opportunity to ask questions, express your preferences, and share what matters most to you in your care. Ashley’s goal is to create a safe, supportive environment where you feel heard and empowered on your path to mental wellness.

  • 90 Minutes - $350.00

    This comprehensive 90-minute initial consultation is designed to provide a thorough psychiatric assessment for children and adolescents ages 5 to 17. Conducted by board-certified Psychiatric Mental Health Nurse Practitioner Ashley Karel, this session includes a detailed review of the child’s medical, developmental, academic, emotional, and behavioral history. Parent(s) or guardian(s) are included in the evaluation process to ensure a collaborative understanding of the presenting concerns.

    During the consultation, Ashley will assess mental health symptoms, explore environmental and family dynamics, screen for potential psychiatric or neurodevelopmental conditions, and discuss previous treatments or interventions. Diagnostic impressions will be shared, and an individualized treatment plan will be developed—which may include recommendations for therapy, school accommodations, medication, or additional testing if needed.

     This session is intended to establish a strong foundation for ongoing care in a supportive, child-centered environment that prioritizes emotional safety, compassion, and evidence-based practice.

  • 30 Minutes - $125.00

  • 30 Minutes - $150.00

    This follow-up appointment is for established pediatric and adolescent patients ages 5 to 17 under the care of Ashley Karel, PMHNP-BC. The session focuses on monitoring progress, evaluating response to treatment, and addressing any changes in symptoms, functioning, or life circumstances since the last visit.

    Ashley will collaborate with the patient and their parent(s) or guardian(s) to assess the effectiveness of current interventions—whether medication, therapy, or school accommodations—and make adjustments as needed. Concerns related to mood, behavior, sleep, focus, anxiety, and other mental health symptoms will be discussed in a supportive, developmentally appropriate manner.

    The goal of each follow-up is to ensure continued progress, reinforce strengths, and adapt the treatment plan to meet the evolving needs of the child or adolescent in a compassionate, family-centered environment.

  • 30 Minutes - $125.00

    A telehealth follow-up visit with Ashley Karel, PMHNP-BC is a convenient way to continue your mental health care from the comfort of your home. During this virtual session, Ashley will check in on your progress, review your treatment plan, discuss any changes in your symptoms or concerns, and make adjustments to your medication or therapeutic approach if necessary.

    This follow-up is an important part of your care, allowing Ashley to provide ongoing support, answer questions, and ensure your treatment remains effective and aligned with your mental health goals. To prepare, please find a quiet, private space with a reliable internet connection and have any questions or updates on your condition ready to discuss.

  • $30.00

    Urine Drug Screenings are required for all new patients and controlled substance prescriptions if not completed in the past 90 days.

  • Should we need to produce forms or letters on your behalf, the following fees will be incurred:

    • 1 - 3 pages: $75.00

    • 4 - 6 pages: $100.00

    • 6+ pages: $150.00

    • 0–10 minutes: $25

    • 10–20 minutes: $50

    Please note:

    Phone consultations longer than 20 minutes will not be provided. Patients needing more extensive support should schedule an appointment.

    All fees are subject to change with notice. If you have any questions about billing or services, please contact the clinic directly.

Conditions We Treat

Lumina Mental Wellness specializes in the treatment and care of various psychiatric disorders and serves patients of all ages.

  • Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder affecting individuals of all ages. It is characterized by symptoms of inattention, hyperactivity, and impulsivity that can interfere with daily functioning.

    ADHD in Adults:

    Adults with ADHD may experience:

    • Difficulty focusing and prioritizing tasks

    • Poor time management and organizational skills

    • Impulsiveness and frequent mood swings

    • Challenges in maintaining relationships and job performance

    ADHD in Adolescents:

    Adolescents with ADHD may struggle with:

    • Difficulty paying attention in class and completing assignments

    • Impulsivity leading to risky behaviors

    • Restlessness or excessive talking

    • Organizational and time management challenges

    ADHD in Children:

    Children with ADHD may exhibit:

    • Inattention: Difficulty staying focused, making careless mistakes, and being easily distracted

    • Hyperactivity: Excessive fidgeting, running or climbing inappropriately, and talking excessively

    • Impulsivity: Interrupting others, difficulty waiting their turn, and acting without thinking

    Impact on Daily Life:

    ADHD can affect academic performance, work, relationships, and self-esteem. Early diagnosis and intervention are crucial for managing symptoms and improving quality of life.

    Treatment Options:

    Effective treatment often involves:

    • Medications: Stimulants and non-stimulants.

    • Therapy: Behavioral therapy and cognitive-behavioral therapy (CBT).

    • Lifestyle Changes: Structured routines, organizational tools, and support from family and educators.

  • Anxiety disorders are a group of mental health conditions characterized by excessive and persistent worry, fear, or anxiety that interferes with daily activities. These disorders can cause intense feelings of distress and physical symptoms such as increased heart rate, sweating, trembling, and difficulty concentrating

    There are several types of anxiety disorders, including:

    • Generalized Anxiety Disorder (GAD): Persistent and excessive worry about various aspects of life, such as work, health, or social interactions.

    • Panic Disorder: Recurrent, unexpected panic attacks involving sudden, intense fear and physical symptoms like chest pain and shortness of breath.

    • Social Anxiety Disorder: Intense fear of social situations and being judged or embarrassed in public.

    • Specific Phobias: Extreme fear of specific objects or situations, such as heights or spiders.

    • Agoraphobia: Fear of places or situations where escape might be difficult, leading to avoidance of such places.

    • Separation Anxiety Disorder: Excessive fear of being separated from loved ones.

    Treatment options, including therapy and medication, can help manage symptoms and improve quality of life.

  • Bipolar disorders are mental health conditions characterized by extreme mood swings, including emotional highs (mania or hypomania) and lows (depression).

    Types of Bipolar Disorders

    1. Bipolar I Disorder: Characterized by at least one manic episode, which may be preceded or followed by hypomanic or major depressive episodes. Mania can sometimes lead to psychosis.

    2. Bipolar II Disorder: Involves at least one major depressive episode and one hypomanic episode, but no full manic episodes.

    3. Cyclothymic Disorder: Consists of periods of hypomanic symptoms and depressive symptoms lasting for at least two years (one year in children and adolescents), but the symptoms are less severe than those of bipolar I or II.

    4. Other Types: Includes bipolar disorders induced by substances or medications, or due to medical conditions like multiple sclerosis or stroke.

    Symptoms

    • Mania: Elevated mood, increased activity or energy, inflated self-esteem, decreased need for sleep, and risky behavior.

    • Hypomania: Similar to mania but less severe and does not cause significant impairment.

    • Depression: Persistent sadness, loss of interest in activities, fatigue, feelings of worthlessness, and difficulty concentrating.

    Causes

    Bipolar disorders can be influenced by genetic, biological, environmental, and psychological factors.

    Treatment

    Effective management typically involves a combination of medication and psychotherapy. Mood stabilizers, antipsychotic medications, and antidepressants can help control symptoms, while therapy provides support and coping strategies.

  • Depression, also known as major depressive disorder, is a common and serious mood disorder that affects how a person feels, thinks, and handles daily activities.

    It is characterized by persistent feelings of sadness, hopelessness, and a loss of interest or pleasure in activities once enjoyed.

    Key Features of Depression:

    • Emotional Symptoms: Persistent sadness, feelings of emptiness, hopelessness, irritability, and anxiety.

    • Physical Symptoms: Fatigue, changes in sleep patterns (insomnia or oversleeping), changes in appetite (weight loss or gain), and physical aches and pains.

    • Cognitive Symptoms: Difficulty concentrating, making decisions, and remembering things.

    • Behavioral Symptoms: Withdrawal from social activities, loss of interest in hobbies, and reduced ability to function at work or school.

    Causes and Risk Factors:

    Depression can result from a combination of genetic, biological, environmental, and psychological factors.

    Risk factors include a family history of depression, major life changes, trauma, chronic medical conditions, and certain medications.

    Treatment Options:

    Effective treatments for depression include psychotherapy (such as cognitive-behavioral therapy), medications (such as antidepressants), and lifestyle changes (such as regular exercise and healthy eating).

    Depression is treatable, and seeking help early can improve outcomes and quality of life.

  • Eating disorders are serious mental health conditions characterized by abnormal eating habits that negatively impact physical and emotional well-being. These disorders often involve an intense focus on body weight, shape, and food, leading to dangerous behaviors and severe health consequences.

    Types of Eating Disorders:

    • Anorexia Nervosa: Characterized by extreme restriction of food intake, intense fear of gaining weight, and a distorted body image. Individuals with anorexia often see themselves as overweight even when they are underweight.

    • Bulimia Nervosa: Involves cycles of binge eating followed by compensatory behaviors such as vomiting, excessive exercise, or use of laxatives. People with bulimia may maintain a normal weight but suffer from severe physical and emotional distress.

    • Binge-Eating Disorder: Marked by recurrent episodes of eating large quantities of food, often quickly and to the point of discomfort. Unlike bulimia, binge-eating episodes are not followed by purging behaviors, leading to potential weight gain and associated health issues.

    • Other Specified Feeding or Eating Disorders (OSFED): Includes eating disorders that do not meet the criteria for anorexia, bulimia, or binge-eating disorder but still cause significant distress and impairment.

    Symptoms and Impact:

    Eating disorders can lead to a range of physical symptoms, including malnutrition, electrolyte imbalances, gastrointestinal issues, and heart problems. They also have profound psychological effects, such as anxiety, depression, and social isolation.

    Treatment Options:

    Effective treatment for eating disorders typically involves a multidisciplinary approach, including:

    • Psychotherapy: Cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and family-based therapy are commonly used to address the underlying psychological issues.

    • Medical Care: Monitoring and treating physical health complications.

    • Nutritional Counseling: Guidance on healthy eating habits and restoring a balanced diet.

    • Support Groups: Providing a community of individuals who understand and share similar experiences.

    Early intervention and comprehensive treatment can significantly improve outcomes and help individuals recover from eating disorders.

  • Obsessive-Compulsive Disorder (OCD) is a mental health condition characterized by persistent, unwanted thoughts (obsessions) and repetitive behaviors (compulsions) that individuals feel compelled to perform.

    These obsessions and compulsions can significantly interfere with daily activities and cause considerable distress.

    Key Features of OCD:

    • Obsessions: These are intrusive and distressing thoughts, images, or urges that repeatedly enter the mind. Common themes include fear of contamination, doubts about safety, need for symmetry, and aggressive or taboo thoughts.

    • Compulsions: These are repetitive behaviors or mental acts performed to reduce the anxiety caused by obsessions or to prevent a feared event. Examples include excessive hand washing, checking locks, counting, or arranging items in a specific order.

    Impact on Daily Life:

    OCD can consume a significant amount of time and energy, making it difficult for individuals to carry out normal routines and responsibilities.

    The condition often leads to feelings of shame, frustration, and isolation

    Treatment Options:

    Effective treatments for OCD include cognitive-behavioral therapy (CBT), particularly Exposure and Response Prevention (ERP), and medications such as selective serotonin reuptake inhibitors (SSRIs).

    Early diagnosis and treatment can improve outcomes and help individuals manage symptoms more effectively.

  • Psychotic disorders are severe mental health conditions characterized by a loss of contact with reality, often involving significant changes in behavior and perception.

    Types of Psychotic Disorders

    1. Schizophrenia: Characterized by delusions, hallucinations, disorganized thoughts and speech, and unusual behavior. It often involves withdrawal from social interactions.

    2. Schizoaffective Disorder: Combines symptoms of schizophrenia with mood disorders like depression or bipolar disorder.

    3. Schizophreniform Disorder: Similar to schizophrenia but lasts between one to six months.

    4. Delusional Disorder: Involves persistent false beliefs about real-life situations, such as being plotted against or having an unfaithful partner.

    5. Brief Psychotic Disorder: Short episodes of psychotic behavior lasting less than a month.

    6. Substance/ Medication-Induced Psychotic Disorder: Triggered by certain drugs or medications.

    7. Psychotic Disorder Due to Another Medical Condition: Caused by medical conditions like traumatic brain injury or dementia.

    8. Shared Psychotic Disorder: Rare condition where two or more people share a specific delusion.

    Symptoms

    • Delusions: False beliefs that are strongly held despite evidence to the contrary.

    • Hallucinations: Sensory experiences that others do not perceive.

    • Disorganized Thinking: Incoherent or illogical thought patterns.

    • Disorganized Behavior: Unpredictable or inappropriate actions.

    • Negative Symptoms: Reduced ability to function normally, such as lack of emotion or motivation.

    Causes

    Psychotic disorders can be caused by a combination of genetic, biological, environmental, and psychological factors.

    Treatment

    Treatment typically involves a combination of medication and therapy. Antipsychotic medications can help manage symptoms, while psychotherapy can provide support and strategies for coping with the disorder.

    Importance of Consistent Care

    Maintaining regular psychiatric care is crucial for managing psychotic disorders and improving quality of life.

Accepted Insurance

Lumina Mental Wellness accepts the following insurance plans:

  • Aetna

  • Ambetter Marketplace

  • BlueCross BlueShield

  • Cigna

  • United Healthcare

  • Medicare

  • Medicaid (Magnolia & CHIPS)

There is also a self-pay option for those whose insurance provider isn’t listed. Flexible payment plans are available to ensure affordable access. Patients are also able to file their claims personally for reimbursement from their insurance provider. We cannot guarantee that your respective insurance provider will reimburse you and any questions regarding that should be directed to your insurance company.