Our Approach
Trivium New England provides integrative mental health and wellness services through our Outpatient Clinic in Lebanon, NH and via telehealth. We use a strengths-based and person-centered approach, working collaboratively with each client to develop a course of treatment that is responsive to individual preferences and needs. Our integrative approach will help you explore current symptoms, as well as lifestyle factors such as diet, sleep, movement and stress. We combine evidence-based psychotherapy models with complimentary wellness tools in order to develop personalized treatment plans that consider the whole person.
Our Providers
Marykate Oakley, PhD
Clinical Psychologist
Pronouns: she/her/hers
Licensure Information:
● Psychologist, New Hampshire, #1540, exp. 6/30/2025
Marylee Verdi, FNP-C, PMHNP-BC
Psychiatric Nurse Practitioner
Pronouns: she/her/hers
Licensure Information:
● Registered Nurse Practitioner, New Hampshire #054700-23, exp. 11/22/2024
Susan Odden, MS, MSN, RN
Psychotherapist, Nutritionist, Registered Nurse
Pronouns: she/her/hers
Licensure Information:
● Non-Licensed & Non-Certified Psychotherapist, Vermont #097.0135338, exp. 11/30/26
(eligible candidate for licensure as Clinical Mental Health Counselor)
● Registered Nurse, Vermont #026.0113090, exp. 3/31/2025
● Registered Nurse, New Hampshire #071623-21, exp. 10/13/2024
● Approved Ed RN AD Instructor, New Hampshire #01433, Active
● Registered Nurse, Arizona #RN168898, exp. 04/01/2027
Sara Paton, MSW, RSW, CYT
Clinical Social Worker, Psychotherapist, Certified Yoga Teacher
Pronouns: she/her/hers
Licensure Information:
● Non-Licensed & Non-Certified Psychotherapist, Vermont #097.0135812, exp.
11/30/2024 (eligible candidate for licensure as Master Social Worker)
Shanna Clark Meyer, MA, LCMHC, LMHC, MT-BC
Clinical Supervisor
● Licensed Clinical Mental Health Counselor, New Hampshire #2615, exp. 3/31/2025
● Licensed Clinical Mental Health Counselor, Vermont #06.0134262, exp. 1/31/2025
● Licensed Mental Health Counselor, Massachusetts # 7511, exp. 12/31/2025
● Board Certified Music Therapist, exp. 6/30/2028
Therapeutic Process
The therapeutic process assesses current functioning to address goals and specific concerns. Engaging in psychotherapy may include benefits like the resolution of presenting symptoms, as well as increased insight, the development of effective coping strategies, and improved interpersonal relationships. Psychotherapy can also improve self-efficacy, connection to goals and values, and overall quality of life. Therapeutic progress is assessed regularly, and your feedback is integral to this process. Please note that psychotherapy is a personal process, and there are no guarantees regarding eventual outcomes.
For you to reach your therapeutic goals, it is essential you complete assignments between sessions. Therapy takes time and effort, and it may move slower than you want or expect.
Along with the benefits of psychotherapy, there are some risks to consider. The process can be uncomfortable, as change often is. It can arouse unexpected emotional reactions and create changes that may have not been originally intended. During the process, however, we will work together to make adjustments as needed.
Psychotherapy is never done in isolation, and the process looks different for children and minors. At Trivium Integrative Mental Health, we adhere to NH state law, which stipulates that minors 16 years of age or older may voluntarily consent to and receive mental health services without the consent of the minor's parent or legal guardian. Medications, however, cannot legally be prescribed to minors with parent/guardian consent. It is our policy that parents and/or legal guardians with children ages 10 and under should plan on actively participating in treatment.
Children under the age of 12 must also be accompanied by an adult while in the office (i.e., parents should wait in the waiting room). Parents and legal guardians have the right to request minors’ treatment records and receive general updates. Please note that, particularly with adolescents, this can affect the therapeutic relationship if they believe parents and guardians will be informed of everything that transpires in the therapy room. We encourage you to speak with your clinician at the outset of treatment to establish clear expectations. Regardless, Trivium
Integrative Mental Health is ethically and legally obligated to break confidentiality as outlined by NH law (see below for these exceptions).
Safety Planning
Trivium Integrative Mental Health operates Monday thru Friday from 9am to 5pm. If you require services outside of these hours, we cannot guarantee availability – please speak with your provider about possible accommodations. Trivium Integrative Mental Health may offer therapy groups or other specialized programming outside of normal business hours – these opportunities will be communicated in advance.
As an outpatient practice, we do not provide crisis or after hours support. We are committed to working with each of our clients to develop a proactive safety plan in conjunction with your individualized treatment plan.
Fee Structure and Payment Policies
Trivium Integrative Mental Health is a private pay, out-of-network provider. We are able to issue superbills for insurance reimbursement upon request. Invoices will be issued prior to the scheduled service, payment is due at the time of service. For a 55-minute therapy session, rates are as follows:
● Marykate Oakley, PhD: $275.00
● Susan Odden, MS, MSN, RN: $220.00
● Sara Paton, MSW, RSW, CYT: $175.00
Trivium Integrative Mental Health also offers the following services:
● 1:1 Trauma-sensitive Yoga: $50.00 for 30 minutes
● Individual Integrative Nutrition Counseling: $50.00 for 30 minutes
● ADHD Medication Management: $400.00 for initial intake; $200.00 for follow-up
Please note that if the person assuming financial responsibility for services is someone other than the client or the client’s parent/legal guardian, we will require a Release of Information authorizing Trivium Integrative Mental Health to communicate with the responsible party regarding finances. Any other information about your care will not be released to the financially responsible party without your written consent.
Appointment
We generally conduct one 55-minute session per week at a mutually agreed upon time. Some sessions may be shorter, longer, or more frequent, depending on needs and preferences. You are responsible for coming to your session on time at the time scheduled. If you are late, your appointment will still need to end on time. Should you find it difficult to attend your appointments, we can work together to address the barriers.
Cancellation/No Shows
We understand that urgent things come up in life and will try to accommodate as best we can. However, we do have policies around late, missed, or late cancel appointments.
● If you are more than fifteen minutes late to your appointment, our providers will not be available to meet, and we will need to reschedule.
● If you need to cancel an appointment, please try to do so more than 24 hours in advance so we can plan accordingly
● If you cancel less than 24 hours in advance, or do not show for a scheduled appointment more than twice, we will need to discuss future scheduling.
● If you no-show your appointment or cancel with less than a 24-hour notice, we will charge the no-show rate, which is equivalent to the self-pay rate for that session.
Termination
We are a voluntary, at-will practice, which means you may terminate services at any time. However, we recommend a 2-4 week notice of intent to terminate therapy to allow for a thoughtful conclusion to your treatment process. We may elect to terminate services due to non-payment or assessed need outside the scope of our practice. We will do our best to work with you to ensure a smooth transition and continuity of care.
HIPAA
The following document contains relevant information about counseling services and related policies, as well as information about the Health Insurance Portability and Accountability Act (HIPAA), a federal law that provides privacy protections and patient rights regarding the use and disclosure of your Protected Health Information (PHI) used for the purpose of treatment, payment, and health care operations.
HIPAA requires that we provide you with a Notice of Privacy Practices, which explains HIPAA and its application to your personal health information in greater detail. The law also requires that we obtain your signature acknowledging that we have provided you with this information prior to beginning the work of counseling.
Professional Records
We are required to keep appropriate records of the therapeutic services that we provide. Although therapy often includes discussions of sensitive and private information, normally very brief records are kept noting that you have met with your provider, what was done in session, and a general mention of the topics discussed. You have the right to request that a copy of your record be made available to you or any other health care provider with a written request. Your
records are maintained in a secure electronic location as required by law.
Confidentiality
Your privacy is of highest importance to us and our work together. The confidentiality of all communications between a client and a therapist is generally protected by law and we, as your mental health providers, cannot and will not tell anyone what you have discussed or even that you are in therapy without your written permission. In most situations, we can only release information to others about your treatment if you sign a written authorization form that meets
certain legal requirements imposed by HIPAA.
Except for certain specific situations described below, you have the right to confidentiality ofyour therapy. You, on the other hand, may request that information is shared with whomever you choose, and you may revoke that permission in writing at any time. There are, however, several exceptions in which we are legally bound to act and break confidentiality. If possible, we will make every attempt to inform you when these will have to be put into effect. The legal exceptions to confidentiality include, but are not limited, to the following:
1. If we believe a client is threatening serious bodily harm to him/herself or another, we may be required to take protective actions that may include notifying the potential victim, notifying the police, or seeking appropriate hospitalization. If a client threatens harm to him/herself or another, we may be required to seek hospitalization for the client, or to contact others who can provide protection.
2. If there is good reason to suspect, or evidence of, abuse and/or neglect toward children, the elderly or vulnerable/disabled persons. In such a situation, we are required by law to file a report with the appropriate state agency.
3. In response to a court order or where otherwise required by law.
Finally, there are times when providers find it beneficial to seek professional consultation with colleagues in order to gain insight and provide the best services possible. Your name and unique identifying characteristics will not be disclosed in this situation. The consultant is also legally bound to keep the information confidential.
Telehealth & Electronic Communication Policy
There are risks unique and specific to telehealth treatment, including but not limited to, the possibility that our therapy sessions or other communication by the therapist could be disrupted or distorted by technical failures. During your course of treatment, we may find that you would be better served via in-person therapy. If this happens, we will refer you to a therapist in your geographic area who can provide such services.
Trivium Integrative Mental Health cannot guarantee privacy in regards to email or other forms of internet messaging. Our staff will not follow or interact with our clients on social media.
Other Rights
If you are unhappy with what is happening in treatment, we hope you will speak directly with your provider so that we can respond to your concerns. Your feedback will be taken seriously and be addressed with care and respect. You may also request that we refer you to another service provider and are free to end therapy at any time.
You have the right to considerate, safe, and respectful care, without discrimination as to race, ethnicity, color, gender, sexual orientation, age, religion, national origin. You have the right to ask questions about any aspect of the therapy and about my specific training and experience. You have the right to expect that we will maintain professional boundaries in relationships with clients or with former clients.
Complaints
As stated above, if issues arise during your time in therapy, our hope is that these will first be addressed directly with your provider or with a member of our leadership team. However, if you remain concerned that Professional Ethics have been violated, a formal complaint may be registered in writing with the Board. Our providers abide by the American Counseling Association Code of Ethics at http://www.counseling.org/Resources/aca-code-of-ethics.pdf.
Our practice is also governed by the following:
● In Vermont: The Board of Allied Mental Health Practitioners – the guidelines can be found at: https://legislature.vermont.gov/statutes/fullchapter/26/065.
● In New Hampshire: The NH Board of Mental Health Practice – the guidelines can be found at:
http://www.gencourt.state.nh.us/rsa/html/NHTOC/NHTOC-XXX-330-A.htm
● In Massachusetts: The Board of Allied Mental Health and Human Services – the
guidelines can be found at:
https://www.mass.gov/lists/statutes-and-regulations-allied-mental-health
Treatment of Staff
Our staff have the right to work in a safe and secure environment, and we as employers have the responsibility to provide that environment. This practice will not tolerate:
● Verbal abuse to staff which prevents them from doing their job, makes them feel
intimidated or unsafe
● Threats of violence or actual violence to any member of the practice
Our staff aim to be polite, helpful, and sensitive to your needs and circumstances. They will do their best to treat you with respect, and ask that you do the same. The following behavior is considered unacceptable:
● Using inappropriate language or swearing at practice staff
● Any physical violence toward any member of the staff or other clients
● Verbal abuse, insults, or threats toward staff or other clients. This includes demeaning comments about race, religion, sexual orientation, or gender identity.
● Sexual harassment
● Persistent or unrealistic demands that cause undue stress to staff. We will do our best to give you an explanation if we are unable to meet a request.
Aggressive behavior, whether violent or abusive, may result in the immediate termination of your case.
Acknowledgment of this form will be considered a signature. This electronic confirmation indicates that you have read this agreement and agree to its terms. It also serves as an acknowledgment that you have received the HIPAA Notice Form described above.