Caleb Lantz Pusey, LCMHC

Frequently Asked Questions
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Frequently Asked Questions
90-minute gravel session is $200, 60-minute gravel session is $155
Yes. While I have limited sliding scale spots on my caseload, I am excited about making this program accessible to others regardless of financial circumstances.
If you have questions about your insurance and gravel therapy then let’s plan on discussing all of them before we meet. In most cases, insurance will cover outpatient appointments that meet at my office for 45 to 60 minutes. Since gravel therapy occurs outside of my office, we will discuss a plan for helping you make use of your insurance coverage that will likely involve a cost sharing matrix of co-pays or co-insurance and a gravel therapy product add-on.
Yes, thanks for sharing the time to visit my website and I apologize for
any confusion. If you would like to work exclusively in the office then please
send me a message through Psychology Today, Click Here
No. As long as your bike has knobby tires that can maintain rolling stability and turn on uneven surfaces than you will have everything that you need. Examples of appropriate alternatives include a road bike with knobby tires, a hybrid bike with knobby tires, or a mountain bike.
No. You and I will review the intended route before each ride so that the session meets your goals, whether on gravel roads, trail, paved roads, or all three surfaces, for the day. Generally, you can expect that the majority of mileage during your session will occur on gravel roads unless we plan a mountain bike specific session on single track trails or a hybrid road/gravel session.
Yes. You and I will review the intended route before each ride so that the session meets your goals, whether on gravel roads, trail, or both surfaces, for the day. If a mountain session on single track is planned than a mountain bike, either hard tail or full suspension, is required. Even if the majority of the route is on single track, you can expect that a portion of the ride will occur on gravel roads to support parallel riding and more attuned conversations.
No. Generally, the risks associated with a road ride are such that they make parallel riding and attuned therapeutic conversations very difficult.
Other than a required helmet, you can wear whatever helps you stay warm whenever it is cold and wet outside or cool when it is hot and dry. I highly encourage you to bring water, snacks, and an extra layer regardless of the season.
I carry a first-aid kit, a phone, and a copy of your emergency contact information for the duration of the ride. I am a Wilderness First Responder which is the standard industry certification for recognizing and treating life-threats in remote settings. If you have been advised by a physician to bring medications for asthma, allergic reactions, or cardiac emergencies then we will review this history before your first gravel session and discuss plans to have these resources within arm’s reach for each and every ride.
After your first assessment in the office, you and the therapist will collaboratively determine a frequency of sessions which support your goals for therapy. More than likely, the rhythm of your work will include shorter sessions in the office paired with gravel sessions outside. The length of therapy ultimately depends on your intentions and goals. Some clients have been working with me for years and others see me for less than six months.
The pace and distance might fluctuate depending on the terrain and the weather but it is ultimately guided by the cadence that emerges from the conversation and your overarching goals for therapy. Unless you have been advised by a physician to avoid cardiovascular exercise, you have everything that you need for a productive session.
I am working to explore partnerships with organizations that support individuals with physical disabilities in order to facilitate adaptive gravel therapy sessions in the future.