Cardiac arrhthmias, history of fainting, dizziness, loss of consciousness, sudden cardiac arrest, sudden unexpected death in young individuals, cardiomyopathies, structural heart defects. This is often a uniquely sensitive subject for many and I approach these sessions with utmost care and consideration. I have a strong focus in this area
Cardiac arrhthmias, history of fainting, dizziness, loss of consciousness, sudden cardiac arrest, sudden unexpected death in young individuals, cardiomyopathies, structural heart defects. This is often a uniquely sensitive subject for many and I approach these sessions with utmost care and consideration. I have a strong focus in this area of genetic counseling both in the research realm and in helping families through this difficult experience.
Genetic testing for a personal or family history of cancers including but not limited to breast, ovarian, colon, uterine, brain, and prostate cancer.
Genetic testing for ocular disorders is a unique areas of genetic testing in which the laboratory performing the test must be an expert in these conditions in order to give the best chance of identifying a genetic cause. Specializing in retinal dystrophies.
Tailored session for disease risk assessment based on review of your medical history, medical records, family history, and lifestyle. Condition examples: cardiovascular disease, cancer, Alzheimer's, autism spectrum disorders, immune related disorders, metabolic, other rare disease.
Includes 90 minutes session. Fee: $300.
Post test counseling session: (only applicable if pursuing genetic testing) 45 minutes. Fee: $100
Additional family member: counseling and follow up sessions. Fee: $150*only for specific same condition identified in original affected family member. If other indications warrant counseling reduced fee option will be available.
Exome or Whole Genome Sequencing: the most comprehensive genetic test available - for diagnosing the genetic cause of rare diseases or disorders or individuals on a diagnostic odyssey with no clear diagnosis. This is the same diagnostic laboratory test many top institutions utilize to diagnose their rare disease patients, available to you without the long wait time to be seen in a genetics clinic. Includes pharmacogenomic testing.
Session includes everything in the Adult Genetics session, plus consenting and ordering of WES or WGS, Fee: $350
Post test counseling session: (only applicable if pursuing genetic testing) 45 minutes. Fee: $100
Testing is sometimes covered by insurance, but in most cases insurance will not cover the cost or self pay is lower than the cost paid towards deductible. Self pay test cost: $1,400-$3,500 depending on test type and turn-around time if expedited results needed
For those who have had genetic testing or counseling and are looking for a second opinion on the results or want to explore their options for further genetic testing. Especially relevant if your genetic test was completed 5+ years ago or if you have variants of uncertain significance noted on the report. Does not include ordering of genetic testing, but can be added on as separate service if desired.
Includes 30 minute session after reviewing your case. Fee: $150
This is the most comprehensive genetic test available - used for diagnosing the genetic cause of rare diseases or disorders or for individuals on a diagnostic odyssey with no clear diagnosis. Can also include the American College of Medical Genetics and Genomics recommended genes for secondary finding reporting, as well as incidental findings in genes that may be relevant. Includes pharmacogenomic testing and carrier screening if desired. This test is for the individual who wants the most dependable and expert interpretation of their genetic data, while maintaining data and health privacy.
90 minute pre-test counseling session and 60 minute post-test counseling session. Fee for test and counseling sessions when not using insurance: $2,800
Results in ~6 weeks
Results available in 1 week with additional $1,300 fee
ADHD, autism, bipolar disorder, depression, and schizophrenia all have high heritability estimates, but that does not mean that any individual or child with a family history of these conditions will have the condition as well. Genetic testing for autism is available and can sometimes be helpful for personalized care.
For individuals who have a personal or family history of psychosis, mood disorders, current genetic testing options usually lack the ability to pinpoint a specific genetic cause. What can genetic counseling offer without genetic testing? Counseling helps people make meaning of what these disorders entail and what causes them. Counseling also provides information about the chance of passing on these traits, which some people are interested to know when considering having children. Guilt, shame, feeling stigmatized, blaming themselves or others, afraid to talk about it with your partner or family - these are all things that patients often mention when thinking about mental illnesses or other psychiatric conditions, and counseling can help work through those feelings. Recent research shows that genetic counseling has been effective in improving empowerment, self-efficacy, and knowledge, even in the absence of genetic testing.
All sessions include a post-session consult note
If you have any other genetics related questions or do not see a service of interest listed above, I may be able to provide a tailored session at an agreed upon fee. please inquire for a 15 minute complimentary phone consultation to ensure we are a great fit to work together.
Most clinical genetic testing can be performed from saliva or buccal (cheek) swab samples that you can supply from the comfort of your home with no additional costs for shipping. For Whole Genome or Exome Sequencing I recommend providing a blood sample. Mobile Phlebotomy service included.
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