‍Case Management

Support navigating the systems around your care — insurance questions, referrals, coordinating with other providers, and the logistics that can make getting care harder than the care itself. This is practical, hands-on help from Aimee Mills-Viscovich, LICSW, not a replacement for therapy but a support alongside it.

What This Can Look Like

Case management can be hard to picture until you see it in action. A few examples of the kind of support this might include:

• Insurance troubleshooting. Your claim gets denied, or you're not sure what your plan actually covers for therapy or medication management. We call your insurer with you (or on your behalf, with your consent) to sort out what's going on and what your options are.

• Provider coordination. You're seeing a psychiatrist, a PCP, and a therapist, and none of them are talking to each other. We help connect the dots — with your consent, we can reach out directly to coordinate care so you're not the only one holding the full picture.

• Referrals that actually fit. You need a specialist, a support group, or a service outside what we offer here — and searching for “the right one” on your own feels like a part-time job. We narrow the search and hand you options that make sense for your specific situation.

• Navigating a transition. You're stepping down from a higher level of care, switching providers, or your insurance is changing — and you need a plan for how the pieces fit together so nothing falls through the cracks.

• Advocacy support. You need someone to help you word a letter, prepare for a difficult conversation with a provider or employer about accommodations, or simply understand your rights and options before a meeting.

This is separate from therapy itself — it's the logistical support that often has to happen around good care, so the care itself can actually work.

For Neurodivergent Clients &

Their Loved Ones

Systems built around neurotypical assumptions — insurance phone trees, dense paperwork, providers who expect you to advocate for yourself in real time — can be exhausting for autistic and ADHD adults in ways that have nothing to do with capability. Case management can offset that friction. A few examples specific to neurodivergent clients:

• Reducing the executive-function load of “getting help.” Finding a provider, filling out intake paperwork, and making a string of phone calls can be its own barrier before care even starts. We can take pieces of that off your plate — researching options, making calls, or prepping you with a script beforehand.

• Requesting accommodations. Whether it's asking a provider for written after-visit summaries instead of relying on verbal instructions, requesting a sensory-friendlier appointment slot, or getting workplace accommodations documented, we can help you word the request and, with consent, advocate directly with the other party.

• Translating between systems and self-advocacy. Insurance and medical systems often expect a kind of self-advocacy — explaining your needs clearly, on the spot, to a stranger — that can be genuinely difficult during burnout, overwhelm, or shutdown. We can help prepare what to say in advance, or advocate on your behalf when that's what's needed.

• Support for loved ones, too. Partners, parents, and family members supporting a neurodivergent adult often end up doing case-management work themselves, unpaid and unsupported. If you're the one holding the logistics for someone you care about, we can work with you directly (with the client's consent) to lighten that load and make sure it isn't falling on you alone.

This support is grounded in the same neurodivergent-affirming approach as the rest of our practice: your executive-functioning needs aren't a character flaw to manage around, they're a difference to design support around.