Our Practice

About Our Practice

Sugar Land Psychological Associates is a family-owned and operated private practice – it was founded in 2022 by Dr. Derek Ream when he and his husband, Dr. Andre Fernandes moved to Sugar Land, Texas to be closer to their family. Our practice is comprised of psychologists and a clinical pharmacist who work with kids, teens, adult, and geriatrics. We have a particular interest in working with people who work or have worked in law enforcement and in the military. We also value providing an inclusive experience to our LGBTQ+ community. 

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What We Do

We provide individual, group, and couples psychotherapies, psychological assessments, and medication therapy management services via tele-health. Our practice is completely online, meaning, all services, documentation and payments are completed over our HIPAA-compliant platform from the comfort of your home or office.

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Why We Do it

After working for large hospital systems, it became evident that many of them tend to focus on various organizational and financial goals that often ran counter to the whole reason they exist in the first place - to help people. After spending over 40% of our days in meetings and going through various “checklists” with our patients, it drained the fun out of being a provider, and it seemed like we were operating an airplane or a DMV rather than providing high-quality healthcare services and a patient experience. At the heart of our practice, we strive to minimize the paperwork, policies and procedures, and bureaucracy often observed in large hospital systems so that we can hit the ground running by getting you feeling and doing better.

Serving Over 40 States & Territories

Since we participate in the PSYPACT Commission, we serve citizens of Sugar Land, all of Texas, as well as citizens located across 40+ states, including: Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Northern Mariana Islands, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming.

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FAQs

A psychologist (i.e., “Licensed Psychologist”) is a doctoral-level mental healthcare provider – meaning, in order to be granted a license to practice as a psychologist in the state of Texas, one must have earned a Doctor of Philosophy (Ph.D.) or Doctor of Psychology (Psy.D.) degree in either Clinical Psychology, Counseling Psychology, or School Psychology. Additionally, a psychologist must complete a health service psychology internship and a post-doctoral fellowship in order to be eligible to meet licensure requirements. Ultimately, psychologists are experts in emotional, behavioral, personality, and cognitive functioning; we help people who struggle with various thoughts, emotions, and behaviors that may be impacting their ability to function in some important context, such as school, recreational/leisure activities, work, or getting along with other people. Psychologists’ training is focused on the use of relevant psychological sciences, and research and statistics to guide our use of psychological testing/assessment procedures to diagnose and identify suspected mental health problem(s), and once identified, we use evidence-based therapies (counseling) to address those problem(s). It should be noted that psychologists are the only mental health providers who are competently and legally able to administer, score, and interpret psychological tests in order to produce an integrated psychological report.

There are several mental healthcare providers out there, and it can often seem confusing as to who does what, and what makes one provider different than the other. As previously mentioned above, a psychologist is a doctoral-level mental healthcare provider that is an expert in human behavior who uses psychological assessment, clinical observation, and psychotherapy to identify, diagnose, and treat psychiatric disorders, however, they are not the only ones who treat mental health concerns.

 

Psychiatrist (M.D. or D.O.): is a doctoral-level mental healthcare provider who is a physician, meaning, they’ve earned either a M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathic Medicine) degree that allows them to become licensed as a physician, and then undergo four years of residency in psychiatry. Psychiatrists are experts in human behavior and use clinical observation and laboratory tests to identify and diagnose psychiatric disorders, and use medication as their primary method of treatment.

 

Licensed Psychological Associate (LPA): is a master’s-level mental healthcare provider who earned a master’s degree in clinical or counseling psychology in order to be eligible for licensure as a LPA, and is trained to use clinical observation, psychological testing, and psychotherapy to identify, diagnose, and treat psychiatric disorders. It should be noted that LPAs require supervision by a licensed psychologist in order to practice.

 

Licensed Clinical Social Worker (LCSW): is a master’s-level mental healthcare provider who earned a master’s degree in social work in order to be eligible for licensure as a LCSW, and is trained to use clinical observation and provide psychotherapy to identify, diagnose, and treat psychiatric disorders. A clinical social worker is also trained to identify other elements in one’s social environment that might be negatively impacting a person’s psycho-social functioning (e.g., problems with housing, jobs, finances, etc.).

 

Licensed Professional Counselor (LPC): is a master’s-level mental healthcare provider who earned a master’s degree in counseling (or some variation on the term “counseling”) in order to be eligible for licensure as a LPC, and is trained to use clinical observation and psychotherapy to identify, diagnose, and treat psychiatric disorders.

 

Licensed Marriage and Family Therapist (LMFT): is a master’s-level mental healthcare provider who earned a master’s degree in marriage and family therapy (or some variation on the term “marriage and family therapy”) in order to be eligible for licensure as a LMFT, and is trained to use clinical observation and psychotherapy to identify, diagnose, and treat difficulties within a marriage, couple, and family where psychiatric challenges my be influencing such discord.

 

Psychiatric Physician Assistant (PA-C): is a master’s-level mental healthcare provider who earned a master’s degree, typically in “physician assistant studies” (or some variation of the title “physician assistant”) in order to be eligible for licensure as a PA, and is trained from the “medical model” to assist psychiatrists by making use of clinical observation, laboratory tests, and medication to identify, diagnose, and treat psychiatric disorders; all under the supervision of a psychiatrist.

 

Psychiatric Nurse Practitioner (APRN/PMHNP): is a master’s-level mental healthcare provider who earned a master’s degree in “nursing/nurse practitioner” (or some variation of the title “nurse practitioner”) in order to be eligible for licensure as a APRN/PMHNP, who makes use of clinical observation, laboratory tests, and medication to identify, diagnose, and treat psychiatric disorders. A psychiatric nurse practitioner is trained via the “nursing model,” meaning, they approach the testing, diagnosis, and treatment from a larger framework that incorporates how disease processes influence or, are influenced by the interactions in one’s social environment. Depending on each state, a nurse practitioner may be able to practice independently, or may require supervision by a physician.

Yes! We are in-network with PPO programs of Blue Cross Blue Shield, United Healthcare/Optum, Aetna, Sana Benefits, and their subsidiary companies. To best determine what your health coverage will be, please contact your insurance company directly and they can let you know what you will be paying out of pocket. Prior to beginning your first session with us, you will be required to verify your own insurance; don’t worry, we will provide you a form that has every question you will need to ask your insurance company. Ultimately, payment for services is the patient’s responsibility, thus, should your insurance fail to pay their portion for services rendered by us, the patient is responsible for any outstanding costs.

 

Coinsurance – A certain percent you must pay each benefit period after you have paid your deductible. This payment is for covered services only. You may still have to pay a copay in addition to the co-insurance. Example: Your plan might cover 80 percent of your medical bill. You will have to pay the other 20 percent. The 20 percent is the coinsurance.

 

Copayment (Copay) – The amount you pay to a healthcare provider at the time you receive services. You may have to pay a copay for each covered visit to your doctor, depending on your plan. Not all plans have a copay.

 

Deductible – The amount you pay for your healthcare services before your health insurer pays. Deductibles are based on your benefit period (typically a year at a time). Learn about deductibles here. Example: If your plan has a $2,000 annual deductible, you will be expected to pay the first $2,000 toward your healthcare services. After you reach $2,000, your health insurer will cover the rest of the costs. If this applies to you, then you would be required to pay the contracted rate we have with your insurance company up until you reach your yearly deducible amount before your insurance company will begin paying out a percentage to cover your healthcare costs; for example, once your deductible is met, your insurance will typically pay out a percentage (e.g., 90%) while you would be required pay the remaining percentage (e.g. 10%) of the contracted rate between your insurance company and us.

 

If we do not accept your insurance at the present moment, then we are considered an out-of-network provider – we can provide you with a “super bill” which you can submit to your insurance company for reimbursement. Services may be covered in full or in part by your health insurance or employee benefit plan. Please contact your insurance company about your out of network benefits before scheduling an appointment with us.

Yes! Studies show that tele-health appointments are just as effective as in-person (face-to-face) appointments.
What We Offer
We like to get straight to the point -
when you join our practice, you get:
Careers
Openings
Psychologist

We are seeking a Remote Psychologist to join our team and see clients on a full-time basis. The ideal candidate will be dedicated to providing high-quality psychological services to individuals of all ages, with the flexibility to work remotely. This position offers the opportunity to collaborate with a diverse team of professionals and make a meaningful impact on clients’ mental health and well-being. Additionally, the incumbent would be added to our group practice insurance panels.

Responsibilities:

  1. Conduct psychological assessments and evaluations remotely to diagnose mental health disorders and develop personalized treatment plans.

  2. Provide individual, group, and family therapy sessions via telehealth platforms, using evidence-based therapeutic techniques.

  3. Collaborate within a team-based environment to coordinate comprehensive care for clients across state lines.

  4. Maintain accurate and up-to-date clinical records, ensuring compliance with state and federal regulations and privacy laws.

  5. Provide crisis intervention services remotely, assessing risk of harm to self or others and implementing appropriate interventions as needed.

Qualifications:

  1. Doctoral degree (Ph.D. or Psy.D.) in Clinical Psychology, School Psychology, or Counseling Psychology from an APA-accredited institution.

  2. Completion of a pre-doctoral internship at an APA-accredited institution.
  3. Completion of a post-doctoral fellowship (formal or informal).
  4. Licensed as a psychologist in Texas.

  5. Demonstrated experience conducting remote psychological assessments, diagnosing mental health disorders, and delivering teletherapy services.

  6. Proficiency in telehealth platforms and technology tools used in remote clinical practice.

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Why Consider Us?

Sugar Land Psychological Associates is a family-run practice located in Sugar Land, Texas, focused on expanding our services. We are eagerly searching for outstanding doctors to join us and help enhance our range of treatment and assessment services.

Our practice is rooted in a passion for our work, with a culture that values giving our providers the autonomy to make decisions about their work independently, free from micromanagement and excessive oversight. Originally starting as a “side project” while working in larger healthcare institutions, we quickly realized that the burdens of bureaucracy, stringent procedures, and administrative tasks were sapping the joy from healthcare provision and obstructing direct care. Importantly, these obstacles were also impeding our ability to be fully attentive to our patients—the very reason we pursued this profession.

To counteract this, we founded a practice that eliminates the bureaucratic obstacles and pressures associated with “big healthcare.” This shift allows us to focus on the core reason we became healthcare providers: to positively impact people’s lives. We also firmly believe that healthcare providers, rather than their employers, should keep the majority of the earnings from their services.

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