Common Questions
Common Questions
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How can therapy help me?
A number of benefits are available from participating in therapy. Therapists can provide support, problem-solving skills, insight, and enhanced coping strategies for issues such as depression, anxiety, relationship troubles, unresolved childhood issues, grief, stress management, body image issues and creative blocks. Many people also find that counselors can be a tremendous asset to managing personal growth, interpersonal relationships, family concerns, marriage issues, and the hassles of daily life. Therapists can provide a fresh perspective on a difficult problem or point you in the direction of a solution. The benefits you obtain from therapy depend on how well you use the process and put into practice what you learn. Some of the benefits available from therapy include:
- Attaining a better understanding of yourself, your goals and values
- Developing skills for improving your relationships
- Finding resolution to the issues or concerns that led you to seek therapy
- Learning new ways to cope with stress and anxiety
- Managing anger, grief, depression, and other emotional pressures
- Improving communications and listening skills
- Changing old behavior patterns and developing new ones
- Discovering new ways to solve problems in your family or marriage
- Improving your self-esteem and boosting self-confidence
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Do I really need therapy? I can usually handle my problems.
Everyone goes through challenging situations in life, and while you may have successfully navigated through other difficulties you've faced, there's nothing wrong with seeking out extra support when you need it. In fact, therapy is for people who have enough self-awareness to realize they need a helping hand, and that is something to be admired. You are taking responsibility by accepting where you're at in life and making a commitment to change the situation by seeking therapy. Therapy provides long-lasting benefits and support, giving you the tools you need to avoid triggers, re-direct damaging patterns, and overcome whatever challenges you face.
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Why do people go to therapy and how do I know if it is right for me?
People have many different motivations for coming to psychotherapy. Some may be going through a major life transition (unemployment, divorce, new job, etc.), or are not handling stressful circumstances well. Some people need assistance managing a range of other issues such as low self-esteem, depression, anxiety, addictions, relationship problems, spiritual conflicts and creative blocks. Therapy can help provide some much needed encouragement and help with skills to get them through these periods. Others may be at a point where they are ready to learn more about themselves or want to be more effective with their goals in life. In short, people seeking psychotherapy are ready to meet the challenges in their lives and ready to make changes in their lives.
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What is therapy like?
Because each person has different issues and goals for therapy, therapy will be different depending on the individual. In general, you can expect to discuss the current events happening in your life, your personal history relevant to your issue, and report progress (or any new insights gained) from the previous therapy session. Depending on your specific needs, therapy can be short-term, for a specific issue, or longer-term, to deal with more difficult patterns or your desire for more personal development. Either way, it is most common to schedule regular sessions with your therapist (usually weekly).
It is important to understand that you will get more results from therapy if you actively participate in the process. The ultimate purpose of therapy is to help you bring what you learn in session back into your life. Therefore, beyond the work you do in therapy sessions, your therapist may suggest some things you can do outside of therapy to support your process - such as reading a pertinent book, journaling on specific topics, noting particular behaviors or taking action on your goals. People seeking psychotherapy are ready to make positive changes in their lives, are open to new perspectives and take responsibility for their lives.
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What about medication vs. psychotherapy?
It is well established that the long-term solution to mental and emotional problems and the pain they cause cannot be solved solely by medication. Instead of just treating the symptom, therapy addresses the cause of our distress and the behavior patterns that curb our progress. You can best achieve sustainable growth and a greater sense of well-being with an integrative approach to wellness. Working with your medical doctor you can determine what's best for you, and in some cases a combination of medication and therapy is the right course of action.
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Do you take insurance, and how does that work?
To determine the extent of your mental health coverage through your insurance carrier, the first thing you should do is call me. Check your coverage carefully and make sure you understand their answers. Some helpful questions you can ask me:
What are my mental health benefits?
- What is the coverage amount per therapy session?
- How many therapy sessions does my plan cover?
- How much does my insurance pay for an out-of-network provider?
- Is approval required from my primary care physician?
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Does what we talk about in therapy remain confidential?
Confidentiality is one of the most important parts of the relationship between my clients and me. Successful therapy requires a high level of trust and openness, often involving sensitive topics that may not be discussed anywhere else. I provide each client with a written copy of my confidentiality and disclosure agreement, and you can trust that what we discuss in our sessions will remain private. This agreement is known as Informed Consent.
At times, you may wish for me to share information or provide updates to someone on your healthcare team—such as your physician, naturopath, or attorney. I can only do so with your written permission, as required by law.
However, there are certain situations where I am legally and ethically obligated to break confidentiality:
- If I suspect past or present abuse or neglect of children, adults, or elders, I am required to report it to the proper authorities, including Child Protection Services or law enforcement.
- If I believe that you are in serious danger of harming yourself, or if you have made a threat to harm someone else, I must take steps to ensure safety.
Practicalities
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Session Duration and Frequency
Initial evaluations last 50 minutes to allow us the chance to clarify the problem and see how I can help.
Individual sessions last 50 minutes.
Couples sessions last 60 minutes.
Extended sessions lasting 75, 90 or 120 minutes can be requested. This is often helpful for couples.
Psychotherapy works best with regularly scheduled sessions, usually weekly . My schedule is such that sessions need to end on time so please be aware that if you are late we will have less time together. Texting is appropriate if you are running late.
Frequency of sessions varies. Once a week is the minimum recommended and the most common, however meeting more frequently is an option and can be effective in achieving long lasting change.Attaining a better understanding of yourself, your goals and values
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Billing and Insurance
Payment will be expected directly from you at each session, by check, cash, Health Savings account card or major credit card.
I provide therapy to clients as an “out-of-network” provider, which means I do not take insurance directly. I will make every effort to assist you with filing for insurance benefits and reimbursement for which you are entitled. I will provide a bill of services for you to submit at your request. Reimbursement is based on your particular policy.
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Scheduling and Cancellation
We will schedule a standing time to meet each week that will be reserved for you. You are financially responsible for that time whether you attend or not. If you need to reschedule, I will do my best to accommodate you. In the interest of maintaining continuity and consistency, I request that you try to honor your scheduled appointments. If you attend once per week, I offer one "freebie" missed session per year. If you attend twice a week, then two "freebie" sessions are allotted. If I have to cancel a session, you are not responsible for the session fee. I will provide notice ahead of time for scheduled time away.
For those who travel frequently, I offer remote sessions (via phone or HIPAA-compliant video methods) as a means of minimizing disruption to our work.
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Insurance
Services may be covered in full or in part by your health insurance. Please check your coverage carefully by asking the following questions:
- Do I have out-of-network benefits?
- What is my deductible and has it been met?
- What is the coverage amount per therapy session?
- Is family/couples therapy a covered service?
Confidentiality & Privacy Policy
The law protects the relationship between a client and a psychotherapist, and information cannot be disclosed without written permission.
Exceptions include:
- Suspected child abuse or dependent adult or elder abuse, for which I am required by law to report this to the appropriate authorities immediately.
- If a client is threatening serious bodily harm to another person/s, I must notify the police and inform the intended victim.
- If a client intends to harm himself or herself, I will make every effort to enlist their cooperation in ensuring their safety. If they do not cooperate, I will take further measures without their permission that are provided to me by law in order to ensure their safety.
