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FAQ's


Answers
to some commonly asked questions:
Why do people seek therapy?
What can I expect in a therapy session?
How do I choose a therapist?
What benefits can I expect from working with a therapist?
What if I don't know what my goals are for therapy?
Do you accept insurance? How does insurance work?
How much does therapy cost?
Is therapy confidential?
I'm having marriage problems but my spouse will not come to therapy.  Will it help me?
Do you offer groups in addition to individual or family therapy?




Why do people seek therapy?

People come into therapy for many reasons.

Some people come to therapy due to unexpected changes in their lives such as grief, separation, or infidelity while others seek self-exploration and personal growth. When coping skills are challenged by guilt, doubt, anxiety, or despair, therapy can help. Therapy can provide support, problem-solving skills, and teach enhanced coping for issues such as depression
, anxiety, lack of confidence, relationship troubles, unresolved childhood issues, grief and loss, spiritual conflicts, anger, stress management & relief, body image issues, and creative blocks. People seeking psychotherapy are willing to take responsibility for their actions, work towards self-change and create greater awareness in their lives. (top)

 


What can I expect in a therapy session?

Therapy sessions generally run 45-50 minutes although some people may request longer sessions from time to time.  In the beginning weekly sessions help to overcome the immediate problems or strong feelings you may be experiencing. Some people who are in crisis or extreme distress need more than one session per week, at least until the crisis passes.

The first session generally focuses on getting to know you and so I schedule 90 minutes for this experience.  In this session, you will also be determining if you can work effectively with me:  Do you feel safe? Are you feeling heard?  Feeling validated?  All of these are good indicators that this can be a positive therapy experience.

In weekly sessions you are expected to talk about the primary concerns you are experiencing.   During the time between sessions it is beneficial to think about what was discussed. At times, you may be asked to take certain actions outside of the therapy sessions, such as reading a relevant book or keeping records. For therapy to "work," you must be an active participant, both in and outside of the therapy sessions.  (top)




How do I choose a therapist?  

How might your life be different if you found a space, a person and a time wherein you could share your innermost thoughts, worries, passions and hopes?  How might your life be different?

Be an informed consumer.  Check out this article on
How to Choose a Competent Therapist .  I find the article to be comprehensive and well-written.  While I may comment on it periodically on my blog, I don't feel the need to recreate the wheel in terms of helping you to find your best therapist(top)

 



What benefits can I expect from working with a therapist?

There are many benefits to participating in psychotherapy. Often it is helpful just to know that someone understands. Therapy can provide a fresh perspective on a difficult problem or point you in the direction of a solution. Many people find therapy to be a tremendous asset to managing personal growth, interpersonal relationships, family concerns, and the hassles of daily life. 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 and your personal goals and values
  • Developing skills for improving your relationships
  • Finding resolution to the issues or concerns that led you to seek therapy
  • Find new ways to cope with stress and anxiety
  • Managing anger, depression, and other emotional pressures
  • Improving communications skills - learn how to listen to others, and have others listen to you
  • Getting "unstuck" from unhealthy patterns - breaking old behaviors and develop new ones
  • Discovering new ways to solve problems
  • Improving your self-esteem and boosting self-confidence   (top)

 


What if I don't know what my goals are for therapy?

If you aren't sure what your goals are for therapy, your first task is to figure that out. It may take several sessions before a direction is clarified. During the course of therapy your goals may change. However, establishing a direction for therapy will help you get the most out of the experience.  (top)





Do you accept insurance? How does insurance work?
I do accept insurance at this time.  Call me directly to determine if I am a member of your insurance carrier panel.  Alternately, if you contribute to a flex-spending or cafeteria plan at work, you can turn in receipts against that money.

From my perspective, there are many issues to consider before chosing to use insurance for your mental health needs.  First and foremost, a major mental health diagnosis is necessary for insurance reimbursement.  My experience indicates that most clients seeking therapy have concerns related to relationships and personal growth; insurance does not cover these concerns. Second, an insurance panel will determine the number of sessions that you qualify for in response to the diagnosis.   Thirdly, clients have been denied additional sessions if they do not have a major mental health diagnosis.  And, if you are concerned about confidentiality, please realize that your insurance carrier will want to know aspects of therapy in order to determine current or future need.  In essence, the insurance panels tell you when you will feel relief from your problem and no longer need treatment.  Do you want to give up this personal freedom to know yourself?  (top)




 How much does therapy cost?

Therapy rates with Delee are $130.00 for a 50-minute session (the initial session is $160.00).  Intern fees are $80-100.00/session.  

That may seem very expensive to you and I am well aware of the investment you are making in your life and in your relationships.  To put it into perspective, it is far less expensive than mediation or divorce lawyers if you are having trouble in your relationship.  The focus in therapy is reaching your goals and helping you to live a better life whether through improved communication with loved ones or colleagues.  Weekly I will help you assess your progress toward your goals or determine if we need to re-assess the path towards growth.

Certainly there is creativity in meeting your therapy needs and your financial needs.  30-minute sessions instead of 50-minutes sessions are available, as is the option of meeting every other week.  The idea of scheduling sessions every other week is generally considered after initial concerns have been dealt with.   

Groups are another means of working through issues at a reduced rate.  What this means to you is that you will share time (90-120 minutes) with other folks who have similar concerns.  (top)


 


Is therapy confidential?

In general, the law protects the confidentiality of all communications between a client and a psychotherapist. Information is not disclosed without written permission. However, there are number of exceptions to this rule. Exceptions include:

  • Suspected child abuse or dependant adult or elder abuse. The therapist is required by law to report this to the appropriate authorities immediately.
  • If a client is threatening serious bodily harm to another person/s. The therapist must notify the police and inform the intended victim.
  • If a client intends to harm himself or herself. The therapist will make every effort to enlist their cooperation in insuring their safety. If they do not cooperate, further measures may be taken without their permission in order to ensure their safety.   (top)

  


I'm having marriage problems but my spouse will not come to therapy.  Will it help me?
Can I guarantee change in your relationship?
No!

Do I believe that change is possible? 
Absolutely!

As you are reading this, you are seeking change in your life, your relationship, your communication.  Congratulations!  That is the first and most powerful step toward success!  You are showing that you have the energy and determination to bring about change.  And yes, I believe that one person can bring change all around us!  Coming into therapy will NOT be about how you can change your partner's beliefs or views on how things should be.  What therapy will do is focus on YOU!  How do you "do" things differently?  How do you "be" different in the relationship in a powerful and positive way?  When you make even subtle changes, the energy radiates out all around you.   People will naturally respond in a different manner to your behaviors.  Instead of feeling powerless in a situation that you've been working hard to change, learn how your power can actually create change.  (top)

 


Do you offer groups in addition to individual or family therapy?

 Yes, groups are offered as part of the therapy experience.  Call now to discover when groups are forming that may interest you including:

  • "Women in Transition:  An Encouragement Group for Change"
  • "Finding Your Voice" - a Teen Girls Group
  • "It's All About the Attitude & Other Important Stuff" for Moms & Daughters
  • "I Know What to Do But It's Not Working" for Distraught Dads