Why do people seek therapy?
People come into therapy for many reasons. Some need to respond to unexpected changes in their lives, while others seek self-exploration and personal growth. When coping skills are overwhelmed by guilt, doubt, anxiety, or despair, therapy can help. Therapy can provide support, problem-solving skills, and enhanced coping for issues such as depression, anxiety, lack of confidence, relationship troubles, unresolved childhood issues, bereavement, spiritual conflicts, stress management, 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.
What can I expect in a therapy session?
During sessions you are expected to talk about the primary concerns and issues in your life. A session lasts 50 minutes, but some people request longer sessions. Some people who are in crisis or extreme distress need more than one session per week, at least until the crisis passes. During the time between sessions it is beneficial to think about and process 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.
What benefits can I expect from working with a therapist?
- 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
While it would be ideal that every client experience beneficial outcomes, in reality some people experience no improvement in their situation---a few people may even things are worse after treatment. For example a couple may seek treatment in order to save their marriage and end up divorcing. When you begin treatment you agree to assume this risk.
Do you accept insurance? How does insurance work?
- Do I have mental health benefits?
- What is my deductible and has it been met?
- How many sessions per calendar year does my plan cover?
- How much do you pay for an out-of-net provider?
- Is there a limitation on how much you will pay per session?
- Is primary care physician approval required?
As a general office policy I do not accept insurance because I believe that to do so may sacrifice my client's confidentiality. My practice has some client slots that provide a sliding fee adjustment for clients who need assistance.
Is therapy confidential?
- 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.
- If you are in therapy by order of a court of law.
- If a judge issues a signed court order.
The answer to the question will depend on your personal goals for therapy. I believe that everyone deserves to have positive relationships with themselves and with the people around them. Therapy is most efficient and cost effective when there are goals. 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. Depending on your issues, we will work together to establish what your goals for therapy will be. Together we will decide realistically how short term or long term the therapy will be. However long your therapy may be, you will be a part of the decision making process and you may terminate your therapy at any time without any moral, legal or financial obligations other than those already accrued.