What can I expect from therapy?
The overall process of therapy is generally broken down into the following phases.
INTAKE: First there is an intake process. This is the phase in which we assess whether or not the therapist and client are a good match. We agree to treatment or don’t agree. If we agree we commit to the therapeutic process. We set the fee, we discuss boundaries and expectations, we discuss the type of treatment that will be offered, we sign a contract, we discuss symptoms and set goals.
BEGINNING: Next is the beginning phase of therapy. This is when trust, rapport, and the therapeutic relationship are built and established. For children we often engage in play therapy, art therapy, or other non-direct techniques. For adolescents and adults the process is more conversational – “getting to know you”. If adjunctive services are needed in addition to psychotherapy, we facilitate accordingly. We learn soothing techniques, ways to regulate emotions, and practice techniques in-between each session.
MIDDLE: The intermediate phase of therapy is when we dig deeper. This often represents a more vulnerable time in therapy. We sometimes discuss more difficult dynamics, confront uncomfortable realities and administer therapeutic techniques including reprocessing with EMDR. This can result in developing insight, changing behaviors and making adjustments.
END: The final phase of therapy involves reassessing any prior triggers, monitoring symptoms to make sure they don’t get worse, and slowly fading out/phasing out treatment. If anything comes up we consider revisiting the earlier phases of therapy or utilizing adjunctive services.
How long will therapy take?
Depending upon the diagnosis, goals, and willingness to commit to treatment, the length of therapy is different for every person. This is generally discussed during the intake and re-assessed periodically throughout the course of treatment.
How often do I have to attend therapy?
Typically sessions are once per week. A smaller percentage of patients opt to have sessions twice per week based on an as needed basis.
What services do you offer?
I work with children, teens, and adults within the context of of individual, couple and family sessions. Based on need, preference and therapeutic approach, we will work together to decide which modality of treatment will most efficiently resolve symptoms and work towards achieving goals.
What are rates?
Session Fees range from $175-250 based on length of session and type of service being offered.
Why is therapy so expensive?
Therapists have different levels of training and certifications that are often obtained beyond the minimum required training to be a licensed mental health professional. In order to continue offering a premium service for a gold standard treatment of trauma, ongoing consultation and training are essential. Fees are reflective of continuous and advanced training and certification, as well as the quality and depth of service being provided.
Why don’t you accept insurance?
Insurance companies often place limits on the type of therapy, amount of therapy, modality and course of treatment, which can often interfere with the therapeutic process. Additionally, insurance companies require a diagnosis and don’t pay for relationship counseling. In order to provide the best care available I do not work with insurance companies to ensure that they don’t preclude me from providing my clients with effective treatment. For those with out-of-network mental health benefits, I am able to offer a superbill to submit for reimbursement retrospectively.
Does my insurance offer out-of-network benefits?
Some insurance companies offer out-of-network behavioral health coverage. It is important to check with your insurance company to see if this is something that is offered. If so, the client pays upfront for sessions and then a superbill (a document with industry specific coding) is provided afterwards that can be submitted to insurance. Even if your insurance does reimburse for out-of-network coverage, it is not guaranteed that they will reimburse for the services you are seeking. Insurance companies typically only reimburse for certain types of diagnoses.
If your insurance has out-of-network behavioral health benefits, your insurance will likely cover a portion (somewhere between 30-80%) of the fee after reaching your out-of-network deductible. This will cost you up front and your diagnosis will be recorded, but it gives you the freedom to choose a mental health professional that is not in-network with your insurance.
What questions should ask my insurance?
(1)Do I have out-of-network behavioral health coverage?
(2)If so, what is my out-of-network deductible?
(3)Has it been met?
(4)If not, how much more do I have to spend before it will be met?
(5)Once my deductible is met, what is the reimbursement percentage rate for an out-of-network behavioral health provider?
(6)Is there a limit on the number of sessions my plan covers per year?
(7)What is my out-of-pocket max for out-of-network behavioral health coverage?
(8)How do I submit a superbill to be considered for reimbursement?
How can I afford treatment?
(1) I offer a handful of reduced fee sessions to clients who do not have out-of-network behavioral health benefits. I am only able to accomodate a limited number of reduced fee clients at any given time.
(2) Consult with your tax professional to determine if you may be able to deduct your mental health expenses.
(3) Consider an in-network therapist with your current insurance
(4) Consider an even lower reduced fee therapist, an unlicensed therapist under supervision, or a lower fee clinic. For more information, please visit my resources page for links to reduced fee services.
How do I know if you are the best therapist for me?
It can often be difficult to know who the right therapist is. That is why I offer a free 15 minute phone consultation. If that feels comfortable we can meet for an initial intake session. You can meet me in person, see my office, learn more about the type of treatment offered and we can both make a decision about whether or not my services would be the best match for your needs.