Most Frequently Asked Questions

What I can expect from therapy?

Many of us enter therapy hoping to get some quick relief from the distress that we are experiencing. We are aware that therapy is costing us a lot in terms of time, money, and energy and we want to see some immediate results, especially when we are in pain. It is important that you talk with me about your expectations and needs from therapy. Just like any relationship, the more you know and can express what you want, the better chance you will have of receiving that. You may be entering therapy for the first time and not have a sense of what needs to happen other than you want to feel better. It is important to express this as well.

Here is a list of what I have seen to be true for many people about therapy:

  1. It takes time to establish a trusting relationship with a therapist.
  2. It is important to go at your own pace and not overwhelm yourself.
  3. We all resist change. Don’t be surprised if you are tempted to quit right before some real changes or breakthroughs are about to happen.
  4. Becoming more healthy and balanced can feel very unfamiliar and uncomfortable at first.
  5. Being committed to therapy will change your life. Be prepared to feel some loss from this.
  6. Others may resist your changes and growth and will need time to adapt.
  7. Therapy is hard work.

How long should therapy take?
Some therapy is short term (usually focusing on one issue and situational) and other therapy may be longer term (more than one or complex issues). However, some insurance companies and managed care plans may limit the number of sessions for which they pay. You should check with your health plan to find out more about any limitations in your coverage. During the first few counseling sessions we will discuss the length of treatment that may be needed to achieve your goals.
Will my health insurance cover counseling?
Many insurance and coverage plans cover mental health services including some Medicaid programs, CHAMPUS, and other government-sponsored health coverage programs. If you do not have health insurance, or if your coverage does not include mental health care or the services of a professional counselor, I will work with clients on a sliding-fee scale. Therapy can be paid from your healthcare flexible spending account. You can also work with Clark Behavioral Health Financing to develop a financing plan, if needed.
Is everything I say confidential?
As a client, you are guaranteed the protection of confidentiality within the boundaries of the client/therapist relationship. Any disclosure will be made with your full written, informed consent and will be limited to a specific period of time. The only limitations to confidentiality occur when I feel that there is clear and imminent danger to you or to others, or when legal requirements demand that confidential information be disclosed such as a court case, child and elder abuse. Whenever possible, you will be informed before confidential information is revealed.
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