Frequently Asked Questions

Frequently Asked Questions

Friends and family can be excellent people to talk with; however, because they are involved in your life, they may have strong reactions to what you talk about or be personally invested in the outcome of some of your decisions. My primary concern, as a therapist, is to help you clarify what you are thinking and feeling so that you can make informed choices about your life. Because we do not have a relationship outside of the therapy room, you may find it easier to talk with me about issues that would feel “off-limits” or too hard to discuss in other contexts.

Absolutely not. Many people feel “crazy” or overwhelmed at certain times in their lives, and knowing that you need help working through something is a sign of strength. While asking for assistance may not be easy, or perhaps culturally sanctioned, it’s important to remember that everyone struggles in some aspect of their life.
The “fit” between client and therapist is the most important and therapeutic part of the relationship. It is vital that your therapist “get” you and that you feel comfortable sharing whatever is on your mind.
In our first session, you will have the opportunity to talk about the issues you are struggling with and what your goals are for treatment. If you are unclear on both or either of these, that is fine—know that we’ll get there. I will ask you questions to clarify my understanding of your problems, strengths, and current life circumstances. At the end of the meeting, we will come to a consensus on the next steps for our work together and decide whether or not we should proceed.
What you talk about in therapy will not be disclosed to anyone, unless you request that I do so. There are, however, a few additional exceptions to this rule, including: if you are at imminent risk for harming yourself or someone else, if you are unable to care for yourself, if I need to report child or elder abuse, or if I am responding to a subpoena. Other than these relatively rare exceptions, even if someone close to you contacts me to discuss our work, I will refuse to do so without your permission. The other caveat is that if I am a participant on your insurance panel, after each time we meet, I will need to submit a diagnosis to the insurance company so that I will be paid.  I am happy to discuss the diagnosis that I will provide them.  It is also possible that your insurance company will request clinical information in order to authorize additional sessions.
It depends. If you are dealing with a relatively simple problem, we may only need a few months, while more entrenched or complicated difficulties may take longer. Every situation is unique, and we will discuss my best estimate for the frequency and duration needed to meet your goals in our initial meeting.
I negotiate fees individually with each client.  I have a limited number of sliding scale slots available that are based on a person’s ability to pay for treatment.
I am an in-network provider for United Healthcare and Oxford. For all other insurance plans, I will be an out-of-network provider. Prior to our first meeting, please call the number on the back of your insurance card (or look on the insurance carrier’s website) to find out what your benefits are.
  • Am I required to see an in-network provider or is there also an out-of-network benefit for outpatient services?
  • Do sessions need to be pre-authorized? If so, what is that process?
  • What process do I follow to utilize my out-of-network benefits?
  • What is my co-payment (dollar amount) or co-insurance (percentage owed) per session?
  • Do I have an in-network or out-of-network deductible that I must meet before my benefit begins? The deductible is the amount of money that a person must spend, out-of-pocket, before the insurance company will pay for services.
  • What is the maximum number of sessions per year covered by my insurance?
  • Which of the following services are covered? Individual/Couples/Family therapy?
The benefit of seeing an in-network provider is that you will likely minimize your costs. Generally, copayments for working with a network clinician are lower than the out-of-pocket costs for treatment with an out-of-network clinician. While costs may be higher when you see someone out-of-network, you are able to choose the therapist who is the best fit for you. In addition, an out-of-network therapist is less likely to have to reveal your personal information to your insurance company. When working with an in-network therapist, it is possible that your insurance company will want to perform a “clinical review” to decide whether or not you require additional treatment. At that time, I (or any other in-network clinician) would need to reveal some information about our work together so that an insurance carrier can determine the necessity of treatment.