How long is a therapy session?
For individuals, I meet for the traditional 50-minute therapy hour. For couples and families, I meet for a minimum of 60-minutes and sometimes longer when needed. Longer sessions can be helpful to better connect with your present experiences in session and integrate new skills. For EMDR reprocessing work, longer sessions are also advised.
Do you offer a sliding scale rate?
Yes. I have a limited number of sliding scale (i.e. reduced fee) slots available based on client financial need. Please mention any financial concerns during our initial consultation.
How long does therapy take? How often do we go?
There is no single answer to this question. It all depends on the problems you want to address, your treatment goals, and your preferences. Typically, people come to therapy every week, especially in the beginning to understand their problem and develop a plan. Some people might then transition to bi-weekly sessions.
It takes consistent contact to develop our working relationship and see results. For me to fully understand your problems and begin providing some relief, weekly sessions are recommended. Sometimes, trying to save some money can inhibit progress because it disrupts the therapeutic process. Regular sessions often result in shorter treatment time overall. In terms of length of treatment, some concerns can be resolved in just a few sessions, while others require much longer. I will share my treatment recommendations based on my training and experience, but the decision is always collaborative.
Do you accept insurance?
I am not in network with any insurance company. For clients who have out-of-network coverage, I can provide an itemized receipt (a.k.a "superbill"), which may lead to retroactive reimbursement of some portion of fees already paid. Please note: this requires that you receive a diagnosis and may not be appropriate in all cases. If you are interested in this option, be sure to call your insurance provider and ask about out-of-network provider benefits. Specific questions to ask include reimbursement percentage, amount or session maximum/cap, and if there are any other limitations.
I have chosen to work outside of insurance networks in my practice to protect my clients' privacy and ensure that treatment decisions are made only by me and my clients. Using insurance benefits, while sometimes financially necessary, grants a third party access to your health records, which can impact your future for years to come.
What is your clinical philosophy & theoretical background? What kinds of treatments do you use?
After more than a decade of helping people in therapy, I have come to see that certain things work better than others. Clinical research on what makes counseling "successful" is clear: The therapeutic relationship (my relationship with you and your partner or family) is a key ingredient. In the spirit of Carl Rogers, the founder of Person Centered Counseling, I approach every encounter with genuineness, empathy, and unconditional positive regard for my clients. I am here to collaboratively help you improve your life, not judge, criticize, or disempower you.
Almost all models of counseling agree that our thoughts, feelings, and behaviors are interrelated. These connections are shaped early in life (like a blueprint), and create our realities - how we see ourselves, other people, and the world in general. People can get stuck in repeating loops (i.e. patterns), where the situations and characters might change, but the feelings and problems stay the same. Some of these connections are outside our conscious awareness; therapy can shed light on them, giving people an opportunity to do and think differently. I also pay attention to attachment, our early bonds with caregivers. A person's attachment style influences how they move about the world, especially in relationships with others. Often, the problems people bring to therapy are related to attachment when we get to the bottom of the issue. This is true of individuals as well as couples and families. In my counseling practice, I incorporate various techniques related to these therapeutic perspectives and evidence-based practices, such as Dialectical Behavior Therapy (DBT), Emotionally Focused Therapy (EFT), and EMDR.
Couples & Families
As a relationship counselor, I keep the whole system in mind whether I am working with one person, a couple, or a multigenerational family. The systemic perspective focuses on how people are interrelated and, in a sense, balance each other out. Problems are seen as something that happens between people rather than something that exists inside one person. I help my clients understand how their past and current relationships shape how they cope with life, as well as identify interpersonal changes that will lead to individual health and wellness. When working with couples and families, I use techniques and ideas from Emotionally Focused Therapy (EFT) - one of the most well-researched relationship therapies and considered the "Gold Standard" of treatment. Here, my "client" is really your relationship with each other. I take great care to make sure everyone feels heard, valued, and understood - and I'll help facilitate the growth needed so that you don't need to be in a therapy room to have the kinds of intimacy and communication you want. It's never about finding the "guilty" person or holding court. I help my clients deescalate conflicts, put words to their experiences, and feel truly heard - all without sacrificing their self-respect or identity.
Substance Use & Addiction
Finally, for clients who have concerns about their own or a loved one's substance use, I work from a harm reduction and multiple recovery pathways perspective. This means that you are free to explore your relationship with substances without judgment or some predetermined goal like abstinence or identifying with a particular label. Addiction brings with it a lot of stigma and shame. With me, you will always receive respect and autonomy.
If your loved one is struggling with addiction and you are trying to determine how best to help him or her, you will not be shamed or told to send him or her immediately away. Often, partners and families are blamed for problems ("you are an enabler!") or told to practice "tough love" and "let them hit rock bottom." Harsh methods are not supported by research, and can in fact make problems worse. My work with couples and families is based on relational (not moral) interventions. I will help you learn how to be more effective in relating to your loved-one, as well as how to improve your own individual health and wellness. Recovery is firmly rooted in our secure bonds with the people we love; I can help you work on it together while healing from the pain addiction has caused you all.
Call or email to see how counseling for individuals, couples, or the whole family may help you!
(Please note: Messages will be returned within 24-hours. In case of emergency, call 911 or go to your nearest hospital emergency department)
801 Northpoint Parkway, Suite 22, West Palm Beach, FL 33407