Frequently Asked Questions

WHAT IS THERAPY LIKE?

Therapy will be different for each person, because everybody has a different situation and different goals. Typically, you can expect to meet weekly and discuss recent life events and challenges as well as progress or new insights that you’ve made since last session.

Therapy with me is usually a combination of traditional talk therapy integrated with additional non-talk approaches that are evidence-based and highly researched. These are chosen thoughtfully by taking into account your needs and style. Some of these include: mindfulness practices, somatic embodied awareness practices, self-attunement and self-attachment work, mindful-self compassion exercises, and parts work that facilitates exploring and working with different parts of self that are sometimes in conflict with each other or are no longer serving you in your current life.  Communication skills utilizing the Nonviolent Communication or NVC model can be explored to address boundaries with self and others.  EMDR,  a laser focused and non-talk way of addressing and working with difficult memories from the past, is often incorporated to address and work with symptoms of trauma, anxiety, depression or impaired feelings of self-worth and belonging. 

In the beginning of treatment, weekly meetings are usually required to establish rapport and build momentum in treatment. As therapy progresses, session frequency  can sometimes be moved to every other week for continued support of progress, and then can be moved to monthly for follow along before ending therapy altogether. Sometimes people come back intermittently for a tune-up here and there after they've completed therapy. 

While therapy often includes highly sensitive and heavy content, my style is quietly upbeat, gently down to earth and always heartfelt. When called for and possible I find that incorporating lightness can bring much needed gentleness, buoyancy and resilience to the journey. Doing therapy is hard work, but there can be times when sparks of joy and levity have their place, even in the toughest of situations.  

Therapy can be short-term, long-term, or for a specific issue, and every person processes and works at their own pace. Therefore the length of time that one engages in therapy varies. 

Those who actively engage in the therapy process and who practice the concepts and skills introduced in therapy tend to get the most from the therapeutic process.

WHY DO PEOPLE GO TO THERAPY AND HOW DO I KNOW IF IT IS RIGHT FOR ME?

People come to therapy for many different reasons. Sometimes a stressful life transition such as a divorce or a move motivates an individual to come to therapy as they learn to navigate their new circumstances. Others come to therapy because they’ve been through a traumatic or stressful situation, and they need support and help to process the event so that it no longer impacts their current life.

Others are experiencing symptoms of depression, anxiety, or grief and need support, new insights and coping skills to resolve the symptoms.

Some people come to therapy to achieve goals not yet accomplished and are looking for support to develop peak performance in their life or careers.

In short, those who come to therapy are ready to make changes in their lives and are prepared to do the work necessary to make those changes.

DO I REALLY NEED THERAPY? I CAN USUALLY HANDLE MY PROBLEMS.

Everybody goes through challenging times in life, and sometimes it makes sense to get support from somebody who has specialized knowledge about what one is going through.

It takes a lot of courage and self-awareness to realize that additional support may be needed at times. By taking responsibility for your life and seeking specialized support, you’re taking the steps needed to gain the clarity and skills for lifelong growth and change.

HOW CAN THERAPY HELP ME?

Therapy can help in a number of ways. A few of the main benefits of therapy are:

~Attaining greater self-awareness and insight into patterns and behaviors

~Learning and practicing new emotional, behavioral and relational skills

~Building new communication skills to improve relationships and boundary setting

~Discovering important concepts that set the stage for long term growth

~Cultivating self-compassion and  an embodied sense of self-worth

~Managing stress more effectively

~Implementing new skills into old patterns

~Experiencing new ways to attune to yourself and attend to difficult emotional states

    WHAT ABOUT MEDICATION VS. PSYCHOTHERAPY?

    It’s well established that for most, medications alone don’t resolve longer-term symptoms of depression, anxiety, and trauma.

    While medications are sometimes a helpful and important part of treatment, therapy helps to get to the heart of the distress and helps clients to attain the insight and skills needed to heal and grow at a deep and long-lasting level.

    By consulting with your primary care doctor or psychiatrist, you can determine if medications are the right choice for you. Most prescribing doctors recommend therapy as an adjunct to psychotropic medication for the best outcome.

    DO YOU TAKE INSURANCE AND HOW DO PAYMENTS WORK?

    I do not bill insurance companies directly, but I do provide the necessary documentation for individuals to submit for reimbursement from their insurance company.

    Many insurance companies provide full or partial retroactive coverage for out-of-network services provided by a licensed mental health practitioner.

    I can provide an invoice (called a superbill) monthly or as needed that verifies session dates and proof of payment to those who would like to seek reimbursement through their insurance company. Individuals who would like to utilize this option are encouraged to call their insurance company ahead of time to verify coverage and details.

    Some helpful questions that I recommend asking your insurance provider about out-of-network coverage are:

    • Does my health insurance plan include out of network mental health benefits?
    • Do I have an out of network deductible? If so, what is it and have I met it yet?
    • Does my plan limit how many sessions per the calendar year I can have? If so, what is the limit?
    • Do I need written approval from my primary care physician in order for services to be covered?

    WHAT ARE YOUR RATES FOR SERVICES & HOW DO PAYMENTS WORK?

    My fee is $300.00 for the initial 80 minute intake assessment, $200.00 for a regular 50 minute session, and $300.00 for an 80 minute regular session.

     

    A credit, debit, health savings or flex spending card is stored securely on file and run after each session. All payments are due at the time of the session. 

     

    WHAT IS INFORMED CONSENT AND HOW DOES CONFIDENTIALITY WORK?

    Confidentiality is a very important component of the client psychotherapist relationship. Successful therapy requires a high degree of trust with highly sensitive subject matter that isn’t discussed anywhere but the therapist’s office.

    At the time of intake, therapists will provide a written copy of their confidentiality agreement, which states that all information that is shared in session will remain strictly confidential with the exception of a few outlined key situations that therapists are legally mandated to report, which include:

    * Suspected past or present abuse or neglect of children, adults, and elders to the authorities, including Child Protection and law enforcement, based on information provided by the client or collateral sources.

    * If the therapist has reason to suspect the client is seriously in danger of harming him/herself or has threatened to harm another person.

    The written copy of the confidentiality agreement that you will be asked to sign is called “Informed Consent”.

    Sometimes, however, you may want me to coordinate services with someone on your healthcare team (such as your physician, college resource center, or a family member), but by law I cannot release this information without obtaining your written permission.

    In these cases, I will have you sign a Release of Information form that specifically designates the individual or agency with whom you would like me to coordinate services, as well as the time frame of communication.

    The Release of Information form may be revoked by you at any time by providing a written request to Lorena. 

     

    DO YOU OFFER A SLIDING SCALE?

    Therapy is an important investment in your mental health and quality of life and it's important to find  therapy that fits within your budget.

    I make availability in my practice for one $60.00 need-based once per week sliding scale slot. This slot is listed through Open Path Collective, a national nonprofit that provides a list of sliding scale therapists to qualifying individuals. Please feel free to contact me directly if you'd like to see if there is current or upcoming sliding scale availability.

    I'm always happy to offer a variety of resources that can assist in helping to find a therapist that will fit within your budget. Feel free to give me a call anytime for more information.  

    SOME HELPFUL QUESTIONS THAT I RECOMMEND ASKING YOUR INSURANCE PROVIDER ABOUT OUT-OF-NETWORK COVERAGE ARE:

     

    • Does my health insurance plan include out of network mental health benefits?
    • Do I have an out of network deductible? If so, what is it and have I met it yet?
    • Does my plan limit how many sessions per calendar year I can have? If so, what is the limit?
    • Do I need written approval from my primary care physician in order for services to be covered?

    My fee is $300.00 for an 80 minute intake assessment, $200.00 for a 50-55 minute session, and $300.00 for a regular 80 minute session. All payments are due at the time of the session.

    Before your first appointment, we will enter your credit card or health savings or flex spending card information into the secure and encrypted electronic health record system in order to hold your place for your intake appointment. This card is then run at the time of the session, or in the event of a late non-emergent cancel or no-show. 

    Resources

     

     

    Books 

     

     

    Mindfulness books: 

     

     

    The mindful self-compassion workbook: a proven way to accept yourself, build inner strength, and thrive by dr. kristen neff and dr. christopher germer

     

     

    the wise heart: a guide to the universAL TEACHINGS OF BUDDHIST PSYCHOLOGY, BY JACK KORNFIELD

     

     

    radical compassion: learning to love yourself and your world with the practice of rain, by dr. tara brach 

     

     

    attachment EXPLORATION AND PRACTICES:

     

     

    Wired for Love: How Understanding Your Partner’s Brain and Attachment Style Can Help You Defuse Conflict and Build a Secure Relationship, by Stan Tatkin, PSYD, MFT

     

     

    The Attachment Theory Workbook: Powerful Tools to Promote Understanding, Increase Stability, and Build Lasting Relationships, BY ANNIE CHEN, LMFT

     

     

    communication and boundary setting: “Boundaries are the distance at which I can love you and me simultaneously”. ~prentis hemphill

      

     

    Nonviolent Communication: A Language of Life, by Marshall Rosenberg

     

     

     

    THE SET BOUNDARIES WORKBOOK: PRACTICAL EXERCISES FOR UNDERSTANDING YOUR NEEDS AND SETTING HEALTHY LIMITS, BY NEDRA GLOVER TAWWAB, MSW, LCSW

      

     

     

    diet culture recovery:

      

     

    Health at every size (the surprising truth about your weight), by lindo bacon, Phd

     

     

     

    the diet survivor’s handbook: 60 Lessons in eating, acceptance, and self-care, by judith matz, lcsw, and ellen frankel, lcsw

     

     

     Parts OF SELF/ younger internal parts WORK:

     

     

     

    no bad parts: healing trauma and restoring wholeness with the internal family systems model, by dr. Richard schwartz

     

     

     

    UNDERSTANDING AND HEALING FROM narcissistic abuse in personal and professional relationships:

     

     

     

     “Don’t you know who I am?” how to stay sane in an era of narcissism, entitlement, and incivility, by dr. durvasula ramani

     

     

    adult survivors of toxic family members: tools to maintain boundaries, deal with criticism, and heal from shame after the ties have been cut, by dr. sherrie campbell

     

     

    The narcissistic family, by stephanie donaldson-pressman and robert m. pressman