Do you prescribe medication?
We do not prescribe any medications as therapists and social workers. Psychotropic medication is prescribed by Psychiatrists and Psychiatric Nurse Practitioners, the designations are MD and ARNP respectively. We are familiar with medications but are not able to give guidance or tell another practitioner what to prescribe to you. We often communicate with medication prescribers if you request us to do so in order to help them better help you.
How can therapy help me?
A number of benefits are possible from participating in therapy. Therapists can provide support, problem-solving skills, and enhanced coping strategies for issues such as depression, anxiety, relationship troubles, unresolved childhood issues, grief, stress management, body image issues and creative blocks. Many people also find that counselors can be a tremendous asset to managing personal growth, interpersonal relationships, family concerns, marriage issues, and the hassles of daily life. Therapists can provide a fresh perspective on a difficult problem or point you in the direction of a solution. The benefits you obtain from therapy depend on how well you use the process and put into practice what you learn. Some of the benefits available from therapy include:
- Attaining a better understanding of yourself, your goals and values
- Developing skills for improving your relationships
- Finding resolution to the issues or concerns that led you to seek therapy
- Learning new ways to cope with stress and anxiety
- Managing anger, grief, depression, and other emotional pressures
- Improving communications and listening skills
- Changing old behavior patterns and developing new ones
- Discovering new ways to solve problems in your family or marriage
- Improving your self-esteem and boosting self-confidence
Do I really need therapy? I can usually handle my problems.
Everyone goes through challenging situations in life, and while you may have successfully navigated through other difficulties you’ve faced, there’s nothing wrong with seeking out extra support when you need it. In fact, therapy is for people who have enough self-awareness to realize they need a helping hand, and that is something to be admired. You are taking responsibility by accepting where you’re at in life and making a commitment to change the situation by seeking therapy. Therapy provides long-lasting benefits and support, giving you the tools you need to avoid triggers, re-direct damaging patterns, and overcome whatever challenges you face.
Why do people go to therapy and how do I know if it is right for me?
People have many different motivations for coming to psychotherapy. Some may be going through a major life transition (unemployment, divorce, new job, etc.), or are not handling stressful circumstances well. Some people need assistance managing a range of other issues such as low self-esteem, depression, anxiety, addictions, relationship problems, spiritual conflicts and creative blocks. Therapy can help provide some much needed encouragement and help with skills to get them through these periods. Others may be at a point where they are ready to learn more about themselves or want to be more effective with their goals in life. In short, people seeking psychotherapy are ready to meet the challenges in their lives and ready to make changes in their lives.
Knowing if therapy is right for you can take some time and some self-reflection. You can talk to your therapist if you have any concerns about your reaction to therapy. It is important to be open with your therapist and give honest feedback on your experience so that your therapist is aware and can help make things right or even refer you to different therapist who can give you the experience you are looking for.
What is therapy like?
Because each person has different issues and goals for therapy, therapy will be different depending on the individual. In general, you can expect to discuss the current events happening in your life, your personal history relevant to your issue, and report progress (or any new insights gained) from the previous therapy session. Depending on your specific needs, therapy can be short-term, for a specific issue, or longer-term, to deal with more difficult patterns or your desire for more personal development. Either way, it is most common to schedule regular sessions with your therapist (usually weekly).
It is important to understand that you will get more results from therapy if you actively participate in the process. The ultimate purpose of therapy is to help you bring what you learn and/or discover in session back into your life. Therefore, beyond the work you do in therapy sessions, your therapist may suggest some things you can do outside of therapy to support your process – such as reading a pertinent book, journaling on specific topics, noting particular behaviors or taking action on your goals. People seeking psychotherapy are ready to make positive changes in their lives, are open to new perspectives, and are ready take responsibility for their lives.
What about medication vs. psychotherapy?
It is well established that the long-term solution to mental and emotional problems and the pain they cause is not solely medication. Instead of just treating the symptom, therapy addresses the cause of our distress and the behavior patterns that curb our progress. You can best achieve sustainable growth and a greater sense of well-being with an integrative approach to wellness. Working with your medical doctor you can determine what’s best for you, and in some cases a combination of medication and therapy is the right course of action.
Do you take insurance, and how does that work?
See our page on Insurance for more on this topic. Click here to go right to that page.
Does what we talk about in therapy remain confidential?
Confidentiality is one of the most important components between a client and psychotherapist. Successful therapy requires a high degree of trust with highly sensitive subject matter that is usually not discussed anywhere but the therapist’s office. Every therapist should provide a written copy of their confidential disclosure agreement, and you can expect that what you discuss in session will not be shared with anyone. This is called “Informed Consent”. Sometimes, however, you may want your therapist to share information or give an update to someone on your healthcare team (your Physician, Naturopath, Attorney), but by law your therapist cannot release this information without obtaining your written permission.
State law and professional ethics require therapists to maintain confidentiality except for the following situations:
* 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.
Will you come to court for me? Will you write me a letter?
While we understand that a court battle can be one of the most stressful and difficult undertakings in someone’s life, we have do not appear in court on your or your child’s behalf. We essentially never recommend bringing a therapist to court. For starters, appearance in court often puts extreme stress on the therapeutic relationship and confidentiality. In the courtroom, we must answer all questions honestly and cannot favor your side of a case. We can also only answer the questions the lawyers and judge ask us, we rarely if ever get an open forum in which to speak freely, but must simply answer yes or no to the questions answered. Opposing attorneys are often quite skilled at asking questions in a way that can force us to paint the other side in a better light, our client in a worse light, or discredit our client or their claims. The last thing we ever want to do is say anything that harms our clients, but court can force us into that situation. This can often be extremely damaging to the therapeutic relationship and ultimately our client. Most court appearances ultimately end the therapeutic relationship and that is why we do not agree to attend.
We must also charge for our time appearing in court and no insurance will cover those costs. Some of the time these costs are enough to end a therapeutic relationship that was going well and helping our client get better. Another common occurrence is that we will appear to court, paid for by our client, only to be sent away for some reason (often the opposing side not wanting us to speak) with our client being frustrated that they had to pay us to appear to not even speak. It is because of this common occurrence that we maintain that not bringing us into court in the first place is the best course of action.
Regarding letters, we approach them with extreme caution. We do consider whether a letter will help you and can provide letters if absolutely necessary and if we consider it beneficial and not harmful. We require that you speak with your attorney first before requesting a letter as they can advise you on what you will need and if it will even be helpful. We understand that having to go through any legal battle is exceptionally stressful and want to be able to help, but often we are requested to write letters that will never be seen in the courtroom or by anybody as most cases will not accept a therapist’s letter without the therapist present.