Psychotherapy is appropriate at times when a person, couple or family
is experiencing pain or disruption in the activities of their daily
life. Psychotherapy starts with an assessment of what is happening
and then a plan for change is developed. Lastly the plan must be implemented
so that the system can change in the directions planned. It is appropriate
to stop treatment when there are no more issues needing change. Psychotherapy
is not a lifelong process but it can be used repeatedly as the need
Psychotherapy is not a place to go to feel good. Patients will often
feel terrible in the sessions because they are concentrating on issues
that are very upsetting and painful. The goal of psychotherapy is
to feel better when the treatment is complete.
All issues discussed (even your name) are treated with the utmost
confidentiality. Exceptions to this are few, but include: 1. when
possible abuse of a child is revealed. 2. when potential severe harm
to yourself or another person is revealed. 3. when a judge writes
a court order compelling the therapist to break confidence.
Fees are expected at time of service unless arrangements are made
beforehand. There is a sliding scale fee structure. Insurance coverage
is acceptable if the company will accept a licensed marriage and family
therapist (LMFT) or a licensed social worker (LSW) as a provider.
Patients are responsible for the full fee arranged for the session if they do not give 24 hours notice of cancellation. Exceptions to this would be situations such as severe illness.