Guidelines for Therapy

Confidentiality

The content of our sessions is confidential.  However, I do discuss cases with colleagues, without providing any identifying information.  In addition, if you participate in a group with me and a co-therapist, I may inform her of anything necessary for us to work most effectively.  You are free to discuss our individual sessions with anyone as you please.  Other issues pertaining to confidentiality are covered in the accompanying Notice of Privacy Practices.

Length of sessions

Expect sessions to last 55 minutes.

Contact outside of sessions

Generally, we want to do our work in the sessions.  I am willing to spend time on the phone or by email for emergencies, or when a little extra support would help you through a crisis.  Please keep in mind the limits of confidentiality inherent in these contacts.  If more than 5 or 10 minutes is needed, we can arrange to have a full session on the phone.

The story

We all have a need to tell our story and to have our upsets validated.  For some clients, that is the primary purpose of therapy, and there are many therapists who are quite good at listening with empathy.  My skills are more oriented towards changing the story rather than validating it.  If necessary, we can work on developing your support network so you can be heard by others.  Of course, I need to know what is happening in your life, but I will stop you if I believe the telling of the story is taking too much time away from doing the actual work that will change your life.

Referrals

If you see value in our work and believe that I may be of assistance to someone that you know, please feel free to pass on a business card from my waiting room.  Of course, confidentiality would be maintained.

Alternative modalities

I may suggest other modalities, such as Breathwork, EMDR, Core Energetics, or Hypnotherapy, if I feel they would be beneficial.  I may even want to explore any reluctance you have to trying them.  However, please do not feel obligated to try any approach that you do not feel would be in your best interests.

Insurance Payments

Some insurance companies expect you to pay my full fee and then file for reimbursement.  If you prefer, you can pay me your portion of the fee only, as long as you forward to me the insurance payments as soon as you receive them.

Ending therapy

The manner in which we end our sessions is significant, both to the value you take with you, and to your skills at ending future relationships.  When you are ready to stop working with me, try to allow several sessions for us to arrive at completion, depending on the amount of time we have worked together.  If you cancel a session and then fail to reschedule, I will contact you to discuss whether you are indeed choosing to terminate, or if you are running away from a conflict with yourself or with me.

Exercise

I believe that if you are not exercising, you are abusing your body, and greatly contributing to the possibility of anxiety and depression.  If I don’t confront you about this, then I’m letting you down. Let’s talk about it.