Is therapy right for me?
Seeking out therapy is a courageous individual choice of a life-changing dimension. There are many reasons why people come to therapy. Sometimes it's to deal with long-standing psychological issues, or problems with anxiety or depression, or abuse issues. I work with many clients who are gay, lesbian, bisexual, and transgender—and there can be many psychological issues related to self-esteem and toxic shame in being LGBT. Other times the need for therapy comes as a response to unexpected changes in one's life such as a break-up or work transition. Many seek the advice of counsel as they pursue their own personal exploration and growth—and as they consider changing a life path or a career. Working with a therapist can help provide insight, support, and practical day-to-day strategies for all types of life challenges. Therapy can help address many types of issues including depression, anxiety, conflict, grief, shynes, passivity, stress management, body-image issues, toxic shame, internalized homophobia, gender issues, and general life transitions. Therapy is right for anyone who is interested in getting the most out of their life by taking responsibility, creating greater self-awareness, joining collaboratively with a therapist, and working towards change and emotional stability in their lives.
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 ability to reach out 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, get stronger in the broken places, and overcome whatever challenges you face. Therapy is additionally helpful if you are interested in going on an inner journey to face old demons and transform them alchemically into greater soulfulness and capacity for intimacy.
How can therapy help me?
A number of benefits are available from participating in psychotherapy. 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. For me, I like to form real living relationships with my clients, so that we can work in parallel time with some of the problems vexing them. The benefits you obtain from therapy depend on how well you use the process and put into practice what you learn. I also do a lot of educating about psychological ideas and values, borrowing from Sigmund Freud, C.G. Jung, Melanie Klein, Victor Frankl, and the work of gay-centered theorists. 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.
What is therapy like?
Every therapy session is unique and caters to you as an individual and your specific goals. It is standard for therapists to discuss the primary issues and concerns in your life during therapy sessions. It is common to schedule a series of weekly sessions, where each session lasts around fifty minutes. Therapy can be short-term, focusing on a specific issue, or longer-term, addressing more complex issues or ongoing personal growth. There may be times when you are asked to take certain actions outside of the therapy sessions, such as keeping a journal of your daily feeling and thoughts, recording and or drawing your dreams, journaling about important people in your life (e.g., mother, father, partner) reading a relevant book or keeping records to track certain behaviors. It is important to process what has been discussed and integrate it into your life between sessions. For therapy to be most effective you must be an active participant, both during and between the sessions. People seeking psychotherapy are willing to take responsibility for their actions, work towards self-change, create greater awareness in their lives, and deepening their capacity to experience their feelings and their body's aliveness. Here are some things you can expect out of therapy:
- A safe place to be yourself.
- Compassion, respect, and understanding.
- Perspectives to illuminate persistent patterns and negative feelings.
- Real strategies for enacting positive change.
- Effective and proven techniques along with practical guidance.
Is medication a substitute for therapy?
In some cases a combination of medication and therapy is the right course of action. Working with your medical doctor you can determine what's best for you. It is well established that the long-term solution to mental and emotional problems and the pain they cause cannot be solved solely by 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.
Do you accept insurance? How does insurance work?
To determine if you have mental health coverage, the first thing you should do is check with your insurance carrier. Check your coverage carefully and find the answers to the following questions:
- What are my mental health benefits?
- What is the coverage amount per therapy session?
- How many therapy sessions does my plan cover?
- How much does my insurance pay for an out-of-network provider?
- Is approval required from my primary care physician?
Is therapy confidential?
In general, the law protects the confidentiality of all communications between a client and psychotherapist. No information is disclosed without prior written permission from the client.
However, there are some exceptions to this rule as required by law. Exceptions include:
- Suspected child abuse or dependant adult or elder abuse. The therapist is required to report this to the appropriate authorities immediately.
- If a client is threatening serious bodily harm to another person. The therapist is required to notify the police.
- If a client intends to harm himself or herself. The therapist will make every effort to work with the individual to ensure their safety. However, if an individual does not cooperate, additional measures may need to be taken.