How long are our sessions?
Sessions are typically 50 minutes unless we agree upon a different length of time. I tend to recommend 80-minutes for at least the first Brainspotting session. I may recommend 80-minute Brainspotting sessions after that, but that is determined on a case by case basis.
How much does each session cost?
My fee for a 50-minute session is $160. If you are interested in a longer session time, then the fee will be pro-rated. I do not have any sliding scale availability at this time.
Are sessions in person during COVID19?
As of March 2019 following the initial shelter in place, all of my sessions have moved to online-only. My sessions are done during a secure video conferencing platform.
Are online sessions as impactful as online sessions?
With clients that I have seen both online and in-person, those clients haven’t reported any significant difference in the quality of therapy provided. The same is true in receiving Brainspotting.
Personally, I have found online therapy to be more fruitful in multiple ways. Conversely, internet connection issues as well as the limits of a computer screen I believe has provided challenges in my ability to attune to clients at times, so it requires me to have significantly more focus in that regard.
How often are therapy sessions? Can I have therapy every other week?
I’ve found that therapy is most effective when sessions are weekly.
While I do allow some clients to have therapy every other week, I give a warning that doing so generally isn’t as effective. The longer breaks in between sessions makes it harder for me to adequately assess and it often prevents us from diving into the issues that you are wanting to heal from.
If the reason for wanting the to every other week is due to the pace in which we are working, then I definitely encourage us to have a conversation about that. My main intention is for you to fee safe during the process.
Generally, I’ll recommend every other week therapy once your goals are reached and we are beginning to phase out of therapy. At that point, the sessions are more for check-in, maintenance, and preparation for being back in life without the support of therapy.
Is everything said in therapy confidential?
The law protects the confidentiality of communications between client and therapist. Information cannot be disclosed without written permission from the client. In other words, if someone calls me wanting your information then I cannot tell them that I know you unless you’ve given me written permission. That being said, there are a few exceptions to this rule:
- As a therapist, I am a mandated reporter, so if I suspect any child, elder or disabled adult abuse then I am required by law to report it. Of course, if this comes up during therapy I see it as my ethical and clinical duty to inform you that I will need to report so you are aware.
- If a client is threatening serious bodily harm to another person, then I am required to notify the police and inform the intended victim.
- If a client intends to harm themselves, I am required to assess the severity of the client’s intention. In the event that it is beneficial for safety, I establish a safety plan with the client. However, if they do not cooperate and the risk appears to be high, then I will take further actions, which I am allowed to by law, without their permission to ensure safety.
Domestic violence is not a mandated report. However, if this does come up in therapy, I will ethically support you in creating a safety plan for yourself.
What is a Marriage and Family Therapist (MFT) and how is it different from a psychologist?
A Marriage and Family Therapist is a mental health professional that’s trained in psychotherapy and family systems. Those with this licensure have had special training in couples and family therapy in addition with the traditional clinical psychology coursework. In the state of California, it is the main license that is given to those with a Masters-level education in clinical psychology and/or counseling. In California, MFTs are regulated by the Board of Behavioral Sciences (BBS).
A psychologist, on the other hand, has a Doctoral-level education. They practice psychotherapy as an MFT does, however, they are also able to conduct psychological testing. In addition, if the individual has a PhD (versus a PsyD) they have training to conduct research and teach at a university level.
Many MFTs also have their PhD or are working towards one. Often times, they have the PhD so they can teach at a university level, do research, write publications or do psychological testing.