HOW OFTEN WILL WE MEET AND FOR HOW LONG?
These are questions that are discussed during the
first meeting. Each situation is different, resulting in
variability in frequency and number of visits. Psychotherapy sessions
generally last 45 - 50 minutes. In the beginning, it often works
out best to meet every week or every other week. This helps with
developing comfort and with continuity between sessions. Meeting
less often may result in sessions focused on "catching up,"
leaving less time to address issues.
The number of sessions needed varies. More
limited goals may be reached within a few sessions, while
farther-reaching goals may require more time.
DO I NEED TO HAVE SPECIFIC GOALS IN MIND?
Sometimes people come with very specific goals that
they want to achieve. Frequently people come knowing what is not
working for them but unsure of their goals. It is not necessary to
know specifically what is needed. We will start by discussing your
concern and work together to figure out how therapy might help.
HOW MUCH GUIDANCE WILL YOU GIVE ME?
Therapy is a partnership that requires the active
participation of both therapist and client. My approach is to work
together to determine what approach will be most helpful. Some
people prefer a lot of guidance and ideas about what to do to address
concerns, while others find it beneficial to focus on understanding
themselves and their experience. In many cases a combination of
specific guidance and work on understanding is the most helpful. I
encourage clients to give me feedback throughout our work together about
what is working and what they may need more or less of.
DO YOU TAKE INSURANCE?
Reimbursement for mental health services depends upon
the specifics of your insurance plan and whether your provider is in
your insurance plan's network. These basic arrangements apply to
all providers, not only to me.
Health insurance plans vary in the mental health
benefits they offer. Some plans require subscribers to use the
services of network providers in order to get reimbursed. Some
will allow subscribers to use out-of-network providers. If
your insurance company allows you to see out-of-network providers, you
will be reimbursed for some portion of the bill for any mental health
clinician that you see.
If your provider is in your insurance plan's network,
then the provider bills the insurance company, and the insurance company
pays the provider directly. You are responsible for paying
deductibles, co-payments, and the full amount for appointments that are
missed and not cancelled prior to 24 hours before the appointment.
If your provider is not part of the insurance
company's network, in some cases the insurance company will still pay
the provider directly. In this case you will be responsible for
the amount not covered by insurance. Some insurance companies
require you to pay the provider and seek reimbursement later, and still
others will not reimburse at all for out-of-network providers. In
all cases, you will be responsible for appointments that are missed and
I am a provider for some insurance companies, and some
other companies pay me as an out- of- network provider. The list
of which plans I am a provider for changes from time to time. The
best thing to do is to call me and discuss your specific insurance plan.
HOW MANY SESSIONS WILL MY INSURANCE COVER?
Most companies that are based in Rhode Island are
covered by Rhode Island laws and are required to reimburse for 30
sessions of mental health treatment per calendar year. Companies
based in Massachusetts generally reimburse 24 sessions of psychotherapy
per year. Sometimes benefits are unlimited, and sometimes benefits
are less than 24 sessions. Some insurance companies charge a
deductible before services are reimbursed. Insurance companies have a number
you can call to ask about the specifics of their mental health
benefit. It is best to call this number to find out what your