If I come to see you, how long before I start feeling better?
Many people begin to feel better after scheduling the first appointment. Knowing that there is a path to feeling better, and that you chose to step onto that path introduces some hopefulness into what can feel like a bleak situation. The second time most clients notice a significant change in how they feel is after a session or two of talking about what has been going on. Why? Most of us struggle and suffer without feeling that anyone really understands what we are up against. In the first couple of sessions we will focus on really clarifying what has been going on, how you have been feeling, and we will make a plan to address it. Feeling understood, and that you are not alone in your efforts, is often the second step in the process of healing. From there the work of therapy continues for varying lengths of time, depending on your particular goals, how long you have been struggling, the complexity of your symptoms, whether you are dealing with hormonal shifts or medical issues, and whether you have additional stressors that happen in the course of treatment. Regardless of how long it takes for you, we know that therapy is effective for helping people feel better and function more effectively.
How do I know if I should make an appointment or if this will go away on its own?
There are many ways to do psychotherapy and my goal is to tailor what I do to best fit you and your needs. Research has shown that clients get better more quickly if there is clear feedback about the therapy process. To help with this I offer every client the opportunity to complete the Outcome Rating Scale and the Session Rating Scale each session so that we can track your progress and how the therapy process feels to you. Some clients choose not to do this, and that is OK too. In the initial appointment forms I will ask you some questions about your expectations and preferences for how we work together. Your answers are the beginning of our collaboration in creating a therapy that will work for you. If you are feeling bad enough that you are considering seeking therapy it is probably a good idea to do so. While people do sometimes get better without therapy, it usually takes longer. If you are a mama, it is important to know that your mental health has a direct impact on your children’s well being. When mamas get better, babies have the best opportunity thrive.
How long do therapy sessions last?
The initial evaluation is 50-60 minutes long. All other sessions are 45 minutes. 60 minute sessions are available if requested. Due to the financial hardships caused by recent COVID-19 restrictions shorter appointments are available as are brief phone/video check-ins. The fee will be prorated based on a regular session rate. Please contact me for more information about this.
What are your fees?
The fee for the first session is $180. All subsequent 45 minute sessions are $135. Shorter sessions during COVID-19 restrictions are prorated (e.g. 10 min check-in is $30, 20 min session is $60, 30 min session is $90, etc.) Under the law, health care providers need to give clients who don’t have insurance or who are not using insurance an estimate of the bill for medical services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services. Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call Dr. Cohen-Archer at 859-327-6459.
Can I use my health insurance to pay for therapy sessions?
I am not an In Network provider for insurance, which means that fees must be payed by you in full at the start of each session. If your insurance plan includes Out of Network benefits you may be eligible to have a portion of the fee reimbursed to you directly from the insurance company. I will give you a detailed receipt so you can file a claim with your insurance for this reimbursement. Depending on your insurance I may be able to electronically file the claim for you. If you have a health savings accounts (HSA) or a flexible spending account (FSA) you can use these to pay for therapy.
Can anyone find out that I have been in therapy?
- I am required to report any suspected abuse or neglect of a child, dependent adult, or elder.
- I am required to report domestic violence between married partners.
- If you threaten serious bodily harm to another person, I must notify the police and inform the person you are threatening to harm.
- If you intend to harm yourself and will not cooperate with a safety plan, I will disclose information to others as needed to ensure your safety.
- If there is a court order for records or testimony, and efforts to block the subpoena have failed, I must provide the requested information.
- If the government believes you to be a terrorist and requests access to your records I must comply.
What if I have to miss a scheduled therapy session?
Scheduling a therapy session means time is reserved specifically for you. Therefore, we ask that if you must miss your scheduled appointment you contact the office by phone or text at least 48 hours prior to your appointment. You will be charged the full session fee for any cancellations given with less than 48 hours notice or any missed appointments. This fee is waived if you cancel because you are ill, you must stay home to care for an ill child, you are in labor, or have an emergency. Being called in to work does not constitute an emergency for this purpose. With the understanding that parents of young children have much on their plates, you have the option to receive a text, email, or phone reminder of your appointment 72 hrs in advance.
Can I bring my baby with me to sessions?
Babies are welcome until they are crawling. Whether you bring your baby should depend in part on whether it would be easier for you to talk about what you need to talk about with or without your baby present. You are encouraged to rock, hold, bounce, feed, change or otherwise care for your baby as need be during your session.
Do you prescribe medication?
As a psychologist, I am not trained to prescribe medication. If I believe that medication is needed for you to reach your therapy goals I will discuss this with you and assist you in obtaining a medication evaluation.
If I want medication should I start taking that first or should I start therapy first?
The mind and the body are connected, so both medication and psychotherapy can be effective, and are often more effective together. Some of my clients start therapy after medication does not fully resolve their problems. Others seek therapy because they are wanting to avoid medication. Medication does not address the problematic beliefs, emotions, or relationship patterns that may have led to feelings of distress. Medication can, at times, give you increased energy or help you think more clearly so that you can get more out of your time in therapy. Whether or not to take medication is a decision best made in consultation with both your psychologist and your medical doctor. For many people, women who are pregnant or breastfeeding in particular, the decision to either start or stop medication is quite anxiety producing in itself, and making a decision becomes one of the goals of therapy.
Can I meet with you if I am not pregnant or newly postpartum?
Absolutely. I work with men and women and provide general mental health counseling and psychological services in addition to perinatal mental health services. I often work with parents whose children are far past the infant stage. Parents' mental health effects children no matter how old the children are, so it is always a good idea to at minimum come in for a consultation if you are concerned about the way you are feeling.