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Q: What
are the differences between types of licensed psychotherapists?
The state of California licenses several types of psychotherapists:
-
Psychiatrists
have earned an M.D. and have gone on to specialize in psychiatry.
Because they are MDs, they can prescribe medication for various
psychological problems such as depression and anxiety. Some,
but not all, are trained in psychotherapeutic methodologies.
-
Clinical
Psychologists are trained in clinical psychology and have earned
a doctorate.
-
Licensed
Marriage and Family Therapists (MFT) are trained in clinical
psychology and have completed a Masters Degree and have passed
written and oral exams for licensure.
-
Licensed
Clinical Social Workers (LCSW) are Psychiatric Social Workers
who are trained in clinical psychology, have completed a Masters
Degree, and have passed written and oral exams for licensure.
-
Psychiatric
Nurse (RN) are nurses who have obtained a nursing degree and
who have specialized in psychiatry.
All
licensed professionals adhere to and are bound by certain ethical
and legal standards to safeguard the confidentiality and safety
of their clients.
Q: Is
all therapy conducted in the same way?
No.
There are many approaches to to the practice of psychotherapy.
Among the common forms are:
-
Cognitive-Behavioral (usually
short term);
-
Transpersonal
(emphasizing spiritual and transpersonal integration);
-
Psychodynamic
(usually involves talking about things with an emphasis on
early childhood development--what most people think of as therapy);
-
Existential
(focuses on the here and now experience rather than talking "about" things);
-
Somatic
(emphasis on here and now experience and uses the body as a
resource).
The
kind of approach a particular therapist uses largely depends upon
his or her own individual style, education, and interests. Research
shows that no one orientation is superior to any other. However,
different types of people seem to respond differently to different
types of therapies; hence a good match of therapist, approach,
and client is recommended.
Q: So
how do I go about choosing the right therapist?
The general rule of thumb I offer to new clients is threefold:
-
look
for someone you feel comfortable with
-
look
for someone who has training and expertise in the areas you
want to work within (its OK to ask prospective therapists
about their training)
-
look
for someone who fits your style; e.g. do you want someone who
listens alot or someone who is more interactive; are you interested
in working short term or long term; are you wanting a more here
and now approach or do you want to sort through childhood
issues?
There
is an article that I particularly like by Tom Moon about what to
look for in choosing a therapist. To read it, click
here.
Q: What
is your approach?
I
have been trained in a number of therapies including Psychoanalytic,
Transpersonal, and Somatic. While I draw upon all of them in my
work, my current approach is most influenced by the somatic approach
of Hakomi Body-Oriented Psychotherapy.
Q: What
is "body-oriented psychotherapy?"
Traditional
psychotherapy pays attention almost exclusively to thoughts, emotions
and behaviors. In body-oriented psychotherapy, we also pay attention
to sensations, emotions and felt experiences in the body.
Hakomi
Body-oriented psychotherapy is not in any sense massage. It may
be as simple as bringing attention and awareness to a felt sensation,
or it might entail taking over some internal holding
or stress in order to explore what lies underneath. A central goal
of therapy is to facilitate communication among parts and to bring
attention to those parts that are lost, hidden or isolated.
Body-oriented
psychotherapy can provide an added dimension to psychotherapy by
opening you up to information that is often overlooked. With the
cooperation of the conscious mind, it can often provide a deeper
and more efficient channel to work directly with the unconscious
mind thereby facilitating self-discovery and change.
Q: What
is trauma?
Trauma
occurs when someone is overwhelmed by a situation that is perceived
to be life threatening and he or she is left feeling helpless and
out of control. Afterwards, the individual may react as though
the trauma is still occurring, even though the threat may be long
past. Symptoms may include panic attacks, obsessive behaviors or
thinking, anxiety, phobias, sleep disturbances, tremors, hypervigilance
and dissociation.
In
dealing with the effects of trauma, I work to help reprocess these
automatic responses and bring a sense of empowerment and choice.
Q: How
long does therapy take?
The
length of therapy depends on a number of factors. Some issues can
be quickly resolved in a few months. More deeply embedded problems
and patterns can require a year or more.
Q: How
long is each session?
Sessions
generally last 50 minutes. Occasionally we may schedule a longer
session if need arises.
Q: Do
you take insurance?
I
am a member of a few networks including: Beech Street, Interplan,
Preferred Health Network, and Victims Witness.
If
you are not in these plans, check with your insurance company.
Each individual insurance company has its own policies regarding
payment for therapy. Things you want to ask your insurance company
include:
- Do
they pay for "out of network" providers?
- If
so, is there a deductible?
- What
do they pay per session?
- Is
there a maximum amount they will pay per year?
Generally
speaking, all therapy sessions are paid for at the time of the
visit. At the end of each month, I will provide you with a statement
of charges which you then submit to your insurance company for
reimbursement. I
do not bill insurance companies directly unless I am specifically
under contract with them
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