How long are therapy sessions?

Typically an individual or family counseling session will last 50 minutes, while a session with a child may last 45 to 50 minutes.

Will therapy work for me?

Therapy has worked for a variety of individuals and families in creating changes and healing. There is no guarantee regarding the outcome of therapy, but the client’s motivation and life circumstances will create the opportunity for a desired change. Often times other insights may come to light and changes that one did not even know they were desiring can occur.

Therapy is a collaborative process and an open, honest relationship between you and your therapist is essential for therapy to be successful. Sometimes therapy can be uncomfortable as people face difficult challenges and realities of their situations. It is important to talk with your therapist about your feelings. Sometimes it may take two steps backward to move one step forward toward health and healing.

What should I expect in the first session?

You can expect a warm, friendly experience upon entering my office.  We will talk about what brought you to therapy and how I may be of help.  We will discuss the logistics of therapy along with the initial forms you completed before your arrival.  You are free to ask me any questions and you will always be respected in your comfort level of what you want to share with me.   A follow-up appointment will then be scheduled based on this appointment if we decide we would like to move forward in working together.

What about medication?

There are many ideas on how to treat different symptoms people are dealing with. Medication in combination with therapy has proven to be successful in some cases. On the other hand, there are many other thoughts on how to work with symptoms including working with a homeopath, naturopath, chiropractor, body worker, and other trained professionals. Medication would never be pushed but may be discussed based on the severity of the symptoms.

What is a Licensed Clinical Social Worker?

A Licensed Clinical Social Worker in the State of California has a Master’s Degree from an accredited university school of Social Work. Upon completion, 3,200 hours of supervised clinical experience and 104 weeks of clinical supervision must be obtained under a licensed professional. After the hours are obtained, mandated course work and two licensing exams must be passed in order to apply for a license. In order to maintain this license, at least 32 hours of continuing education credits are obtained and a renewal form with the California Board of Behavioral Sciences is submitted. You can verify a license here.

How long does therapy last?

The length of therapy cannot be precisely determined as it is based on what the needs of the person or family are, and these needs can be changing as treatment progresses. For example, a parent may initially be looking for help for their teenager who is dealing with depression, but it may come up after building a trusting relationship that the teen has suffered some trauma and then possibly the parents are getting a divorce. There are often layers to what people come into counseling for.  As therapy continues, feel free to have a dialogue with your therapist regarding the length of therapy.

What is the cost of therapy with Sierra and what forms of payment do you take?

The cost per 50 minute session is $185.  For many individuals, therapy is tax deductible.  Acceptable forms of payment are cash, check, credit card, and HSA accounts.

What insurances do you accept?

I am currently in network with Medicare.  I can accept payments for those with an HSA account.  I also accept PPO plans and offer out of network coverage.  Please keep in mind insurance companies do have access to your confidential information if choosing to use your benefit which then can become a part of your permanent health record.  Using your insurance is a personal choice and should be discussed with your therapist prior to the first session. Insurance companies will often limit the number of sessions allowed, which in some cases can cut therapy short when there is still work to be done.  Because of these reasons, many individuals/families opt out of using insurance.