Theraspire
    Disclaimer:  The contents of this site and all the pages herein are intended for informational purposes only and are subject to change without notice at any time.  None of the
    information in this site is intended to be taken as advice therapeutic, legal, or otherwise.  At no time does use of this site nor communication through this site constitute a
    therapeutic relationship between the user and therapist.  Kari L.M. Silverberg, MA, LAMFT and Theraspire Counseling Services, PLLC assumes no liability for the content of
    this site or damages that may result from use, reference to, reliance on, or decisions resulting from its use.  Use of this site establishes your consent to the provisions of this
    disclaimer.  Copyright 2006.  All rights reserved.
Q: What can I expect in therapy?

A: When you call, you will be asked some basic information to determine whether you and I will be a
good fit.  If we decide to set up an initial meeting, I will mail or email some forms for you to fill out.  Bring
the forms to your first session.  The first session will consist of going over some of the forms.  We will
also spend some time discussing the issue(s) that have brought you to therapy.

Q: How long does it take?

A: The therapeutic process is different for everyone.  Some people require a few sessions while others
may elect to be in longer-term therapy.  Some may choose to meet once every week or two while others
find it helpful to have infrequent sessions over the course of several months or more.  It all depends on
how long it takes to reach the goals you set.  Obviously more serious issues, such as those dealing with
things like abuse, chemical dependency, trauma, or having multiple issues tend to take more time to sort
out.

Q: Why fee-for-service?

A: There are several advantages to paying for psychotherapy sessions out-of-pocket (also called fee-for-
service or self-pay), a few very important ones include:
1)   Privacy-- When you are not going through an insurance company for mental health services, your
private health information stays in my office.  I am the only person who has access to it except under
specific circumstances which are outlined in the Informed Consent packet and discussed in the first
session.  Insurance companies have numerous people examining your files at various stages.  There are
people that authorize payment, track your progress, audit psychotherapy practices, input data, print
bills, and so on.
2)   Control-- The number of sessions you may attend when you pay out-of-pocket is up to you.  Often,
insurance companies will authorize a certain number of sessions.  They usually require some proof that
progress is being made.  They also reserve the right to stop paying for sessions for a variety of reasons.  
Insurance companies probably want you out of therapy as soon as possible.  The problem is that they
might decide you’re ready to be on your own regardless of whether you or I agree with them.
3)   Your Future-- Did you know that you can be denied insurance benefits for a previous mental health
diagnosis?  If you use your insurance to pay for mental health, your practitioner MUST designate a
diagnosis for your issue (e.g. major depressive disorder, generalized anxiety disorder, bi-polar
disorder).  If you wish to purchase health insurance in the future, your mental health records will be
reviewed and you and your family maybe denied coverage.  Paying out-of-pocket ensures that no
insurance company ever knows you were seen by a therapist.

Click
here for more information about payment options.

Q: What is Adlerian Psychology?

A: Alfred Adler believed that people are social beings; that we all look to find our place in the world--to
belong.  He believed we are creative in that we actively choose how to act and react to people and
situations.  He also believed we are goal-directed in that all of our behavior has a purpose and that we
are always moving toward a perceived goal.  Furthermore, he believed that reality is subjective; that
there is no absolute truth.  Therefore, we cannot be objective about ourselves or our interpretation of
our experiences.  Finally, Adler believed that a person can never be understood without understanding
the pattern through which he moves through life.

Q: What can you tell me about relationship therapy?

A: For more detailed information about relationship therapy, click
here.
Frequently Asked Questions