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Frequently Asked Questions
Do you accept insurance?
Where are you located and what are your office hours?
Do you provide
online therapy?
What are your fees?
What are the differences between psychiatrists, psychologists, psychoanalysts,
psychotherapists, therapists, counselors, and coaches and how do I decide
which one to go see?
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Do you accept insurance?
The easiest way to
determine if the therapist is covered by your specific insurance plan is to look
on the mental health and substance abuse/chemical dependency provider list on
the website of your health insurance. If you cannot find this information on
the Internet, you should have a toll free number on your insurance card where
you can call the insurance company and determine if a specific therapist is on
the provider list. You can then request a specific referral for that
therapist. Be sure to write down any authorization numbers or other important
information. You then need to call the therapist directly to determine
availability and schedule an appointment.
When the therapist is not
listed as a provider, ask if you have out of network benefits. If you do, the
therapist can provide you with an insurance receipt that you can send to your
insurance provider and get partial reimbursement for fees you pay.
When clients choose to use their
mental health or substance abuse insurance benefits, there is a certain amount
of autonomy as well as privacy and confidentiality that is sacrificed.
Most insurance companies require a psychiatric diagnosis be assigned to the
client and this can be detrimental by establishing a medical record of a
pre-existing condition should the client choose to switch health plans at a
future date. This can result in denial of future coverage or riders that
exclude the specific mental health or substance abuse disorder for a period of
time. Then, the specific insurance company often must assess the type of
treatment (i.e. individual, family, marital, or group, etc.) as medically
necessary to treat the diagnosed psychiatric condition of the primary client. In addition, most insurance plans, while they may suggest that
numerous sessions are covered in a calendar year, they typically only authorize
a few sessions at a time. In order to obtain authorization for additional
sessions, the insurance plans require that the treating therapist provide the
insurance company with treatment plans, progress reports, and justification of
medical necessity for continuing treatment. Insurance companies also
frequently require referrals to the client's family physician or a psychiatrist
for purposes of evaluating the need for psychotropic medication. While
medication can be a necessary and very effective treatment modality in some
cases, it is not always necessary and not always the best alternative in other
cases. Clients have a right to know what information is being sent to
their insurance companies and what types of treatments are available given their
individualized clinical assessment and personal circumstances.
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Where are you located and what are your office hours?
The office is located in Northwest Phoenix
in the Metro Commerce Center, one block west of I-17 and just north of Peoria
Ave. Office hours are Monday
through Thursday by appointment only. Some early morning and evening appointments
are available. There is also a satellite office in Payson with hours by
appointment only on Mondays. Back to
Top
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Do you provide online therapy?
No. The therapist believes
that without the ability to see nonverbal communication signals and/or hear voice tone, much of the therapeutic
relationship is unable to develop. Studies have shown that one of the highest
predictors of successful outcomes in psychotherapy is not the actual method or
technique but rather the client's experience of a positive and healthy
therapeutic relationship with the therapist. This is very difficult to
establish in an online format. Back
to Top
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What
are your fees?
The fee for an initial psychotherapy session is $115. Following that,
fees for individual, couple's, and family therapy are $95 per session.
Sessions are approximately 45-50 minutes long. Fees for group therapy are
$45 per 50-minute groups and $60 per 80-minute groups. Group clients who
pay in advance at the beginning of the month receive a 25% discount.
Payment can be made with cash, check, or credit card. Receipts for potential out of network partial
insurance reimbursement are provided upon request for covered services.
Please read the information above regarding insurance for additional
information. No third party billing arrangements are available unless
otherwise specified. Fees for seminars, weekend intensives, training and
consultation vary per event and services provided. Fees for interventions vary by package of services
offered. Please call for additional information.
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What are the differences between psychiatrists, psychologists, psychoanalysts, psychotherapists, therapists, counselors, and coaches and how
do I decide which one to go see?
Many clients are confused
by all these different titles. Some of them overlap but there are some distinct
differences in terms of degrees and qualifications as well as the specific
services provided.
Psychiatrists are medical
doctors (M.D., D.O., etc) who received additional training to specialize in
psychiatry. They typically have approximately 12 years of college education.
Their primary roles are to provide psychiatric evaluations and prescribe
psychotropic medication for clients when needed. Some psychiatrists also provide psychotherapy but most simply prescribe
medications and often have clinicians in their office that provide the talk
therapy. Family physicians and nurse practitioners are also able to prescribe
psychotropic medications but psychiatrists typically have a more specialized
practice in medication for mental health symptoms.
Psychologists have
doctorate (PhD, PsyD, etc) degrees that require usually a minimum of two
additional years of school beyond a master's degree. They are allowed to use
the title of "Dr." but are not medical doctors. In addition to providing
psychotherapy, psychologists often offer psychological testing that evaluates
intellectual, mental, emotional, and social functioning.
Psychoanalysts are
therapists (often who are also psychologists) that specialize in a treatment
approach called psychoanalysis. Psychoanalysis is one of the original forms of
mental health treatment and typically focuses on uncovering the individual
unconscious dynamics that maintain current symptoms. Psychoanalysis is
typically long term treatment.
Psychotherapists are
clinicians who are authorized to provide psychotherapy that may include
individual, couples, family and group therapy. They may be psychologists,
psychiatrists, and nurse practitioners, or they may be master's level therapists
and counselors. The master's level psychotherapists hold various master’s
degrees in a number of different disciplines including clinical social work,
professional counseling, marriage and family therapy, and education (MSW, MC,
MFT or MFCC, MEd, MA, MS, etc.) Some states require that these
professionals be licensed to provide psychotherapy and some states have
voluntary certifications. Arizona had voluntary certification until
recently and began requiring licensure in July of 2004.
Other therapists and counselors include substance abuse and addiction counselors, pastoral
counselors, rehab counselors, and guidance counselors. These professionals may
hold any number of degrees from a one or two year certification to master's and
doctorate level degrees depending on their specific training. They also may be
qualified to provide psychotherapy in addition to their specialty. They may or
may not be certified in their specific field of practice and they often are
certified or licensed in more than one field of practice (professional counseling and
substance abuse counseling for example).
Coaching is a relatively
newer form of guidance that is designed to motivate clients to achieve their
goals and potential rather than focusing on problems and symptoms. Many coaches
are also professional therapists and counselors but not all of them are. There
is typically no formal education that is required to become a coach and many
coaches offer both motivational and spiritual counseling.
Please note that this is a
general description of the various differences and that often professionals have
numerous services that they are qualified to provide. You have a right to know
the specific qualifications including training and experience of the provider
you choose. Back to Top
© 2003-2008. Shannon K. Spellman, MSW. All
rights reserved.
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