Happy new year folks! I took a blogging break so that I could rest and begin to work on some more helpful mental health topics for you in 2020. I hope you had a great holiday break and you’re ready to take 2020 by storm.
Today I’m going to be answering some of the frequently asked questions about therapy or counseling that are often thrown at me. I know that finding a therapist or counselor in Murrieta/Temecula or even in the Inland Empire could be daunting, so my goal today is to make the process a bit easier for you. Many people who seek a therapist out in the Inland Empire are new to therapy. It’s normal to have some questions before you begin. And even if you don’t live in Murrieta, Temecula or the Inland Empire, chances are you have some of these questions when you’re seeking out a therapist.
Okay, let’s dive in. Below are some of the questions I get asked quite a bit. If you have questions about therapy that you’d like a licensed therapist to answer, go ahead and write them down in the comments section:
1) Is therapy confidential?
I get this question all the time. In short, the answer is “Yes and no.” I know it’s confusing, but let me explain. In the state of California, therapists are mandated reporters. It means that there are certain situations we have to report under the law- for the protection of certain people.
Some of these situations are:
Child abuse- That includes physical, emotional, sexual abuse, or neglect of a child who is less than 18 years of age. When you are in the therapy room, if you disclose that a child is being abused, the therapist has the mandate to make a report to Child Protective Services (CPS). Now as a therapist, I do not investigate whether or not the allegation of abuse is true. My job is to simply pass the report on to CPS and let them do their job. Click here to read more about CPS child abuse reporting in California.
Dependent adult abuse- This is the abuse of someone who is an adult ages 8 to 64, but due to his or her physical or emotional state, he or she cannot perform certain independent tasks without assistance. Types of abuse that must be reported include sexual abuse, emotional abuse, physical abuse, neglect and even financial abuse. So if you’re in a session with me and you report for example. that your 19 year old neighbor, who is a dependent adult, is underfed, malnourished and always being yelled at, I will be mandated to report to Adult Protective Services (APS). Here is the link to Riverside County APS.
Elder adult abuse- This is the abuse of an adult who is 65 years or older. It includes abandonment or neglect, financial abuse, sexual abuse, emotional abuse, physical abuse or even healthcare abuse. So abuse doesn’t only mean harming the person physically or emotionally, misuse of the elder’s funds and healthcare fraud could also be reportable. In this case if I suspect any of the above types of abuse is going on, I’ll also make a report to APS so that the individual is kept safe.
Danger to self or others: My job as a therapist is to ensure that you are safe. If at any time, it becomes obvious that you are going to be a danger to yourself, to another person or to the property of another person, it is my prerogative to report to the necessary authorities so that everyone concerned can be safe. In this case, I can choose not to report, but if I deem that this is the best action, then I could go ahead and bring in a third party to keep you safe.
Patriot Act of 2001: This law was enacted as a response to the horrific attacks on September 11, 2001. This indicates that if a client of mine is a suspected terrorist, the FBI or their law enforcement agencies can request information from me, and I would have to comply with their requests. Read more about the Patriot Act here.
But if you are not a danger to yourself or others, if you are not a suspected terrorist and if there is no suspected elder, dependent or child abuse, then the information you divulge in therapy remains confidential.
2) Will my health insurance pay for my therapy visits?
The answer to this one is “It depends.” Some insurance companies have mental health coverage and they will allow you to see a therapist who has signed a contract with them. These therapists are “In network” with your insurance company. It’s important to ask your insurance company what your benefits are, so you can decide what you want to do.
Some insurance companies will specify the number and types of sessions that you can have. For example, some insurance companies do not cover couples therapy. Others will cover tele therapy (therapy over the phone or computer), while some won’t.
In some situations, you might find a therapist whom you really like, but they might not have a contract with your insurance company. If you have a PPO plan, you might be able to still work with an out of network therapist and also get a percentage of the therapy cost reimbursed by your health insurance company.
What I do in this case is that the client pays me out of pocket for each session, and then I provide them a superbill (it’s sort of a receipt for services), which the client forwards to the insurance company for coverage.
It’s important to ask your insurance company if you have to be diagnosed with a mental health disorder in order for services to be covered.
Insurance companies often determine the length of sessions, types of sessions covered, how much you will be reimbursed, and sometimes which therapist you see.
3) Will my spouse, parents, kids, family and loved ones know that I’m in therapy?
It really depends on what you want and the circumstances under which you came to therapy. If you are mandated to come to couples or family therapy by a judge, then of course your family will know that you’re in therapy. But if you are coming of your own will as an adult, you don’t necessarily have to tell anyone that you’re seeing a therapist.
Some people have their family members (like their parents, spouse, etc). In that case, by default, the payer will know that you’re in therapy. However they don’t necessarily get access to your records or get to chat with the therapist about your personal business. It really depends on what you want. Remember- your mental health is your personal business. You can tell whomever you want about what happens in your therapy, but I cannot tell anyone (except I’m doing a mandated report as stated above). In other words, your secrets are safe with me.
And in the case that your spouse, child, in laws, friends or coworkers call me asking for information about you, the standard response I give is “I cannot confirm or deny that I know her.” My lips are sealed unless you give me written permission to speak to a loved one or colleague.
4) Can I be honest with my therapist?
Well do you want to make progress in your life? When you work with me, I typically start where you’re comfortable. We go where you want to go, and talk about the areas that you feel comfortable addressing. I will in no way force you to talk about trauma or childhood memories- except you’re comfortable with it.
As we build more rapport, you will naturally begin to tell me about deeper issues that are bothering you. For therapy to work well, it is important to be honest with your therapist so that we can work together as a team. In my therapy office in Murrieta, there is no room for judgement or blame. I help you uncover your strengths, combat thoughts that don’t work well for you and identify new, positive coping skills. That’s a brief summary of my role as a therapist.
5) What will my first therapy session look like?
Therapy looks different depending on who you choose as your therapist- because we all have different approaches to the work that we do. When you work with me, your first contact with me will either be through a phone call or an email. If it’s through email, I'll ask you to schedule a free 15-minute consultation call with me so that I can find out more about what your struggles are and you can also decide if I’m the best fit for you. I believe very strongly that you have to pick the therapist that is the right fit for you, not the one who is the cheapest or whose office is the closest to your home.
After the consultation call, if you decide to begin services with me, we’ll schedule an appointment and you get to see me either in my therapy office in Murrieta or online. As licensed marriage and family therapist in California, I can see anyone in California through teletherapy- which is kind of like a Skype video call- only through a more secure platform.
During your first therapy session, I’ll collect your payment, ask you questions about your background and what brought you into therapy. And we will work together to create a plan of action so that you can find relief as fast as possible. I’m more of a short term therapy kind of therapist. I like us to find the fastest route to healing because I don’t want you to be in therapy forever!
We typically will meet every week as I see the most progress in clients who see me weekly. When things are improving, naturally we’ll taper down to every other week, then probably once a month.
You’ll sit on my comfy couch, we’ll talk and you’ll get homework sometimes (yes, I’m a fan of homework) to ensure that you’re able to implement what you learned. I believe therapy should be helpful- not just weekly jibber jabber.
And that’s pretty much it. If you have any other questions about finding a therapist in Murrieta/Temecula, feel free to comment below or email me.
Thinking about starting therapy? I love working with women who struggle with anxiety, people pleasing behaviors and self esteem issues. I also love helping insomniacs sleep through my CBT for insomnia work. If you’re ready to get rid of anxiety or insomnia, click here to request a free 15-min consultation call.
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