Counseling and Psychotherapy are terms that are used interchangeably today. Individuals, couples, and families meet together with a therapist in a respectful atmosphere to discuss difficulties, problems, and issues the client is concerned about. Any question that is of concern can be brought to a therapist to discuss. Therapists are bound by confidentiality and cannot give information about the client without a signed release. The outcome of psychotherapy varies widely depending on what the client is looking for. Some people seek therapy for a specific problem, while some want to change and understand a more general personal feeling.
People often wonder if the trouble they are having needs professional help especially when their problems seem to be those of ordinary living. When you find that talking things over with usually helpful friends, spouse, pastor, rabbi, etc. does not help and the problem persists, or when reading self-help books seems to give you great ideas but none work, or when everything you try works only temporarily or not at all, it can often be useful to get a professional consultation and then decide whether therapy might offer a new way to understand and tackle the trouble you face. Treat your first meeting or two as a consultation and let the therapist know that you are trying to figure out whether to pursue therapy.
Medical insurance coverage for mental health and substance abuse is often different from the coverage you are familiar with for general medical problems. You will need to check whether your policy covers mental health, and whether your policy allows you to see a clinician of your choosing, or whether you are required to see someone on your insurance company’s panel of providers. Call your insurance company to clarify your policies requirements, limitations, deductibles, and co-payments. For further information call me.
In general, if you are being seen individually, what you tell your therapist is kept confidential and cannot be released without written permission. There are some important exceptions that you will discuss with your therapist. For example, I am required by law to report suspicion of child abuse and possible homicide. Also, if you are involved in a court proceeding about custody or divorce, the family court Judge can subpoena my records, and I cannot refuse to release the records. If you are concerned about any of these, you should discuss this in detail with me so that you are fully informed.
Parents have specific questions about confidentiality out of their concern for their children’s welfare. On the one hand, they know that the therapist must maintain confidentiality so that their child can trust the therapist. On the other hand, they are responsible for their child’s well being. This is particularly tricky when the child is a teenager. I have worked with children and teenagers extensively and am happy to discuss the details of what information is shared and how to balance these two concerns.
Finally, when a couple or family is being seen, sometimes a member wants to share information with the therapist but not with the other family members. Please discuss this with whomever you are seeing. The issues are complicated and important.
Generally, for children up to about 14, a therapist will meet with the parents first. Some clinicians meet with the parents and the child together, and some meet with the parents and child separately. Some have the whole family come in even though there is a particular child that is of concern. After 14, for some children it is best to meet with the child first. Any of this can be discussed with the particular therapist you will be seeing. After the initial meeting we will talk with you about the next steps for treatment and what we hope to accomplish in our time together, so that both you and your child know what to expect.
Usually couples are seen together for the first meeting. After the initial appointment a treatment plan is worked out that suit the needs of the couple. Often both partners continue to see the therapist together, but there are occasions when either or both members of the couple will have separate meetings with the therapist. As in any treatment, if the plan the therapist recommends does not feel right, be sure to ask for clarification.
Therapeutic play is used with children ages 3-12 who experience psychosocial problems through the therapeutic power of play to help the child grow and develop to their fullest potential. According to the Association for Play Therapy, play therapy is a way of being with the child that honors their unique developmental level and looks for ways of helping in the "language" of the child, which is play. It works best when a safe relationship is created between the therapist and child, whereas the child may freely and naturally express what pleases and bothers him or her.
Play therapy is used to help alleviate behavioral problems and disorders such as: