Are you licensed? What are your credentials?

I am a Licensed Marriage and Family Therapist (LMFT) in the state of Oregon (T0825) and a Licensed Mental Health Counselor (LMHC) in Washington (LH60152242). I have received a Bachelors of Science from the University of Washington in Psychology and a Masters in Applied Behavioral Science from Bastyr University. To obtain these credentials one must meet an exhaustive set of requirements set forth by state laws and statutes including extensive training, supervision and training in the field. 

How do you choose a therapist?

You have already taken an important step in beginning to look for a therapist. Yay! Research has shown that the most important aspect of successful therapy is the relationship that forms between yourself and your therapist. Therefore, it is vital that you choose a therapist that you feel comfortable with and that encourages a safe space for you to be open and honest.

How long does therapy last?

The duration of successful therapy can vary greatly depending on the severity of the presenting issues and goals of each client. Some clients seek therapy for immediate relief from distressing symptoms that are interfering with significant areas of their lives, while others are looking for an opportunity to explore deeply-ingrained beliefs and patterns. 

Do you bill insurance?

Ashland Center for Couples is a preferred health care provider for Pacific Source, First Choice Health Network, All Care PEBB and Western Psychological Counseling Services. For all other insurance companies I am considered an out-of-network provider. This does not mean that you will be responsible for 100% of the cost of your appointments, as a licensed professional, many companies with out-of-network benefits will reimburse for services after the deductible has been met. I have found the percentage of reimbursement can range anywhere between 50-90%. Please check with your insurance company regarding out of network benefits, deductibles, and number of sessions covered per year.

Listed are a few questions to ask your insurer:  What are my out-of-network benefits? What percentage of my out-of-network visits are covered after I meet my deductible? What is my deductible and how much as been met this year? How many session am I provided per insurance year?

In most cases I am able to bill insurance companies directly electronically. If this is not the case, I will provide you with a complete detailed statement that can easily submitted to your insurance carrier for reimbursement. In all cases I am happy to assist you in getting reimbursement from you insurer.  

Is couples counseling covered by insurance?

In many cases insurance companies will not pay for couples counseling because they do not deem it to be medically necessary. This is typically the case, even though research has shown that living in a distressed relationship makes one more susceptible to illnesses, such as depression. 

However, an insurance company may cover couples counseling if either you or your partner have a valid diagnose-able mental health disorder. In such cases a diagnosis is rendered and treatment of the disorder becomes one of the goals in therapy.

Do you accept credit cards?

Yes. Payment can be made in the form of cash, check or credit cards.

Are my sessions confidential?

The Ashland Center for Couples regards client confidentiality with the utmost respect and adheres to all state and federal laws concerning privacy. In short, your privacy and confidence are serious matters that are given ultimate consideration. Your privacy is my top priority.

In general, the law protects the confidentiality of all communications between a client and a psychotherapist. Information may not be disclosed without written permission. There are a few exceptions in which a therapist is required to break confidentiality. These exceptions include:

1. Suspected child abuse or dependent adult or elder abuse. The therapist is required by law to report this to the appropriate authorities.

2. If a client is threatening serious bodily harm to another person/s. The therapist must notify the police and inform the intended victim.

3. If a client is threatening serious bodily harm to him or herself. The therapist will make every effort to enlist client’s cooperation in ensuring their safety and may be required to seek hospitalization for him/her and/or to contact family or support systems to monitor the client for safety. If you have additional questions or concerns regarding confidentiality please don’t hesitate to ask.

I want to work on my relationship, but my partner doesn’t want to go to therapy.  What can I do?

My advice is that you can and should seek therapy regardless of your partners willingness to participate. It may be disappointing that your partner doesn’t want to come in for therapy, but as long as you are working on yourself within the relationship to make changes and are growing, then he/she eventually must adjust and respond to your healthy choices.  

How do I talk to my partner about coming to therapy?

Talking about attending therapy with a reluctant partner can be challenging. It is a good idea to highlight the goals you would like to achieve by going to therapy.  Remember, goals are stated in the positive vernacular. Once you have identified what you would like to accomplish, talk to your partner and let them know how much it would mean for you if they came. Another way is to write a letter. This will allow your partner to think about what you have written and respond. If your partner still chooses not to accompany you in therapy, come in on your own. Let them know that they are invited to attend and as your therapy progresses share your experiences with them. Please be aware that this is not recommended if you are in a physically abusive relationship.

Do you provide counseling for gay and lesbian couples?

The Ashland Center for Couples unconditionally provides counseling services to people from all walks of life, irrespective of race, creed, religion or sexual preference.