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Individual Psychotherapy: How This Works…

 

If you feel like your life is spinning out of control, feeling trapped by your symptoms, and sinking deeper into the darkness, you aren't alone!

 

So many of us desire the ability to enjoy our lives, to feel control over the turbulence, but feel stuck in a never-ending cycle of stress and chaos.  You feel like everything you do is wrong, you always make poor choices, or what the world expects from you is too much to handle.  There's never enough time, you're always stressing over the littlest thing, and nothing seems to make you happy anymore.   

It doesn't have to be this way. It is possible to feel better and to enjoy your life, because you are already wired for health!  For so many people, life has felt anxiety-provoking, depressing, and overwhelming for so long that it feels normal.  But anxiety, depression, and stress is not something you just have to endure for the rest of your life!  There is a way out of the darkness....

 

So how does it work?  Maybe you've been to therapy before, but after a while you hit a wall or felt like it wasn't helping you.  You've processed some of your feelings, learned a relaxation technique like Deep Breathing, and tried to change the unhelpful thoughts spinning in your head, but you're still not where you want to be.

Here's the secret about why you're not better:

  1. Most traditional therapies fall short in providing you the knowledge you need to understand what is happening to you.  It's one of the biggest mistakes new clinicians in the field make.  They jump right into "interventions" but don't spend enough time laying the critical foundation work needed for you to be truly successful in therapy.  Just like a house needs a solid foundation to stand the test of time, so do YOU to be successful in treatment AND in your life!  Knowledge is power, and understanding the psychological underpinnings, as well as the neuroscience behind why you are suffering, provides a solid foundation for a new, happier life.                                                                                                                                                                                                                              

  2. Effective treatment requires MORE than what traditional therapies can offer.  You need to learn skills that help stabilize you and help you cope with your life RIGHT NOW.  Your life won't wait for you to "get better."  You need to meet the demands of your job, your family, and your obligations right now in order to regain control.  Only then can you begin to work on your past, heal old wounds, and grow yourself into a healthier frame of mind.  Utilizing a skill-based approach backed by neuroscience, you'll find yourself picking up the pieces and putting your life back together one step at a time. 

 

Start a new journey to recovery...

If you are ready to try a new, more comprehensive and wholistic treatment approach, call my office today at (909) 443-2674.  I'll be happy to answer questions you might have.  In the meantime, feel free to check out my blog/articles page for advice related to relationships and parenting.

Location

Psychotherapy sessions are only conducted via video teleconferencing at this time.

Video teleconferencing sessions will be conducted using a HIPAA-compliant telemedicine platform, iCouch.me. This option is only open to individuals living in California due to licensing laws.

Forms

New patients must complete all forms/paperwork prior to the first session via Ms. Dreisbach's patient portal.  The invitation to this portal will be sent as soon as the first appointment date/time is set.

 

Current patients who would like me to collaborate or speak with other professionals involved in their care may complete a Release of Information form.  Please request this form at your first appointment.

Fees

Standard pricing for videoconferencing services are as follows:

  • Pre-intake consultation (15 minutes): FREE
    To consult with Ms. Dreisbach regarding the possibility of therapy, 15-minute consultation calls are an option at no charge to you.                                                                                                                                                                                                                                

  • Intake evaluation (80 minutes): $175
    Includes a comprehensive assessment and treatment plan.                                                                                                                                                                                                              

  • Standard therapy session (50 minutes): $80
    Includes all therapy approaches that best suit your individual needs, including Trauma Resiliency Model (TRM), Trauma Focused- Cognitive Behavioral Therapy (TF-CBT), Interpersonal Psychotherapy (IPT), Managing and Adapting Practices (MAP), and others.                                                                                                                                                              

  • Extended therapy session (80 minutes): $120

Extended sessions are available for those who wish to have longer appointments to manage complex problems.  These must be requested ahead of time.                                                                                                                                                                                       ​

What about insurance?

I am not an in-network provider for any insurances, and do not interact with insurance companies in any way (including, but not limited to completing paperwork for, or speaking with, any insurance company).

However, many insurance carriers will provide partial reimbursement for my fees as an out-of-network provider.

It is understandable for clients to want to use in-network benefits, as using these can save a lot of money. However, be aware that when requesting insurance reimbursement for services from in-network providers, the following apply:

  1. A diagnosis is required, and this label will be part of your medical record permanently.                                                                                                                                             

  2. Clients' records are not protected, which means that all information about the client, including very personal information, may be obtained by the insurance company.                                                                                                                                                               

  3. Clients' care is dictated by the insurance company, and the therapist essentially works for the insurance company, not the client. This can compromise the quality of mental health services provided.

 

For these reasons, many clients prefer to use out-of-network benefits, as insurance companies are very limited in the information they can request about clients using out-of-network benefits. Also, clinicians are better able to meet clients’ needs, instead of working for the insurance company!

To better understand what your insurance carrier might reimburse for out-of-network psychotherapy services, call your insurance company before scheduling an appointment or consultation. You may want to ask your insurance carrier the following:

  • What do they reimburse for out-of-network psychotherapy services for the following CPT codes: 90791, 90834, 90837. Your insurance company will understand what a “CPT code” is, and whether they reimburse for these specific codes.

  • Is there a maximum number of psychotherapy sessions they will reimburse?

  • Will the insurance company reimburse the following diagnoses (which are common for my clients to have): PTSD, anxiety disorders, adjustment disorder, and acute stress disorder, major depression disorder, persistent depressive disorder. While some clients may have additional diagnoses, these are the most common ones used in my practice, and it is helpful to know ahead of time if the insurance company will be willing to reimburse for the ICD-10 codes attached to these diagnoses.

  • If the insurance reimburses a percentage of the cost, what is that percentage, and what is the maximum total cost per session they are allowing? For instance, they may reimburse 70% of a psychotherapy session (CPT code 90837), but assume that the total cost of the psychotherapy session is only $120 (instead of my actual rate). This would mean the client would be reimbursed $84 per session, after paying a rate of $250-$300 out of pocket. Another company, however, may only reimburse 50%, but allow a $220 hourly rate, meaning that the client would be reimbursed $110 per session. Thus, it is important to understand both the reimbursement percentage and the maximum per-session rate allowed.

Disclaimer

Nothing on this site should be viewed as providing therapeutic advice. Treatment services are only provided to those who engage in a formal therapeutic relationship with Krystal Dreisbach, LMFT, CCTP No formation of a client/therapist relationship with Krystal Dreisbach, LMFT, CCTP is intended or to be implied or inferred. The information provided on this site is for educational purposes only.

 

The contents of  Krystal Dreisbach, LMFT, CCTP's website (www.kcdreisbach.com) and newsletter (The Monthly Author Newsletter) are provided solely for informational purposes, and are not meant to provide professional medical or psychiatric advice, counseling or services. The website provides information which may assist you in determining if you or some other person you know may need help. The website itself does not provide treatment. You should not rely upon this information as a substitute for consultation with a qualified mental health professional. Always consult a trained mental health professional before making any decision regarding treatment.

 

© Krystal Dreisbach, Licensed Marriage and Family Therapist, Inc 2020

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