Counseling for Adults

Counseling and psychotherapy can result in a number of benefits, including reaching goals, improving interpersonal relationships, emotional healing and resolution of the specific concerns that lead clients to seek my services. Working towards these benefits requires specific commitments on the client’s part. Those commitments include active involvement, honesty, openness, co-creating our working relationship and a willingness to stretch beyond one’s comfort zone.

On occasion remembering or talking about events and feelings can result in experiencing relief, a sense of freedom, or alternatively discomfort and feelings of sadness, anger or fear.  Sometimes clients hold rigid perspectives, attitudes, expectations, assumptions, about themselves and their lives. I frequently challenge these and propose different ways of looking at, thinking about, or handling things. This process can promote reaction in clients that are always helpful to explore. 

Resolving the issues that bring clients in for guidance or help may result in changes that were not anticipated. Counseling and psychotherapy can lead to decisions about changing behaviors, employment, substance use, schooling, housing or relationships. Sometimes, a positive decision for a client, may be viewed negatively by friends or family. Change can be simple and swift, and it can be slow and evolving.

I often will give clients homework to help facilitate change. Some examples are, reading, writing, having conversations with others, or practicing some form of stress reduction. Completing the homework is not a requirement. Not completing the homework is always informative around what is needed and/or what works best to facilitate positive change. If the homework is not completed it means that it was not the right homework or not the right time for the homework to be assigned.

Some Common Issues Addressed in Therapy

  • Anger Management
  • Anxiety, Panic, Fears
  • Arrested Development
  • Career Change
  • Chronic Pain or Illness
  • Depression
  • Divorce
  • Domestic Abuse
  • Domestic Violence
  • Emotional Intelligence
  • Intimacy
  • Leadership Development
  • Life Coaching
  • Loss or Grief
  • Mood Swings
  • Motivational Strategies
  • Parenting
  • Relationships
  • Resentment
  • Self Esteem
  • Skill Development
  • Spirituality
  • Stress Management
  • Substance Abuse
  • Time Management
  • Trauma and PTSD

Using Medical Insurance – Applying medical coverage to the process of counseling means the counseling meets the criteria of treatment for behavioral health, a psychiatric disorder or mental illness. Sometime the work I do with people is clearly medically necessary and meets the criteria of treatment of a psychiatric disorder or mental illness. Sometimes the focus is on personal growth work, life coaching, relationship coaching or relationship counseling. In these cases the focus of the counseling process is not a set of symptoms related to a psychiatric disorder or mental illness but instead symptoms in a relationship or work/life environment. Insurance company representatives and auditors say, if the counseling is not focused on symptom management and reduction then it is not therapy and instead is categorized as personal growth work, coaching or consultation. If focus excludes treatment of a medical diagnosis and regular disease related symptom monitoring then it is not medically necessary and not covered under a health insurance plan. This is because the criteria of medical necessity is not met. For more details about this click on Insurance & Couples Sessions.

The behavioral health insurance panels I am affiliated with are Blue Cross, Blue Shield, and Medicare.