Before we begin, I have a specialty, one making news today: sexual harassment and assault prevention and treatment. I spearheaded a prevention initiative for corporations and schools, but have moved into private treatment for perpetrators because it is so important to stop this where it begins. High profile perpetrators in the news today (that's what we call them, perpetrators), should get moving, make the call. I'll find the time.
The movement toward telehealth, or video-therapy is helping therapists become more accessible. Even when it is raining, even when you're sick, we're there. Whether or not your insurance will pay for it is a good question, and unlikely, at least it is now. But it can be made affordable. The traditional 45 minute or 52 minute hour is not always necessary after a good evaluation.
Still, it's nice to be face to face in a comfy office. Mine is small, not what you see on TV, but at least we can hear each other. And yes, there's an aquarium, a constant source of stress but we all like it.
have biases about therapy. Click here for more about those.
Thumbnail of this practice: Working with all kinds of people, seemingly infinite problems, the evaluation, imho, is everything; guides practice. Even when resources for therapy are limited, ask for a diagnostic and a treatment plan, if that is all you can afford.
And yet. There really is nothing more satisfying than sinking into that sofa and talking your head off.
It is your nickel, so if brief therapy is what you want, ask for it. When issues go deep, it is good to stay a little longer, come a few times a month, even once a month, but keep it going. I tend to be psycho-educational and interactive. But you'll find me quiet until you've run out of words.
Significant others are welcome, i.e., relationship therapy found here. But there are many other treatment modalities, interventions, many tools in the shed. CBT, ACT, DBT,, meditation mindfulness, eye movement rapid desensitization, grief work.. Extra training when new things emerge is the nature of professionalism, which is how my specialty in .Aspergers, or high functioning autism. emerged.
What are the boundaries here? Who's joining in?
About treating kids. If a child is an identified patient then it is likely I will need to see parents in the initial visit, maybe later, too, unless (a) the child or adolescent has asked to be in treatment alone, and/or (b) he or she is not self-destructive or dangerous to others. Sibling therapy is powerful, too, especially with blended families
Finally, in relationship therapies there will be individual work, too. I like to do all of it, prefer that you discontinue your therapy with someone else so that we don't inadvertently sabotage one another. Yes, I keep what you want private.
Mine is not a take sides role there, and both partners are likely to find support, which is a good thing. Because we all need it.
Copyright 2009, Linda Freedman. All rights reserved.
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