Frequently Asked Questions
Frequently Asked Questions
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Drop by or give us a call
Drop by or give us a call
-How do I schedule an appointment?
Please freel free to call us, but know that you can also click on the client portal or the make an appointment button and simply schedule an appointment online.
-How do I choose the right therapist?
There is a great deal of evidence that a good fit between a therapist and client is essential to good outcomes from therapy. If you think about this, it is very different than other professions and services. You may not like your computer technician, but if he or she is the best at what they do then you are likely to get a good product. In therapy, I encourage you to shop around. It may be that the first therapist you meet is a great fit. If so, fantastic! Therapy does not work without full disclosure of the problems you are facing. If you do not trust and feel comfortable with your therapist, you are not likely to be fully open to the process. Find someone wise and nonjudgmental, but also someone caring and warm. However, don't neglect the science - be sure to ask your therapist the approach they will be taking and if they are using an approach that has some research backing regarding good outcomes.
-Should I see a therapist, a medication prescriber, or both?
You are going to find that there are many types of therapists. Some examples will include LPC's, LMFT's, LCSW's, and Licensed Psychologists. Each of these examples of providers are qualified to provide therapy. I would highly recommend that you work with someone licensed, and go to the state of CO DORA website to verify their license - you can do this for all three of our providers. If you are not currently on psychotropic medication, it is often a good starting point to see if your therapist recommends that you see a prescriber. Examples of prescribers will include your PCP, and then mental health prescribing specialists that might have the letters of PA, NP / APRN, or a Psychiatrist. For certain mental health problems, it is best to work with both a therapist and a prescriber. Examples would be Bipolar Disorder or Schizophrenia. This is a complicated topic, but do know that not every mental health problem will require any medicine. In fact, very often it is best to see if therapy alone reduces your symptoms. If you really aren't sure, please give me a call and I'm happy to offer some consultation in making this decision.
-Tell me about your no-show and cancellation policy.
Please understand that we only schedule between 4-7 clients a day for one-hour sessions. Given this, it is very important that we have ample notice for cancellations so that we are able to offer this time to other clients. Therefore, we do charge $55 for your session if you do not call at least 24 hours in advance to cancel your appointment. We do offer online scheduling so that you are able to easily change your appointment time using this calendar without waiting for a return call. You may access that calendar within this website by clicking on either Client Portal or Make an Appointment. Thanks for your understanding.
-How does insurance work in your particular office?
Currently, we take in network with various insurances to includeTricare, Medicare, Cigna, Aetna, and Blue Cross / Blue Sheild as in network providers. However, the only provider currently seeing new clients is Beth Kirk-Small and she does not take insurance yet. Many insurances allow for out-of-network provider billing. For example, we have a lot of United HealthCare clients who see us out of network, and we will submit the billing so that you as the client pay us and the insurance company reimburses you a percentage of our fee - as a check to you in the mail.
One thing to really watch, is that many plans have deductibles and copays. If you have a $5000 deductible, for example, you may never meet the deductible in your calendar year making session payments unless you have some other major medical bill that comes up. However, you will typically get a lower contracted rate than the regular fees. Be sure to ask your insurance about your particular policy coverage for in and out-of-network providers, your copay, and your deductible. Some clients opt not to use their insurance as they wish to keep their treatment fully confidential.
-How does payment work?
For self-pay clients and clients with copays, we take credit cards, debit cards, checks, or cash. Currently, that is the only payment option we are offering for any new clients. Otherwise, we will electronically bill your insurance for payment. Payment is expected at the time of service. You can enter your credit card information in the client portal to keep on file, and we will only charge this for copays, no-shows, or with your approval for session fees. This does not bind you to use your card for payment - it just makes it simple if you do choose to use your card. For clients scheduling their first appointment, we do require a credit card on file in case of no-show. The fee will be $55 if you do not show for your scheduled appointment slot.
-Is therapy private?
The law protects the privacy, referred to as confidentiality, of communications between a mental health practitioner and his or her clients. There are a few exceptions:
* A therapist is mandated to report child abuse or dependent adult or elder abuse to the appropriate authorities.
* A therapist has what is called a "duty to warn" when there is strong indication that a client has intent to do bodily harm or kill another person. Typically, this involves notifying the police or warning the individual who may be in harm's way.
* If a client has an intention to do serious bodily harm or kill themselves, a therapist is required to intervene to make a plan for safety. At times, this may involve what is called involuntary hospitalization. More typically, though, we are able to work a plan out together that is voluntary and assures your safety. This does not apply to mere thoughts of hurting oneself, but to actual intent to do so. This may also apply when someone is so impaired that caring for themselves is not possible - something called grave disability.