COMMON QUESTIONS

It makes sense that you have a lot of questions about therapy. This process can be anxiety-producing, overwhelming or confusing. I hope the following can assist you in the process.

HOW WILL I KNOW IF THIS IS A GOOD FIT?IF YOU'RE THE RIGHT THERAPIST FOR ME?

Finding a therapist is a deeply personal experience and no two therapists are alike. It is so important to feel comfortable with your therapist. Some people know immediately whether it is a good fit while some find it takes some time to get that clarity. Here's my answer: it's a vibe, a gut check, or a felt sense. Ask yourself how you feel when speaking to this person, and if you get any sense it seems off, trust yourself and keep searching. 

 

Your ideal therapist will help you feel accepted, cared for, seen, and like you can bring up anything. This doesn't mean that your ideal therapist will get things right 100% of the time.  It does mean that if and when your therapist gets something wrong, you feel like you can tell them and be heard.

 

I love the free 20-minute consultations, so go ahead and schedule one if you're interested and we can see what it feels like. If we decide that I'm not the best fit for you, I will gladly help you figure out the next step to find what you're looking for.  I want to make this as easy of a process as possible.

 

I encourage you to trust your intuition and if you feel internal signs that tell you this may not be the right fit, give yourself permission to continue the search. The relationship in therapy is crucial to your growth. You will find someone that makes you feel seen and supported. 

YOU'RE A CLINICAL SOCIAL WORKER, HOW IS THAT DIFFERENT FROM OTHER THERAPISTS?

Professionals who practice psychotherapy include social workers, doctors (psychiatrists), psychologists, counselors, marriage and family therapists, and social workers (or clinical social workers).  All of these professions have commonalities; however, are also grounded in focusing on different aspects of the art and science of therapy. 

As a clinical social worker, I think about who my client is as an individual through the lens of different psychological theories and frameworks. I also think of a client in the context of the systems and communities they are part of that that have shaped who you were/are and who you are hoping to become (i.e., family, work, school, community, faith, social policies, legal systems, institutional and structural racism, etc).  I bring in aspects of the inter- and intra-personal dynamics, examination of spaces we hold or lack privilege in, and how that impacts our meaning making in our worlds. It is important to acknowledge and bring into our sessions the impact of external and internalized racism, sexism, homophobia, transphobia, sexual shame, fatphobia, ableism, and all of the other -isms and -phobias that impact us all. All of these layers and their interconnectedness are examined in session. As a social worker, I can provide my clinical opinion and provide mental health diagnoses.

 

I cannot prescribe medication. Psychiatrists, primary care physicians, and psychiatric or a nurse practitioner can all prescribe psychotropic medication, (such as antidepressants, sleep aids, pain medication, etc.). I can, however, collaborate with your prescriber. 

What should I expect at my first session?

At your first therapy session, we get to know you. We’ll discuss the reasons you came to therapy and what we can do to help. We will get an overview of who you are so we can better understand your current concerns. Then, we’ll discuss what treatment will be like for you and decide plans for ongoing treatment together. This is also a time where you can determine if you feel comfortable with us. If you don’t feel we’re a good fit, we can help you find someone who might be a better match.

WHAT HAPPENS IN THE FIRST SESSION?

If this is your first time trying therapy, it can feel daunting.  Before our first appointment, I encourage you to take a moment to think about what you would like to get out of therapy. It's okay to not know or to be unsure as we'll work together to gain clarity and set goals for therapy. Also know that these ideas or goals can and may change as we work together. In addition to thinking about your goals, you will also complete an intake form before our first appointment, which we will help me get a snapshot of some background information. We may talk about different parts of the assessment in our first session or we may jump right into where you want to start.

DO YOU OFFER WEEKEND OR EVENING APPOINTMENTS?

No, my current evening and weekend slots are full; however, people may find there may be ways to shift or rearrange work or other commitments to get the support they need. 

Here are some ideas to get help accessing therapy: 

-check your HR policies around medical appointments. I can provided a letter confirming attendance of our sessions if that helps. 

-ask your supervisor if you can flex hours to either come in one hour later, earlier, or possibly shift your lunch hour. Even jobs that have "fixed hours" may have some flexibility when it's a small chunk of time that needs shifting.

-consider using personal or paid time off for appointments. If you have 1 hour of therapy weekly for 6 months, that's only three PTO days. When we get to a place of burnout, we tend to get sick or need a day off. Those 1-2 days off tend to get filled with chores, to-dos, or binge-watching tv, which provide short-lived distraction. If you instead consider structuring your weeks with consistent time for support, it decreases the likelihood that you'll need to take days off to manage feeling overwhelmed. 

HOW FREQUENTLY SHOULD I GO TO THERAPY? HOW LONG CAN I EXPECT TO BE IN THERAPY?

I find that most people tend to get more out of therapy when sessions are consistent (weekly), particularly as we find a rhythm together. At a minimum, I request that we have at least 6-8 weekly sessions to start so we can develop a strong foundation together. I do offer bi-monthly sessions; however, I will only recommend that course of care after a discussion of your therapeutic goals as bi-weekly sessions tend to be spent playing catch up rather than deeper engagement in presenting issues.

What is teletherapy?

Teletherapy is any remote therapy that uses technology to help the therapist and client communicate. Some examples of teletherapy include:

  • doing therapy sessions over the phone

  • using videoconferencing for individual, couples, or group therapy

  • receiving therapy via email

You may have heard the words: telehealth, telemedicine, online counseling or online therapy used to describe web-based counseling sessions that utilize video conferencing platforms to conduct the actual therapy session.

We use HIPPA compliant platforms to bring you the best services. This allows you to access services from the comfort of your home, work, etc. without the hassle of commuting or coming into an office.

Don’t worry, telehealth is just as effective as in person therapy so there is no compromise to the services that you will receive. 

CAN I FEEL CONNECTED IN A TELETHERAPY SESSION?

COVID has forced many of us to transition our work from in-person to video sessions. Amazingly, virtual sessions can provide space for connection and relationship despite being in a virtual space. In some ways, teletherapy provides benefits that we might not have access to through in-person sessions. I encourage you to consider what spaces might let you feel comfortable being vulnerable and open. Additionally:

  • Make sure you have a strong wifi connection or network before the appointment

  • Make sure you have an updated browser. 

  • A personal link will be sent to you before your appointment (if you do not receive it, check your junk mail and don't hesitate to contact me at rachael@rachaelwilsontherapy.com

WHAT IF I NEED TO CANCEL OR RESCHEDULE MY APPOINTMENT?

Life can be unpredictable. To ensure fairness for all clients, a 48-hour notice for cancellation is required so that this time can be provided to a client on the wait list. A cancellation with less than 48 hour notice will be charged for the full session rate. This policy also includes appointments that you miss or do not show up to. 

 

Exceptions can be made in the case of emergencies. If you have an emergency and need to cancel, we will first attempt to reschedule at a time that works for both of us that week. If the scheduling does not work for either of us, you will not be charged for the cancelled appointment.

 

If I have to unexpectedly cancel an appointment, you will not be charged. 

DO YOU OFFER SLIDING SCALE RATES?

No. I understand that accessing therapy can be difficult and a significant financial strain. Unfortunately, I do not currently have any sliding scale slots at this time.

CAN YOU SEE ME IN PERSON? WHEN WILL YOU SEE CLIENTS IN PERSON?

As restrictions are lifted, safety and feelings around our levels of reentering the world differ for everyone. The process of deciding if and when we might have in-person sessions will likely not happen in my practice until 2021. At this time, I will continue to only see patients through telehealth and I am unable to say at this point when I will be able to see individuals in-person.

 

When I begin to see individuals in-person, you may decide you prefer to continue our work together through telehealth. We can decide together what best fits your needs and your schedule. I will continue to provide telehealth services in my practice ongoing. 

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