Is there a difference between counseling and psychotherapy?
At Big Sky Mind, we use the terms “counseling” and “psychotherapy” interchangeably, as they both refer to helping people via psychological means. We also use the terms “patient” and “client” interchangeably.
How often and for how long do I need to be in therapy?
Our psychotherapy sessions are fifty minutes long and are typically scheduled for once a week. Depending upon your specific needs and circumstances, it might make more sense to meet every other week, once a month, or perhaps multiple times a week. Some people begin therapy with a specific problem or concern, while others come to therapy for treatment of issues that seem to run deeper. For this reason, treatment may continue for anywhere between a few months to a few years.
What do I talk about?
It is not uncommon to have a specific concern that you might like to begin talking about in therapy, but knowing how to talk about this can be challenging. One of the best parts of working with a therapist is that therapists are trained to help you to talk. In fact, that is what we do best. Therapy is a learning process that builds upon itself- each time you come and put words to your experience, you may find that there is more and more to know and feel. It is not uncommon for individuals in psychotherapy to feel their lives more fully at first, including the painful emotions. You may find that you are talking about past events and how they impact you now, or you may want to talk about a pressing life challenge or certain stressor. You may feel free to muse and explore- all forms of talking are welcome in therapy and there is nothing that isn’t okay to say.
Why would anyone want to talk with a therapist when they can talk with their friends?
Conversation with friends can offer its own rewards and challenges. But talk therapy with an objective, skilled professional is very different. Psychotherapy offers a set of boundaries and a kind of “frame” that enable a unique conversation to take place – one that is focused on you and your growth. In addition, a psychotherapist has been trained to listen and offer useful feedback. Because the therapeutic relationship is confidential and limited to a specific time and place each week, a kind of freedom of expression is fostered that is not always present in other, more typical conversations. This kind of freedom is best characterized as the freedom to “say everything.”
How much does therapy cost?
Psychotherapy prioritizes health and well being, which includes a financial commitment. We feel it is important to work out a payment schedule that is sustainable for your treatment.
Do you prescribe medication?
As licensed professional counselors, we do not prescribe medication.
Is therapy really confidential?
Yes. The law protects the confidentiality of all communications between a client and a psychotherapist. Information is not disclosed without written permission. However, there are a number of exceptions to this rule. Exceptions include:
Suspected child abuse or dependent adult or elder abuse. The therapist is required by law to report this to the appropriate authorities immediately.
If a client is threatening serious bodily harm to another person/s. The therapist must notify the police and inform the intended victim.
If a client intends to harm himself or herself, the therapist will make every effort to enlist their cooperation in ensuring their safety. If they do not cooperate, further measures may be taken without their permission in order to ensure their safety.
Do you accept insurance?
We are in-network providers with several insurance companies and can always provide you with a monthly statement which you use for reimbursement through your out-of-network benefit plans.
We’d be happy to answer any other questions you might have, please contact us.