Frequently Asked Questions
The following are some of the most frequently asked questions I receive from prospective clients. I highly recommend reviewing this page prior to scheduling an initial consultation. And if you have a question that is not answered below, please feel free to contact me for an answer!
How Long Will Therapy Take?
How long we will work together depends on numerous factors, including the number and types of issues you’re experiencing, your intentions for therapy, needs, and goals, and your commitment to do the work necessary to achieve them.
While many clients report feeling better within a few sessions, I don’t believe in quick-fixes or silver bullets. However, this doesn’t mean counseling and psychotherapy should be never-ending processes.
Counseling and therapy are about improving your self-understanding, so you can heal and grow – and these things take time.
Some clients attend therapy for as few as 8-12 sessions, while others attend therapy for months or years. As long as you’re continuing to benefit from our work together, there’s no reason to discontinue.
However, as you achieve these goals, it is only natural that our work together will taper off and come to an end.
In other words, there is no one “right” answer to this question …
What I can promise is that you and I will routinely check in with you and discuss how your therapy is progressing and whether you’re finding our work together valuable.
How Often Will We Meet for Therapy?
Consistency is an important component of effective therapy. If you want to create healing and growth, you need to show up and do the work.
Accordingly, I see most clients weekly, at the same day and time of the week.
However, there may be times when you will want or need to meet with me more or less frequently, and we can make specific arrangements as these needs arise.
Please Note: At the moment, my practice is telehealth only and available to residents throughout the State of California.
How Long Is Each Therapy Session?
Individual counseling and psychotherapy sessions typically last 50 to 60 minutes, although I may occasionally recommend longer sessions depending on the type of work we’re doing.
Marriage counseling and couples therapy sessions also run 50-60 minutes each.
And for those interested in doing deeper work, we can always meet more than once per week.
What Should I Expect from My First Therapy Session?
In our first session, we’ll spend time getting to know one another and laying the foundation for our work together. This includes discussing your goals for therapy and your personal history, as well as going over necessary paperwork and talking about scheduling.
Will My Information Remain Private?
Everything you discuss with me during the course of our work together is strictly confidential, except in certain circumstances according to state law. These circumstances typically involve imminent threats to your health and safety or the health and safety of another. I will have you read and sign an “informed consent” document that outlines your rights and my responsibilities when it comes to confidentiality before we begin working together.
The one exception to the above is if you decide to seek reimbursement from your insurance company for our work together. In that case, your insurance company will require me to provide information about you, why you are seeking psychotherapy, and the progress of our work together in order to reimburse you. If you would like to learn more about how this works, please do not hesitate to ask me.
How Much Does Therapy Cost?
My customary rate for individual therapy and marriage counseling and couples therapy is $210 per client hour.
Fees are payable at the time of each session via all major credit and debit cards using Ivy Pay, a HIPAA-compliant payment processor designed specifically for psychotherapists.
Please Note: You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can read more about Good Faith Estimates here >>
Do You Accept Insurance for Therapy Services?
While I’m currently a Medicare provider, as well an in-network provider with HealthNet, Anthem, and Optum/UnitedHealthcare, and want to make sure mental health services are accessible to everyone who needs them, there are certain things you should be aware of before using insurance to cover our sessions …
Using an HMO to Pay for Sessions: If you’re using an HMO to pay for your therapy sessions, your insurance company has a great say as to which therapists, which issues, and which approaches it will and won’t cover. They also have access to our session notes and anything you say during the course of our work together may end up on your medical record.
Using a PPO Plan to Pay for Sessions: If you’re not on one of the insurance networks listed above for whom I’m a provider and have PPO insurance, while you’ll initially need to pay for session out of pocket, I can provide you with a receipt – a monthly Superbill that you can submit to your insurance company to get reimbursement for psychotherapy services. Please check with your insurance company to find out their reimbursement rates and if they cover telehealth psychotherapy.
Please be aware that you NEED to have a mental health diagnosis to use either in-network (HMO) or out-of-network (PPO) mental health insurance benefits, your insurance company may choose to reject your request for treatment, and your diagnosis and the content of our work together is not confidential (your health insurance provider will have access to your records).
And if you have an FSA or HSA card, I encourage you to check your FSA/HSA account to see whether therapy is a covered benefit.
Paying Out of Pocket: While paying out of pocket is obviously more expensive than using your insurance, doing so provides several major benefits:
- You can work with any therapist you choose
- You don’t have a third-party payer (i.e., your insurance) deciding what your treatment should look like or how long you can seek assistance
- Our work is strictly confidential and nothing we discuss need end up on any medical record that can be accessed by a current or future employer or other third party
And because you’re in control when you’re paying for mental health services, you may need LESS sessions overall, as opposed to trying to make therapy work with a therapist who’s cheaper per session but not a great fit.
If you have any questions about using your insurance to pay for our work together, please don’t hesitate to contact me and we can discuss this further during our initial consultation.
What Is Your Cancellation Policy?
There is no charge for canceled appointments as long as you cancel at least 48 business hours before the scheduled time of your session. For example, if your session is on a Monday, your cancellation day is the same time the prior Thursday.
However, you will be responsible for paying the full fee for any session canceled less than 48 business hours before your scheduled appointment.
If this does occur, I will always try to offer you an alternative appointment that same week, if I have a slot available, so you can avoid having to pay for a session you did not have.
How Do We Get Started?
All you need to do to get started is contact me today to schedule a free, 15-minute, initial consultation. I look forward to speaking with you, answering any questions you have, and helping however I can.
Don’t see an answer to your question above? If not, the please don’t hesitate to contact me today at 510-866-4781 or email me at eleanor@eleanorlew.com with any questions you have or to schedule a free, 15-minute, initial telehealth consultation.