Frequently asked questions

What is the difference between a psychiatrist and a counselor?
A  psychiatrist is a medical doctor who is specially trained in behavioral  health and is able to prescribe medications.  A counselor typically has  a Master's degree or PhD and is trained in therapeutic theories and  counseling techniques to assist patients with their difficulties.

  

What  is your specialty?  

I often utilize a multi-modal approach to meet the individualized needs of each person.  However, I have extensive training in various evidence based treatment modalities such as Cognitive Behavioral Therapy, Acceptance and Commitment therapy and Solution focused models.  All of which promote active engagement of both the client and myself, to meet client identified goals.   Cognitive behavioral therapy (CBT) is a highly effective, evidence-based therapy that has been found to be particularly helpful in the treatment of a variety of anxiety and depressive related disorders. CBT is founded on the premise that the  way you think (cognition's) and behave strongly affect how you feel. CBT focuses on identifying, understanding and changing self-defeating and unhelpful thinking and behavior patterns.  CBT required you to be actively involved  in the process, it is very much a team approach with the goal of you becoming your own therapist through skill development. Typically, you may be asked to read about your struggles, monitor thoughts and behaviors, and complete experiments between sessions to reinforce learning.  As a team,  we will increase awareness of unhelpful, automatic thoughts and teach you  how to replace these with more accurate and helpful thinking. Examples of such thoughts include catastrophizing ("I can't do it because I will mess EVERYTHING up") and interpretation of abilities such as underestimating  ("I cant handle it"), and overestimation of the intensity ("It will be too hard, to painful").  We will also work to identify and change unhelpful, avoidant, or self-destructive behavioral patterns. In addition, you will learn  techniques that make it easier to tolerate anxious feelings and sensations through integration of others skills, such as  progressive muscle relaxation, and diaphragmatic breathing .  We will also integrate other CBT related treatment modalities such as Acceptance and Commitment Therapy to promote tolerance and acceptance of uncomfortable thoughts and feelings without acting upon while taking purposeful action towards living the life you desire.    Exposure therapy:  Supported exposure therapy is a form of behavior therapy that is effective in treating  anxieties, rumination, phobias and obsessive-compulsive disorders. As its name suggests, exposure therapy involves gradual exposure to anxiety-provoking stimuli, situations, thoughts or objects. This would include in developing a hierarchy of fears and support that promote you in engaging in the feared situation, either physically or in imagination, in small, manageable, but sometimes uncomfortable, steps, while teaching the client how to manage and tolerate anxious feelings. The key to successful treatment is that you determines the rate of exposure, so that anxiety never becomes completely overwhelming. In treating OCD, a variant of supported exposure therapy called exposure and response prevention can be very helpful. Much in the same way as exposure to fears, you would work on exposing yourself, in gradual steps, to the specific triggers that cause distress and is taught how to tolerate the discomfort while not engaging in the compulsive rituals (both behavioral and internal) that have been used to reduce anxiety; with practice, the strength of the compulsion is decreased and often eliminated.


I suggest that you explore and read about Cognitive Behavioral Therapy, Acceptance and Commitment Therapy,  Exposure therapy, as well as Exposure and Response Prevention. 


Risks/Benefits?  Research shows there are strong benefits in therapy, especially Cognitive Behavioral Approaches; however, in spite of such benefits there are risks related to treatment and facing difficult feelings and event.  (see consent form on client form page)


What populations do you work with?  I work with many populations. I typically work with late adolescents and adult clients who are struggling with life changes, loss, ineffective coping, stress, anxiety, fear, panic, social anxiety and  depression. 


Calling an office is uncomfortable, what should I expect?
When you call me, I will be answering the phone or will call you back within 1 -2 business days.   You will be asked a few questions about current situation you are wanting to address and will be given the opportunity to ask questions.


How should I contact you?  You can call me at 419-460-4318, leave a message and I will return your call or you can email me if you are comfortable.  However, please keep in mind there are always risks related to use of electronic communication, so use with caution.


Do I accept insurance?
Yes, but not all


Medicare

Medical Mutual

Anthem Blue Cross Blue Shield

United Behavioral Health/UHC/Optum

Beacon

Cigna

Frontpath

Paramount & Paramount Advantage

Molina

Behavioral Health Systems 

Magellan

CareSource

Value Options

Ohio Health Choice

Some EAP

Cash pay


  

 If you have complaints about the professional services from a counselor, social worker, and/or marriage and family therapist contact the: State of Ohio Counselor, Social Worker, and Marriage and Family Therapist Board: 50 West Broad Street, Suite 1075 , Columbus, OH 43215. : Phone: 614-466-0912 or Website: www.cswmft.ohio.gov. For complaints relates to services provided by a Drug and Alcohol Counselor you can contact Ohio Chemical Dependency Professionals Board 77 South High Street, Suite 785 ♦ Columbus, OH 43215 Phone (614) 387-1110 ♦ www.ocdp.ohio.gov