FAQ

These terms are often used interchangeably when people are looking for help, and indeed, there are some overlaps in the type and breadth of mental illness treatments you can expect. But they are not the same. Here are some of the differences.

Counseling

A counselor generally takes a short-term, focused approach to helping a client find a solution to a specific problem. For example, they can help you improve your relationships or handle stress.

Psychotherapy and Therapy

A psychotherapist or therapist uses counseling as a treatment option, their focus is on helping you get to the root cause of your emotional, behavioral and mental health problems. A therapist takes an in-depth approach to help you bring about meaningful change in your life. She can equip you with the tools you need to face the challenges that lie ahead.

These mental health professionals are trained in the treatment of a wide variety of mental health issues. They also have a deep understanding of clinical research, and practitioners must be educated to at least a master’s degree. In Missouri, you must be licensed to practice as a therapist or psychotherapist.

Psychiatry

Psychiatrists are doctors who have either a doctor of medicine (MD), or a doctor of osteopathy (DO) degree, and who specialize in the treatment of mental illness and mental health issues. They can offer patients both talk therapy and prescription medication. They must be licensed by the state to practice.

Anyone who decides to take action and seek help is courageous and strong.

Seeking the assistance of a trained mental health professional to help you resolve issues you have not been able to solve on your own is an important step toward bringing meaningful and lasting change.

Middle Way Counseling and Consulting complies with all federal HIPAA laws. This means no one can access your health information without written consent from you.

Everything you discuss with me is confidential. I will not confirm or deny you are a client or share any details about your treatment with your family, your employer or any other person, without your permission except in an emergency.

There is no single answer to this question. It depends on many variables, including what you want to achieve through therapy.

Most new clients participate in weekly therapy. We may meet less frequently to better suit your schedule. In times of high stress, you may wish to schedule two or more sessions a week.

Loved ones are not always receptive to the idea of seeing a therapist. So, if you anticipate resistance, it is important to discuss your concern with them in a way that shows you care.

Tell your loved one that you are proud of them for taking steps to improve their life, and that you will support them because you want them to feel better and be happier. Acknowledge that it takes strength to face problems and that it does not make them look weak.

Oftentimes, as the spouse, parent or sibling of a person with depression or anxiety, a personality disorder or another mental health condition, you may feel exhausted, resentful or hopeless.

As a family member or loved one, you may also benefit from receiving therapy for your own emotional health and wellbeing.

Middle Way Counseling and Consulting is an out-of-network provider, so I am not able to directly bill your insurance. However, I will provide the documents you need to submit to your insurance company for reimbursement.

Many insurance plans will cover some or all of the fees for the services provided by an out-of-network provider.

I accept cash, check, and credit card. All payments are due at the time of services.

Yes, there are some forms you need to complete before therapy can begin. Please arrive at your first session a few minutes early to complete the paperwork.

These include:

• Basic demographics.
• Consent to treatment.
• HIPAA privacy documents.

A typical session is 50 minutes. From time to time, I may recommend a 90-minute session. Examples include family therapy, marriage or couples counseling, and during times of crisis.

If you are unable to make your session, please let me know 24 hours in advance. Session fees may be applied to your account for late cancellations or if you miss your appointment.

Internet sessions can be scheduled if you are out of town or unable to get to my office in Creve Coeur, St. Louis, Missouri.