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Services

Individual Psychotherapy

Individual psychotherapy is a way for you to learn about yourself including items such as diagnosis and symptoms, behavioral and communication patterns, thought patterns, and relational patterns. It can also be used to clarify one’s values and direction in life.  It can be used for ventilation and as time to de-stress. But it can also help to address unresolved issues from the past in order to gain closure and to begin again on a new, positive path.

No two people are alike—each person requires an individualized approach in order to change, grow, and heal.

The role of the therapist is to act as an empathetic non-authoritarian guide. This is your time to discuss your needs. We can work on issues in your present life, we can delve into items from your past, or a combination of both.  We can use a variety of techniques, such as Gestalt, REBT, CBT, psychodynamics, supportive counseling, and Motivational Interviewing, to name a few.


These are examples of things some of patients have worked on:

  • Feelings of loneliness, sadness, anxiety, worry, depression
  • Difficulty in forming or maintaining intimate relationships
  • Difficulty with family and friends
  • Sexual orientation issues such as coming-out
  • Gender identity issues
  • Professional or career challenges
  • Understanding symptoms and mental illness, of either themselves or of a loved one

How long does psychotherapy take?

The length of time spent in therapy varies widely from person to person. Some people elect short-term therapy, lasting a few weeks, while others find it beneficial and attend therapy for years in order to better manage stress. We do not have any particular requirements regarding how long we expect patients to attend sessions but we do that patients schedule their sessions on a weekly basis for the first two months.

Is individual psychotherapy covered by insurance?

Individual psychotherapy is typically covered by insurance as long as the patient receives a diagnosis. This is known as medical necessity. However, if you have an insurance plan that comes from your employer, your coverage will be based on what your employer elects. Some employers elect behavioral health coverage with no limits, some impose a number of the amount of sessions you can have in a calendar year, and other employers choose to forgo behavioral health coverage altogether. Some employers may also elect to have behavioral health covered by an insurance plan that is completely separate from your health insurance.  Regardless, the Refresh team will have your coverage verified prior to your intake appointment.

Relationship Therapy

Relationship therapy is a safe space where people begin to communicate their needs and feelings without fear of being attacked or criticized. Communication includes both being listened to and being open to listen. In such an atmosphere, people are able to experience how old ways of destructive conflict can change into productive dialogue. They see one another as if anew.

Not every couple who seeks counseling is in crisis. Different kinds of couples seek counseling –from friends who want to explore their friendship, people who are dating who want to communicate better, to people who are wondering if they should take a next step in their relationship with a variety of levels of commitment – from friends or people who are romantically involved and considering deeper commitment. This is called, “pre-commitment counseling.”

People Come To Relationship Counseling For Different Reasons:

  • Dissatisfaction by one or both partners needs to be explored.
  • Emotions have become too hot with conflict- or cold with indifference.
  • Issues of sexuality or satisfaction need to be addressed.
  • Relationship “skills” need to be enhanced.
  • An amicable ending to the relationship needs to be found.
  • Family, parenting or financial concerns trouble the couple
  • Better communication skills and techniques need to be found in order to explore present and future relationships.
  • People are preparing to make a commitment to one another.

Many of these issues involve difficulties in communicating. As problems become more severe, communication breaks down further, leading to more problems, leading to more difficulty in communicating and on and on.

Some of these involve improving existing communication skills or simply finding ways to discuss sensitive topics.

Is relationship therapy covered by insurance?

Unfortunately, the answer to this question is a resounding “no”.  While we, as behavioral health professionals, understand the importance of relationship counseling and its positive impact on mental health and overall wellness, it is not considered by insurance companies to be a medically necessary service.  Please contact us regarding rates and packages.

Pre-commitment Counseling

Pre-commitment counseling helps people understand their current relationship no matter what level of commitment they have made to one another.

Many people can be understandably hesitant before entering into a new relationship commitment, such as moving in together or getting married. They might wonder if this step is too soon or even with the right person.

They wonder if they will need to learn new communication skills, techniques to keep intimacy strong, and ways of building trust.

Independent of any commitments, people who are at different stages in friendships or relationships might seek counseling to understand themselves better or to get through some difficulties they might be having with one another.

Is pre-commitment counseling covered by insurance?

Unfortunately,this is not a service covered by insurance.  While this is certainly vital to a healthy, flourishing relationship that is headed in a direction of permanence, it is not considered by insurance companies to be a medically necessary service.  Please contact us regarding rates and packages.

Discernment Counseling

Discernment Counseling is meant to be a short-term intervention, typically lasting under two months. It creates a forum for “mixed agenda” couples- where one partner wants to work on the relationship and the other partner is leaning toward a permanent ending, such as divorce, and is ambivalent about couples counseling. Discernment counseling creates a space for couples to take one more look before making a permanent decision with long term consequences. The focus is not on solving problems within the relationship, but rather on seeing if they could potentially be solved.

The counseling sessions are structured with each partner given one-on-one time with the counselor to discuss how the relationship got to this point, and then for each partner to tell each other what they have learned about their relationship. The therapist emphasizes the importance of each party seeing his or her own contributions to the problems in the relationship and the possible solutions. At the end of the process, couples are more at peace and with more clarity with the decision they have made (either ending or reconciliation) and have confidence that they are doing the right thing.

Discernment Counseling offers you and your partner a smooth transition to either a recommitment to the relationship or to separation and/or divorce, and it reduces the current emotional conflict surrounding this important decision. And if you feel that divorce is the right option at the end of the sessions, it can make the divorce process smoother with less fighting.

Is discernment counseling covered by insurance?

Just as with other types of relationship counseling, this is not a service covered by insurance.  While professionals certainly value the importance of sound decision-making and healthy communication, discernment counseling is not considered by insurance companies to be a medically necessary service.  Please contact us regarding rates and packages.

Family Therapy

Family therapy helps families who are experiencing relationship conflict and perhaps are experiencing a volatile home environment or families who have experienced a crisis or tragedy that is difficult to cope with. Family therapy provides support and perspective by reflecting and encouraging each participant to gain a better awareness about themselves as well as the feelings and needs of others within the family system. Family counseling will help each participant develop necessary insight and skills to approach relationship difficulties and challenges in a way that is helpful and effective.  The ultimate goal of family counseling is to improve family functioning through mutual trust, communication and conflict resolution skills.

The therapist may ask all or several family members to participate in the therapy process and participants play an active role and have input on treatment goals and who attends appointments during scheduled sessions.

Family therapy can take place in the office or in your home and all family members will have input as to where the sessions will take place.

Is family therapy covered by insurance?

No, this is not a service covered by insurance.  While professionals certainly value the importance of healthy communication and a harmonious home life, family therapy is not considered by insurance companies to be a medically necessary service.  Please contact us regarding rates and packages.

Group Therapy

Group therapy helps people work through problems by interacting with a therapist and a group of individuals with similar struggles. In a safe, confidential setting, each group member can share personal experiences, feelings and issues and receive feedback and support from the rest of the group.

The therapist leading the session may draw from a variety of therapeutic approaches, such as cognitive-behavioral, psychoanalytic and humanistic. In addition to talk therapy, group therapy can involve:

  • Educational lectures or workshops
  • Support groups or skills training groups
  • Expressive therapies such as art, drama, poetry and dance
  • Integrative therapies such as yoga and acupuncture
  • Social, cultural and educational group outings/activities

In general, group therapy sessions last one to two hours and are limited to six to 12 members and one or two therapists. Depending on the needs of the individual, group sessions may meet weekly, more often or less often, and can be co-ed or gender-specific.

 

What are the benefits of group therapy?

Research clearly demonstrates the effectiveness of group therapy to treat a variety of conditions. Some of the benefits of group therapy include:

  • A safe, supportive setting to discuss difficult emotions and experiences
  • Less isolation and loneliness when surrounded by others with similar struggles
  • Interactions with others quickly brings issues to the surface, allowing them to be resolved under the guidance of a therapist
  • Improves self-awareness and motivation to change
  • Feedback from peers can be highly influential
  • Improves interpersonal and communication skills
  • Builds trust and self-esteem
  • Ideal setting to practice new skills and behaviors

To gain the maximum benefit of group therapy, individuals must be willing to participate. The more open and honest an individual can be, the more they can get out of the experience. Group therapy is often most effective in conjunction with individual therapy.

What conditions does group therapy treat?

Group therapy is used to treat a wide range of disorders, including:

  • Relationship problems
  • Communication and social skill deficits
  • Anxiety
  • Depression
  • Grief/loss
  • Emotional trauma
  • Low self-esteem

The group format is also extremely beneficial for individuals who are often more influenced by the opinions and experiences of their peers than a therapist, partner, or family member.

At Refresh, we will create groups as needed to meet the needs of our patients.

Is group therapy covered by insurance?

In short, our answer is maybe.  Your insurance will be verified first to confirm that this is a service that your plan covers with a diagnosis.  Groups surrounding diagnoses and symptoms- such as anxiety and depression, are considered medically necessary and would be coverage if your plan allows for group therapy.  Groups surrounding topics such as bereavement, communication, and relationships are considered normal life experiences, and therefore, would not be covered by insurance as treatment of these issues would not be considered medically necessary.