Payment for Relationship Therapy
When submitting to insurance, the procedure code defines who is being seen in therapy. The diagnostic code tells the insurance company what mental illness the patient is being treated for and then it is decided whether the treatment is “medically necessary.” When using the family or conjoint therapy counseling code for insurance, one partner is identified as the one with a mental disorder and the other partner is a “collateral” person who is present in the session, but is not the subject of treatment (sometimes a supportive other or family member).
When I see both conventional and non-conventional couples for therapy, the “couple” is my client. I am treating both or all partners in a balanced way and do not identify one client as the “primary client” (with a reimbursable mental disorder). For these and other reasons, I work with couples on a self-pay or “out of pocket” basis only and neither I nor the client seek reimbursement from insurance providers. Health Spending Accounts can be a more affordable way for some clients to pay for relationship therapy and bills or receipts can be provided.
I’ve never talked to anyone. I’m used to handling things on my own. Aren’t people who go to therapy weak?
Not at all. People who ask for help know when they need it and have the ability to reach out. Everyone needs help now and then. You already have some strengths that you’ve used before, that for whatever reason isn’t working right now. Perhaps this problem feels overwhelming and is making it difficult to access your past strengths. In our work together, I’ll help you identify what those strengths are and how to implement them again in what is happening now.
What’s the difference between talking to you or my best friend or family?
The difference is between someone who can do something, and someone who has the training and experience to do that same thing professionally. A mental health professional can help you approach your situation in a new way– teach you new skills, gain different perspectives, listen to you without judgment or expectations, and help you listen to yourself. Furthermore, therapy is completely confidential. You won’t have to worry about others “knowing my business.” Lastly, if your situation provokes a great deal of negative emotion, if you’ve been confiding in a friend or family member, there is the risk that once you are feeling better you could start avoiding that person so you aren’t reminded of this difficult time in your life.
Why shouldn’t I just take medication?
Medication alone cannot solve all issues. What medication does is treat the symptoms. Our work together is designed to explore the root of the issue, dig deep into your behavior and teach strategies that can help you accomplish your personal and/or relational goals.
Medication can be effective and is sometimes needed in conjunction with therapy.
How long will it take?
Unfortunately, this is not possible to say in a general FAQs page. Everyone’s circumstances are unique to them and the length of time therapy can take to allow you to accomplish your goals depends on your desire for personal development, your commitment, and the factors that are driving you to seek therapy in the first place.