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FREQUENTLY ASKED QUESTIONS

FAQ: CV

WHAT IS THE DIFFERENCE BETWEEN A PSYCHOLOGIST, A PSYCHIATRIST AND OTHER MENTAL
HEALTH PROVIDERS?

All state licensed mental health providers can be helpful to most people seeking services. I am
a doctoral psychologist. My training at the University of Nebraska was based on the scientist-
practitioner model, which means I was trained as both a scientist and a clinical practitioner with
the goal of actively using science as a core guide to practice and to thinking in an open minded,
careful, searching manner. Psychologists complete 4 years of undergraduate training, then
usually 4-5 years of full- time graduate school training in both science and practice, followed by
a year of full- time internship, where practice skills are further refined, then one or two years as
a post-doctoral trainee, practicing as a psychologist under the supervision of their state board
and an experienced licensed psychologist in their state. Many psychologists also receive a
master degree as a part of their training. My BA was in philosophy and psychology (with some
emphases also in religion and history). I then completed a two- year master degree in
professional counseling then a PhD in Counseling Psychology. I interned at the Minneapolis VA
Medical Center and received my year of post-doctoral supervision at the University of
Oklahoma Health Sciences Center. Thus, all in all I was in training for my career for 11 years.
Psychologists focus mainly on the assessment and psychological therapy for all mental health
disorders and in many other related areas. Testing, counseling and psychotherapy are their
main focus. A few psychologists are able to prescribe medication with additional training but
almost all have consulting knowledge of medication but must refer for prescriptions.
Psychiatrists are MD’s or DO medical doctors. They usually complete4 years of undergraduate,
often in pre-medicine degrees and then 4 years of medical school, followed by a year of general
medical internship practice and 2-3 years of medical residency in their chosen specialty area.
Thus they complete the same 11 or 12 years as most psychologists. However, psychiatrists are
medical doctors with a biological focus and are the experts when it comes to assessing any
biological issues and prescribing medications as well as other biological treatments. Most
psychiatrists also offer supportive or focused psychotherapy and some go on to make
psychotherapy the main focus of their practice, but this varies, so needs to be verified.
There are many other mental health professionals. Two of the most common and important are
master level licensed professional counselors and licensed master level clinical social workers.
Both of these groups are usually well trained in providing counseling services and in assisting
patients in accessing other services in the community. Typically both of these professions
require 4 years of undergraduate training then 2 years of graduate school, followed by one or
two years of supervised practice; thus typically receiving 7-8 years of training.
Primary Care Physicians actually see the most mental health patients of every profession,
because they take care of all health issues and treat as appropriate or make referrals for

specialty care. Primary Care doctors often are the first line in evaluating patient needs, verifying
biological health, starting psychiatric medications and offering practical counseling.
I have spent much of my career training psychologists, master professional counselors, school
counselors, family practice physicians, psychiatrists and clinical social workers. I am very
comfortable collaborating with these and many other professionals as each patient’s needs
might dictate.
I am happy to further discuss these issues, so just ask.

DO YOU PRESCRIBE MEDICATION?

I do not prescribe medication. I am a Ph.D. Counseling Psychologist and not a Psychiatrist. Psychiatrists are generally MD’s and are the experts at prescribing psychiatric or mental health medications. Family and general practice physicians also prescribe much of the mental health medications in this country. I cannot prescribe medication, but I have training and experience that can be helpful in making proper referrals to a psychiatrist or your primary care physician, and I can assist in monitoring medication outcomes or problems with you and your prescribing physician.

WHAT IS THE DIFFERENCE BETWEEN COUNSELING AND PSYCHOTHERAPY?

Counseling and psychotherapy are two words that essentially mean the same things in today’s usage. They refer to the personal meetings and discussions between a professional therapist and a client (or patient) aimed at assisting the client in resolving problems or concerns in their life and thus improving their well-being and health.


My own counseling efforts to help you are based on an individualized and collaborative approach.  I will consider your unique concerns, experiences and needs and decide with you how to proceed and what we discuss. Our first several meetings are often a period of evaluation and decision-making for both of us. You will need to determine if you feel comfortable working with me and I will need to determine if I feel confident that I can be of proper help for you.


We may use specific methods for your care, such as Cognitive Behavior Therapy, Mindfulness, Acceptance and Commitment Therapy, Cognitive Processing Therapy. Existential Therapy, Narrative Therapy, Systems Therapies, or others, all services are individualized to maximize your health.

WHAT IF COUNSELING DOES NOT WORK FOR ME?

Most of the people I work with do feel better and make positive changes through their counseling efforts.

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Current research suggests that about 80% of people who enter and stick with professional counseling or psychotherapy for a reasonable time (usually 3 – 6 months minimums) are better off in their life and health as a result.


However, at times, counseling can be challenging and confusing and nothing works for everyone all the time. This is normal and the key is to talk honestly about any concerns you may have during the course of our work together. I am always willing to listen and try my best to understand whatever might be on your mind and to consider changes in our approach whenever this may be justified. 


When appropriate I am happy to try to assist you with referrals to and/or consult with other counselors, psychologists, psychiatrists, physicians or other health provides regarding your care.

DO YOU PROVIDE PSYCHOLOGICAL TESTING?

While I am fully trained in psychological testing and used to provide such services in my practice, I am no longer offering testing services. I may use limited testing in the office to assist with counseling, but comprehensive testing is a service I can refer for and I am also able to read and utilize psychological testing from elsewhere.

DO YOU COUNSEL YOUNG CHILDREN, PRE-TEENS, OR TEENAGERS?

Although I have a strong background in child counseling, for the time being, I am not seeing younger children in my practice. Children require a level of coordination and availability as well as resources that I am not able to provide at this time. I am currently seeing ages 16 and up, and I am happy to make a referral for you should you require one. 

CAN YOU SHARE MY HEALTH INFORMATION WITH MY FAMILY MEMBERS, OR MY OTHER HEALTHCARE PROVIDERS?

Your health records are protected under the State and Federal Confidentiality Regulations and cannot be released without written consent unless mandated by law. 

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Possible exceptions to confidentiality include but are not limited to the following situations:

  • When the client is determined to be a threat to themself or others.

  • When child abuse (or abuse of a dependent, such as the elderly or disabled) is reasonably suspected,

  • Situations where the therapist has a duty to disclose, or where, in the therapist’s judgment, it is necessary to warn, notify, or disclose.

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You also may revoke this consent at any time unless action has already been taken upon it. Your information cannot be re-disclosed to any person or agency other than the one named above without written consent.

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I do not accept insurance, therefore it is not required that your information be shared with any insurance providers.

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A resource that is recommended for you to learn more about your privacy rights is The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule. The HIPAA Privacy Rule is the national standard for healthcare privacy protection, although many states have even stricter laws in place to protect our personal health information.

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If you have any questions regarding confidentiality, I am happy to discuss any concerns prior to starting counseling.

DO YOU HAVE EVENING OR WEEKEND APPOINTMENTS?

My practice is currently part-time with appointments mainly on a couple of afternoons per week. I do not schedule appointments on the weekend. Other times during the week may be occasionally scheduled depending on patient needs and my availability.

WHERE CAN I LEARN MORE ABOUT YOUR FEES AND INSURANCE?

I do not accept insurance. Please click here for more information.

WHERE CAN I LEARN MORE ABOUT YOU?

Please visit About Me to learn more about my life, education, training, and career. 

HOW LONG DO COUNSELING SESSIONS TAKE?

My services are by appointment only through my office. For regular counseling services, I see most people for a 45-50 minutes. The frequency of your counseling sessions may vary based on your need and my availability, however, most people at least initially see me once every week or once every two weeks.

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