At this time I do not offer a sliding scale. As a Social Worker, I am committed to providing accessible care and this is why I have chosen to work with select insurance companies.
I currently offer telehealth only through secure teleconferencing. I am able to offer EMDR using teleconferencing as well as a variety of other therapeutic approaches. I have found that teletherapy leads to more convenience, less need for rescheduling and more flexibility for clients and for my practice. If you feel strongly that you need in person therapy, I am likely not a good fit for you right now.
The answer to this depends on so many factors it would be impossible to predict. Rest assured that the goal is always to help you work towards the goals that matter to you and improve your life quality so that you can move on from therapy. I don't believe that most people should be in therapy forever.
In our first few sessions, we will identify the goals that matter to you and we will check in often about whether the goals have changed or whether we've reached your goals. I believe therapy is a collaborative process and frequent feedback is necessary to insure that we are headed in the right direction.
You don't need to know. The first few sessions will be about getting to know you, understanding your goals and your needs. The approach to therapy we use will be tailored to meet your needs. Some clients come in saying things like "I want EMDR" or "I want Cognitive Behavioral Therapy" and while we can choose to take a specific approach, most people benefit from some combination of approaches. If I believe you would benefit from a specific structured approach, we will discuss it and make a decision together.
Yes, you absolutely can and EMDR is traditionally recommended in a 90 minute session. This means that most of the evidence supports EMDR working best and fastest in at least a 90 minute session. While your insurance will cover therapy for EMDR, there are often limits to the length of sessions covered by insurance. EMDR can still be helpful when done in a traditional, insurance-based model, but there may be limits on the pace of the trauma processing portion of EMDR.
If you choose not to use your insurance or I don't accept your insurance and you would like to pay out of pocket, you can choose whether to pursue the recommended 90 minute sessions or a more traditional 60 minute sessions.