FAQs

Is therapy right for me?

Seeking out therapy is an individual choice. There are many reasons why people come to therapy. Sometimes it is to deal with long-standing psychological issues, or problems with anxiety or depression. Other times it is in response to unexpected changes in one’s life such as a divorce or work transition. Other times because there is a family member struggling and the whole family is affected. Working with a psychologist can help provide insight, support, and new strategies for all types of life challenges. Therapy can help address many types of issues including depression, anxiety, conflict, grief, stress management, body-image issues, and general life transitions. Therapy is right for anyone who is interested in getting the most out of their life by taking responsibility, creating greater self-awareness, and working towards change in their lives.

Do I really need therapy? I can usually handle my problems.

Everyone goes through challenging situations in life, and while you may have successfully navigated through other difficulties you’ve faced, there’s nothing wrong with seeking out extra support when you need it. In fact, therapy is for people who have enough self-awareness to realize they need a helping hand, and that is something to be admired. You are taking responsibility by accepting where you’re at in life and making a commitment to change the situation by seeking therapy. Therapy provides long-lasting benefits and support, giving you the tools you need to avoid triggers, re-direct damaging patterns, and overcome whatever challenges you face.

How can therapy help me?

A number of benefits are available from participating in psychotherapy. Therapists can provide support, problem-solving skills, and enhanced coping strategies for issues such as depression, anxiety, relationship troubles, unresolved childhood issues, grief, stress management, body image issues and creative blocks. As a child psychologist, I can provide support and guidance for parenting and child development issues. Many people also find that counselors can be a tremendous asset to managing personal growth, interpersonal relationships, family concerns, marriage issues, and the hassles of daily life. Therapists can provide a fresh perspective on a difficult problem or point you in the direction of a solution. The benefits you obtain from therapy depend on how well you use the process and put into practice what you learn. Some of the benefits available from therapy include:

• Attaining a better understanding of yourself, your goals and values
• Developing skills for improving your relationships
• Finding resolution to the issues or concerns that led you to seek therapy
• Learning new ways to cope with stress and anxiety
• Managing anger, grief, depression, and other emotional pressures
• Improving communications and listening skills
• Changing old behavior patterns and developing new ones
• Discovering new ways to solve problems in your family or marriage
• Improving your self-esteem and boosting self-confidence

What is therapy like?

At the first session, Dr. Silberstein or another Creative Psychology psychologist will talk with you about what is bringing you into therapy. We will briefly review history, but the bulk of the work is focused on the here-and-now issues, and how to resolve them in the present. Cognitive-behavioral therapy recognizes the importance and impact of past experiences on current behaviors, and the interventions are focused on the present day thoughts and behaviors. For adult clients, I will sometimes offer books or chapters to read to enhance our work and your understanding of the issues we are working on. For children, depending on the age and issues presented, there might be activities for the child or the family to do during the week. The purpose of these “homework assignments” is to make sure the skills learned within the therapy session are generalized into the world and everyday events. I usually meet weekly with my clients, and find clients make the most progress when are meetings are consistent. For therapy to be most effective you must be an active participant, both during and between the sessions. People seeking psychotherapy are willing to take responsibility for their actions, work towards self-change and create greater awareness in their lives. Here are some things you can expect out of therapy:

• Compassion, respect and understanding
• Perspectives to illuminate persistent patterns and negative feelings
• Real strategies for enacting positive change
• Effective and proven techniques along with practical guidance

Is medication a substitute for therapy?

In some cases a combination of medication and therapy is the right course of action. Working with your medical doctor you can determine what’s best for you. It is well established that the long-term solution to mental and emotional problems and the pain they cause cannot be solved solely by medication. Instead of just treating the symptom, therapy addresses the cause of our distress and the behavior patterns that curb our progress. You can best achieve sustainable growth and a greater sense of well-being with an integrative approach to wellness.

Do you accept insurance? How does insurance work?

Dr. Silberstein does not accept third party payments. You can receive receipts to submit to your insurance for reimbursement, depending on your mental health coverage. To determine if you have mental health coverage, the first thing you should do is check with your insurance carrier. Check your coverage carefully and find the answers to the following questions:

• What are my mental health benefits?
• How much does my insurance pay for an out-of-network provider?
• What is the coverage amount per therapy session?
• How many therapy sessions does my plan cover?
• Is approval required from my primary care physician?

Is therapy confidential?

In general, the law protects the confidentiality of all communications between a client and psychotherapist. No information is disclosed without prior written permission from the client.
However, there are some exceptions required by law to this rule. Exceptions include:

• Suspected child abuse or dependent adult or elder abuse. The therapist is required to report this to the appropriate authorities immediately.
• If a client is threatening serious bodily harm to another person. The therapist is required to notify the police.
• If a client intends to harm himself or herself. The therapist will make every effort to work with the individual to ensure their safety. However, if an individual does not cooperate, additional measures may need to be taken.