Frequently Asked Questions

Why do people seek therapy?


People come into therapy for many reasons. Some need to respond to unexpected changes in their lives, while others seek self-exploration and personal growth. When coping skills are overwhelmed by guilt, doubt, anxiety, or despair, therapy can help. Therapy can provide support, problem-solving skills, and enhanced coping for issues such as depression, anxiety, lack of confidence, relationship troubles, unresolved childhood issues, bereavement, stress management, body image issues, identity issues and creative blocks. People seeking psychotherapy are willing to take responsibility for their actions, work towards self-change and create greater awareness in their lives. Therapy is a private and personal endeavor. The process is done at your pace and with your goals in mind. Comfort and honesty are first and foremost and the goal is to provide you with a place you can feel safe enough to tackle life's challenging hurdles.




What can I expect during my first session?


The first session with your therapist will be different from future visits. The initial visit is a period for you and your therapist to get to know each other. You will discuss what brings you to therapy and get an idea of your hopes and goals. Future visits will be more therapeutic in nature. Keep in mind that psychotherapy usually requires multiple visits, which will be discussed between you and your therapist. You will also have an opportunity to ask any questions.




What can I expect from subsequent sessions?


During sessions you will talk about the primary concerns and issues in your life. A session lasts 50 minutes and usually weekly sessions are best. Some people who are in crisis or extreme distress need more than one session per week, at least until the crisis passes. During the time between sessions it is beneficial to think about and process what was discussed. At times, you may be asked to take certain actions outside of the therapy sessions, such as reading a relevant book or keeping records. For therapy to "work," you must be an active participant, both in and outside of the therapy sessions.




Do you take insurance?


I am not in network with any insurance companies, but depending on an individual's plan, one may be able to submit detailed receipts to their insurance company to petition for out-of-network reimbursement. This means, all sessions are out-of-pocket or "self-pay." You can also use your HSA, HRA or FSA account for payment. Please note that it is always the client's responsibility to pay the full agreed upon fee for services at the time they are rendered, regardless of their insurance arrangements.




Will my session be confidential?


In general, the law protects the confidentiality of all communications between a client and a psychotherapist. Information is not disclosed without written permission. However, there are few exceptions to this rule. Exceptions include:

Suspected child abuse or dependant adult or elder abuse. The therapist is required by law to report this to the appropriate authorities immediately.

If a client is threatening serious bodily harm to another person(s). The therapist must notify the police and inform the intended victim.

If a client intends to harm himself or herself. The therapist will make every effort to enlist their cooperation in ensuring their safety. If they do not cooperate, further measures may be taken without their permission in order to ensure their safety.




What is the cost per session?


Fee schedule: Individual therapy is $100 per 50 minute session. Relationship/couples therapy (consisting of two individuals) is $130 per 60 minute session.

Payment:

You may use your HSA, HRA or FSA account for payment, otherwise cash or major credit cards (MasterCard/VISA) are accepted for payment at the end of each session.

Please note that it is always the client's responsibility to pay the full agreed upon fee for services at the time they are rendered, regardless of their insurance arrangements.




What is your cancellation policy?


Due to the time commitment made to you, you must provide 24 hours notice if you need to cancel your appointment or reschedule to avoid charges for missed sessions. Voicemail or e-mail can be utilized 24 hours a day in the event that an appointment needs to be rescheduled. Full payment is required for late cancellations or no-shows.




Why self-pay?


Insurance companies pay for healthcare services only, and therefore I would have to diagnose you with a mental health disorder and share my diagnosis with your insurance company if I was to bill. Depending on your coverage, the insurance company may limit the number of sessions and require me to submit ongoing progress reports and treatment plans to justify the services I provide you. There are several advantages to paying out of pocket. The main advantage is that counseling decisions are made between you and I and not by the insurance company. This means your counseling is tailored specifically to your needs...we decide sessions, time, goals, frequency, fees and termination.





    For any questions you have, you can reach me here:

    Contact Me

    4421 N. Oakland Avenue, Suite 201
    Shorewood, WI  53211

     

    414-202-7754

    Michelle Fahrnow, MS, LPC