You can find the right outpatient private practice counselor for you at an affordable rate, you just need to know how to go about doing so.
Almost everyone shops around looking for the right counselor who either accepts their insurance or that they can afford to see if they pay out-of-pocket. A breakdown in the process of seeking help occurs when someone finds out that the counselor doesn’t accept their insurance or their rate isn’t within their out-of-pocket budget, the person tends to cutoff the conversation right there. They hang up the phone or don’t reply to the email. Unfortunately, people will fully end their search because they aren’t sure what else there is to do.
There are alternative and proactive ways to maintaining the conversation when you find out that the counselor doesn’t accept insurance or the rate isn’t within budget. Ask questions.
Ask the counselor these questions
* Even if you want to use your insurance, keep your options open by considering out-of-pocket because part of your goal is to find a counselor who is the right fit to work with. Therapy can be a great experience with the right professional… laughter is allowed in therapy. When someone closes off the out-of-pocket option, they’re also possibly preventing finding the person who they feel comfortable talking to. *
• Do you offer a lower rate?
• Do you offer a sliding scale?
• Do you offer pro-bono?
• Can you recommend anyone who may be able to help?
• Do you offer other services that might be able to help me?
Counselors are open and willing to talk about fees and other services. They aim to be non-judgmental and want to meet people where they are at. It doesn’t hurt to find out if they are able to meet you where you’re at financially.
Keep on the lookout for free resources and tips that the counselor may offer. This could be an educational social media page, YouTube channel, blog that you could subscribe to, or ebook. Don’t pass up free resources, take advantage.
Tip: stay organized
Keep track of who you talked to, how to contact them, the questions you have, and their answers all in a notebook. Doing this will manage stress and remembering who said or offered what. Be mindful of where you keep your notebook to protect your confidentiality.
I met Roni Maislish through LinkedIn (he is in Israel), as we both work in mental health and specifically with eating and emotions. We both recognize the emotional aspects of obesity and that it can be an emotional-mental-issue. Roni says, “Most of the time, when people talk about eating disorders, they forget the field of overweight and the emotional side of this field.” Roni created this workshop for therapists, family physicians, dieticians, and related professionals, which I will talk about more below.
Find four downloadable worksheets on emotions, eating, and body image at the bottom this article. I have used these worksheets when working with people over the years. Shannon Mick, NCC, LPC, CCATP, CTMH
By Roni Maislish
Therapist workshop – The Emotional aspect of Obesity (Introspection through the relationship with food and eating as a gate to change, cure and healing)
Background – How many times you had been surprised by overweight patients that told you to “fix them quickly”, who for years after years trying to lose weight, sometime seceded and then back again, gain the weight back? How many time your faith in your patient dissipate and you felt anger and frustration that he or she is not committed enough to the process like you? And how many times you felt that you are not able to understand emphatically (near-experience) why those patients cant keep on fighting, controlling and avoiding in their food and eating’s issues? and how many time you realized and told yourself that something is missing?
For all of you therapist from a variety methods and approach who dealing with the emotional aspect of overeating, overweight, emotional eating, emotional non-eating, non-acute eating disorder, obesity and more – you all most welcome to workshop (short educating program) where you become familiar, study and also go in depth to a new dimension which will enable you to see, understand and experience the “food and eating’s issue” not as a “problem to solve” but as a unique way that a specific person use to “tell his story” while integrate and keeping safe his “self”. And From this kind of listening stance we will be able to make place to our patients, while helping them finding their subjective way toward healing and restoring their wounded, un-develop and neglected self.
The workshop – In the beginning I will present my attitude in the last 15 years (which changing and modifying in time) for dealing with emotional eating’s issues. I will share with you my straggles, dilemmas and personal questions that occupied me since early childhood and connect it to my journey (both personal, academic and professional) and how I established and combined theories which gradually help me to meet myself and my patients from a “different” perspective (that sometime we can feel as if you speak an ancient languish).
Doing so, I will manly focus in two theoretical and clinical paradigms to help us to understand ideas I formulate these years– I call it: “the fat remember”/”the fat’s emotional role” (or, “if the fat will able to talk, what it will say?”):
The first paradigm based on Didier Anzieu’s work (manly his book :”I-Skin”, which written in French “Le Moi-Peau”) who dealt on the emotional-sensorial clothing (“I-Skin”) that a human beings wear from early childhood and making adaptation trough the years to avoid invasiveness and secure the self from hurts and fragmentation. In his work Anzieu present 8 function of this psyche soma’s envelop like holding, handling, protecting and more. In my work, regarding Anzieu’s ideas, I explore the fat, the overweight, mostly in the abdomen (but not always) and its role to establish and contributing the building of those 8 functions in case that the self no longer develop normally. For instance we will learn together about the connection of the stimulation-shield function in the “I-Skin” clothing to the gaining weight process to build “fat armor” against attacks on the self.
Later on, I will present the “self-Psychology” paradigm while understanding deeply that defense and resistance is not something that the therapist need to break, remove, overcome, or even to melt so we can see emotional aspects and reasons of gaining weight’s process as a reminder from a depress self which struggle to survive non-emphatic world. This self, as I see it, is still hoping that someone (maybe the therapist) will see beyond the “fat story” and help the patient to restart its “inner self program” and recover those years of deprivation.
Regarding the topic of this workshop and self-psychology, In his second book, “The restoration of the self” (1977, pp 80-81) Kohut refer to the triad: oral fixation, pathological overeating and obesity and present the understanding of the classical approach that deals with drive-awareness and the ability to control the drive (via its suppression, sublimation, inhibition of its aim, displacement, or neutralization). Instead, Kohut’s claim is that “the child asserts his need for a food-giving self-object” and “the child needs empathically modulated food-giving not food”. If this need remains unfulfilled, Kohut continue, then the child retreats to a fragment of the larger experiential unit, i.e., to pleasure-seeking oral stimulation (depressive eating). Kohut add that increasing awareness to those process renewed movement toward psychological health.
The combination between Anzieu’s theory and Kohut’s perspective, while adding the work of Eigen (Toxic Nourishment, Emotional Starvation), Ogden (The Autistic-contiguous position), McDougall (Theatres of the Body) – will all helps us to build new platforms and ideas which open new possibilities to understand the patient’s pain, to find beauty in the defensive-structure of the patient (his overeating patterns) and further on to develop the patient self-ability to heal and grow himself while seeing us ganging and flexible in our empathy enabling him to change too.
During our learning and in between the theoretical conceptualization that we will create, I will share with you some example from my clinical work. The main part in this section will be the “mindfulness meal” where we will be able , to search different possibilities for introspection of the connection between our relationship with food/eating and others relationship (family, marriage, career, friends, money, faith and more). In this mindfulness-experiential process, we will use motive like: choice, miss, lose, regret, planning, disintegration, aesthetics and more, to understand how a certain movement from our eating place’s seat to the buffet table represent original selfobject needs. That will help us to vary and enrich our empathic capability and responses to those patients that their selfobject need didn’t met yet and have a very complex relationship with food and eating. For example: One of the participants in the workshop can become aware that the way he choosethe food was similar to how others choosing and he can realized that he didn’t ask himself what are his special and authentic needs. Then he can share about that kind of pattern in other relationship (for example – he choose where to study upon his unique need or was it a “social decision”). That mindfulness experience of understanding will take us, as a group, to discuss how some of our patients will prefer the “socially eating” pattern which can give them a response for their twinship’s (alter ago) needs (they eat the same food like everyone so they feel part of the group, and the world). Those kinds of introspections around the table will encourage us to think about more emphatic response’s possibilities for more kind of needs (mirroring, idealizing).
If we will have enough time we will practice in pair the question: “for what I am really hungry for? (The dialogue between emotional hunger and physical hanger) and mediate on the “role of the fat” and more. We will complete our journey with sharing our experience and understanding, we will ask ourselves what surprise us today and we will have some time for questions and answers.
About the instructor –Roni Maislish M.A (psychotherapist and clinical social worker).
From 2005 I am working with overweight’s patients dealing with emotional eating that come from emotional long-term neglected. I the last 2 year I am working in Tel Hashomer (Sheba) hospital in an overweight treatment center (part of the endocrine institute) while between 2006-2011 I saw eating disorder’s patients (and their parents) in Soroka Hospital. From 2007 working as emotional eating’s therapist. Leading groups both for therapist and non-therapist, short workshop and year-long dynamic-study groups. Beside working with patients, I involve deeply in education-prevention roles schools, pre-school, eating disorder’s clinics, accompanying nutritionist, mantel health department, and much more .in 2008 I participated in a 5 days retreat in California leaded by Geneen Roth (the author of the bestseller “When food is Love”).
Telemental health has actually been around for several years.
• Telemental health is only for the underserved and those who live in rural areas.
Anyone can use telemental health. It saves travel time, gas money, and can more easily fit into a busy schedule.
• You miss out on nonverbal cues with telemental health.
During video chat, nonverbal cues can still be picked up. Proper room lighting, camera placement, and having a strong internet / wifi connection play an important role in this. The mental health professional will let you know if they can’t see you.
• It takes longer to develop rapport with telemental health.
It takes the same amount of time as in-office sessions to develop rapport, keeping in mind that the counselor should be a good fit to work with.
• Telemental health is not secure.
Telemental health can be set up HIPAA compliant and secure to the standard of ethics. There are multiple safeguards in place.
It can be challenging and anxiety provoking to find the right counselor. Sometimes it’s difficult knowing how to find the help that you specifically need. This article’s tips will answer some questions, help develop a plan, relieve stress, and lead you to finding the right counselor.
Licensed Professional Counselors
A licensed professional counselor works with people in most areas of life: Reducing anxiety; coping; adjusting to changes; dealing with depression and grief; overcoming trauma; fighting addiction; educating people about mental illnesses; family, marriage, and couples issues; relationships and communication; mental health disorders.
When choosing a counselor, look for someone who seems like they would be a good “fit”
Look at the counselor’s specialties, they should be mentioned or listed on the counselor’s profile and website.
• If you need help taking steps fighting an addiction, look for someone who specializes in addiction counseling.
• If you are going through a divorce, find someone who specializes in marriage and divorce.
• If you’re looking for Christian faith-based counseling, try searching in an online Christian counselor directory if you aren’t sure where the local Christian counselors are.
Approach to Therapy / Theoretical Orientation
Check out the counselor’s approach to therapy and the theories they apply.
Some counselors use a variety and combination of these. Don’t stress on knowing the methods and theories, the counselor can teach you if you’d like to learn. Having a basic understanding that these theories are out there can lend a hand in making a decision about who you see. Certain theories are more appropriate than others when treating certain mental illnesses, the counselor will know these details.
When Using Health Insurance
If you want to use insurance to cover the cost, contact them and inquire about behavioral mental health providers in your area. Find out what your co-pay is. If you’re seeking a teletherapist, check to make sure your insurance covers teletherapy (again, check to see if there’s a co-pay because virtual mental health services might cost different than in-office services.). Once you contact a counselor, double check that they accept your insurance.
Find a Counselor Through an Online Directory
Another way to find a counselor is to check online directories. Some of these directories allow you to filter, which saves time and helps you find a counselor who better suits your needs. Psychology Today is a fantastic place to search for a counselor. TherapyDen is also an awesome site to look at. If you’re looking for a counselor who is plant-based or vegan, try Plant-Based Doctors. Using an online directory is a great way to find exactly what you’re looking for.
Create a List of Counselors and Questions
When you find a counselor that you’re interested in working with, write down their contact information and website. Create a list of five or so counselors and then visit their websites to learn more about them. As you learn more, you may realize that they don’t quite fit your needs, so you can cross them off your list. Jot down any questions that you may have for that counselor about their services.
Learn About the Counselor Through Social Media
You can learn a lot about a counselor’s approach, views, theoretical orientation, personality, vibe, etc, through their business’ social media page and blogs. Check out what they post and write about. Look for pictures of their office, sometimes there are pictures to make clients feel more comfortable in knowing what to expect.
Contacting the Counselor
Whether you’re contacting them through email or a phone call, make sure that you’re in a private space so that your confidentiality won’t be at risk when you share with them a little about what you are seeking help for. Sharing a few sensitive details helps the counselor determine whether they can help you or if they need to lead you to other services.
After learning more about the counselors, call them to have your questions answered or to schedule an appointment. I can’t speak for every counselor, but most offer a free phone consultation. Ask about whether they accept insurance and the cost of session. Ask about what you can expect during a session. Ask about the paperwork process. Ask any other questions that come to mind and that you wrote on your list.
If you’re having difficulty reaching a counselor by calling, consider emailing them. Counselors should have their emails set up safe and secure. Texting a counselor’s phone isn’t secure, so don’t use that method of contact.
Notice Thoughts, Feelings, & Gut Instinct
When you’re talking with the counselor on the phone, briefly check-in with your thoughts, feelings, and gut instinct. Are you comfortable? Do you see yourself sitting across from them? Is your gut feeling telling you that this is the right person? The gut instinct is usually accurate.
Ask Friends and Family
To get a better idea about what to look for in a counselor, ask your friends and family who are seeing one what they like about them. This isn’t a good way to get a referral, but it can give you an idea on counselor personality, traits, and practices to look for.
It can be tough finding the right counselor, but using these tips to create a simple plan will make it easier.
People avoid going to therapy and there are a ton of valid reasons why. I believe that among the top reasons that people avoid seeing a therapist are due to anxiety, having a fear of the unknown, and the stigma around mental health and needing support. I want to see people receive the help that they need. I value the freedom and opportunities we have to reach out for help, it is okay to not be okay and to need to speak with somebody. It is okay to want some support. Feeling anxious or fearful are normal responses when you know that you will be divulging sensitive information to a stranger. This really is a big deal. To remove a little anxiety and stigma, here are some things that you can expect when you meet with me, and I know that all therapists strive to uphold these qualities and standards.
As a therapist, i won’t
Try to fix you.
Give you advice.
Tell you what to do.
Pretend to be the expert on your life.
Assume what is best for you.
Have all the answers.
Make the difficult stuff disappear.
As a therapist, I will
Have a non-judgmental approach.
Provide a fresh perspective.
Remind you that you aren’t broken.
Give you room to access your own wisdom.
Support you in figuring out what to do.
Remember that only you know what is best for you.
Honor that I don’t know it all.
Collaborate with you on how to make the difficult stuff easier to sit with.