Psychotherapy is not an easy process to define as it can vary depending upon how the therapist approaches the relationship. My theoretical orientation incorporates aspects of both cognitive-behavioral, Christian/spiritual, and interpersonal process approaches. I focus treatment primarily on the concerns that you bring into our sessions. Like any relationship, it may be scary for you to disclose the most intimate part of your life in our initial meetings. However in time, you may find that it is something that you would like to do to work through a concern. I take your lead with sensitive or traumatic information and talk about how or when you would like to share this information with me.
Psychotherapy is different from a medical appointment with a physician. It involves a significant commitment of time, effort, and money on your part. I believe therapy works best when it is collaborative and has a specific focus. We will identify the major problem(s), goals, and a specific time frame within which to accomplish these goals. The length of time that people are in treatment will vary greatly. Some people may achieve their goals within a few weeks/months. Others may need to be in treatment for years, especially when their problems have been present for many years. I cannot guarantee how long treatment will last nor can I guarantee a specific outcome. There are risks to being in psychotherapy, including the unlikely possibility that your symptoms will simply get worse. Most patients find that their symptoms may get worse before they get better. If you have questions concerning your progress in treatment, please do not hesitate to ask me. I will ask you often as I find that discussing how therapy is progressing from your perspective, very helpful in our conversations and your progress.
We may use outcome measures to track your progress and to determine when you have achieved your goals. You may also determine on your own that you wish to end treatment. If you decide to discontinue treatment at any time, I believe that these are discussions that are best to have in person (not over the phone) so that we can provide closure to the work that you have done or determine next steps for your treatment. I firmly believe in practicing a “good” bye in therapy and ending things well.