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Welcome to Fresh Start Therapy & Coaching! If you are looking at this menu, you are either not at the best place in your life or you’ve had better, less stressful days. You are looking for relief and you are not looking to spend your life savings on just talking to a stranger. I have a skeptical side to my personality, so I totally get it. That’s why I’m highly sensitive and respectful of your time and financial investment.
Here are the main services we offer:
Relationship Counseling At Every Stage
From pre-marital conversations, to couples’ therapy, to divorce preparation coaching, the programs cover an in-depth evaluation to identify differences or points of potential conflict before engaging in counseling sessions. I see the couple together as well as separately to give each other space to be honest and open without the fear of hurting each other. Our programs are very much neutral. Our goal is not to take sides or tell you who’s right or wrong, but rather to help you increase your self-awareness in your relationship and how that affects your choices during stressful and unpleasant times, and in turn how these choices influence your partner’s choices and the overall family dynamic.
Anxiety & Stress Management
A certain level of anxiety and stress is normal for all of us. But when things get out of control to the point that you experience daily significant distress with overthinking and ruminating every minute of your day; when the entire mental space is occupied by unproductive and exhausting recycling thoughts; when the only way to cope is unhealthy behaviors like drinking, smoking, overeating, picking fights with a loved one, yelling at the children; that’s when our programs can help!
ADHD Family Therapy
ADHD is not a myth; it’s a chronic brain-based syndrome that affects the person with the diagnosis, as well as the rest of the family. Often diagnosed in children, it has a strong genetic component, which means one of the parents often also has it, although adult ADHD is often not as discussed or even acknowledged. Family stress is not only based on the child’s difficulties in school or sports but also on couple’s difficulties due to uncomfortable interactions between an ADHD and non-ADHD partners. Our programs focus a lot on education, therapeutic interventions, and support for both sides. The struggles are real and painful for both, but in very different ways. Despite difficulties, individuals with ADHD can lead a very successful and well-adjusted life; however, that is only possible by learning how to maximize the individual’s strengths and minimize or adjust for the weaknesses with a well-defined treatment plan. It also takes some patience, consistency, some creativity and open-mindedness to trying new things, and a sense of humor.
Executive & Leadership Coaching
This is a program designed for entrepreneurs, middle, and high-level managers tailored to the clients’ specific personality traits and needs. Potential areas covered: stress management, effective communication strategies with peers, subordinates, and higher management, the management of corporate politics, advanced strategic thinking and decision-making skills, improve self-awareness, maximize strengths and minimize weaknesses. I have an extensive background as a corporate controller so I understand numbers, business strategy, and the complexity of dealing with people.
Frequently Asked Questions
What happens during the free 15-minute phone consultation?
The initial phone consult gives you an opportunity to ask questions and decide if you’d like to work with me. It also helps us get a sense of what you’re looking for. If we’re a good fit, then I will ask for basic information (name, phone number, email) to schedule our first session. You’ll get a secure e-mail with a link to all the paperwork to be completed 24 hours before your first session. Call us at 623-628-0406.
What happens in the first session?
I prepare for our first session by reviewing your answers to the initial paperwork you completed online. I will have questions to jumpstart the conversation, and we’ll get deeper into your story and your goals for our time together. At the same time, you’ll be getting a clearer sense of my style and recommendations, and whether you’d like to keep working with me or you’d like to explore some other alternatives. In addition, we can discuss taking a couple of assessment tests (no worries, it’s not hard and you can’t fail) to give us a better idea on the most effective course of action. I rely a lot on evaluation and assessment results because I don’t want to waste your time or money and I want you to see progress the fastest way possible. Counseling without test data could be like throwing spaghetti at the wall and seeing what sticks, which is not my favorite way to practice.
How often will we meet?
After our first session together, I can give you my recommendations, but ultimately, you’ll decide how often we will meet and for how long. Committing to the process and prioritizing a specific time (weekly or monthly) is what makes a difference. Occasionally, people attend therapy more often. Others may reduce frequency once things improve. In addition, we offer shorter, booster sessions (30 min) or longer sessions (90 minutes). The longer sessions are an option for those looking to get a jump start or if there’s a need for more intensive work for a set period of time. Extended sessions can be helpful for busy clients or couples who have trouble coming in weekly or who need intensive work.
How long will counseling take?
There aren’t any hard and fast rules when it comes to this. It entirely depends on what brought you to seek help, your goals, and your effort to practice what you’re working on in your daily life. I generally recommend 6 sessions before you can see some sizable progress. Some clients come for a few months until they get back on track. This is considered shorter term counseling or coaching. Some clients use therapy for a period of time, take a break, and return when they are ready or need to do more work. Some may benefit from longer term counseling. They may have long standing issues, difficult childhood or recent experiences, on-going stressors in their career, relationships, health, recovery, or families, or multiple issues that require a lengthier counseling process.
I’ve been to therapy before, but it didn’t work. What makes you different from other therapists I’ve been to?
I can’t tell you how many times I’ve heard this. Many things will impact this but two important ones are the fit between the client and the therapist and the client’s readiness to work and change. My style is not for everyone either. I’m very much solution-focused. I use a direct style of communication, honesty, and humor. I’m a big believer in psychoeducation as I think the correct knowledge gives people better options, so I will encourage reading articles and books and taking courses in between sessions. I don’t foster dependence. I want to give you the tools to become your own therapist. This applies even more when it comes to your children. Although I may do a few sessions with the children alone or partial sessions, I spend the bulk of the time working with the parents to give them the tools to help their children at home.
What’s the difference between a licensed therapist and a coach?
Practitioners on both sides have many definitions and opinions on this. But since I do both, I consider myself less biased on the topic. The truth is that a licensed therapist completes a master or doctoral graduate school and needs to pass a tough license exam and state board qualifications to earn a license in a particular state. On the other hand, anyone can become a coach after taking a few online classes. From a more practical perspective, therapy includes assessment and evaluations, formal diagnosis, and a course of treatment that’s evidence based (that pretty much means there’s research to back it up and you are not winging it to see if it works). Coaching does not include any clinical terminology or clinical work; it’s primarily focused on setting goals and becoming a support system and an accountability partner for the client.
I do coaching for executive leaders, managers, and their organizations, because of course, that does not require clinical work. In addition, I do coaching for individuals and families that live outside the State of Arizona and are interested in my other services, but I do not evaluate or diagnose as I cannot practice as a licensed psychologist in states I am not licensed in. I do both coaching and therapy for Arizona residents.
Do you have a cancellation policy?
Yes. We ask for a minimum of 24-hour notice if you need to cancel a session. A cancellation fee will be charged to the credit card on file if you fail to attend a scheduled session or give less than 24-hour notice of cancellation.
Can someone else pay for my therapy?
Sure, but if you’re age 18 or older, we’ll need to get their written authorization to charge their credit card and their signed acknowledgment of understanding that they will not have written or verbal access to any of the content of your therapy without your written consent.
How much does therapy with you cost?
Initial Evaluation (60 min, incl assessment report and recommendations) $230
Full Session (50 min, individual, couples, or family) $130
Booster Session (30 min) $70
Extended Session (90 min) $225
Counseling Package (6 sessions if paid up front) $650
We accept cash, checks, and all major credits cards. We do not accept insurance, but certain types of sessions (ADHD, anxiety) could be eligible for reimbursement by your insurance company as an out of network provider. Full payment is due at the time of service and you can also pay it through our secure online portal. Due to legal and ethical requirements, clients are not allowed to carry account balances as doing so can muddy the waters of clinical work.
Not sure what a fair cost for therapy is? Check out Fair Health Consumer. Type in your zip code and search for “psychotherapy”.
Do you take insurance?
No, we don’t accept insurance. The reason could turn into a very long answer, but he short answer is that I am in the field of psychology to take care of people and offer the best mental health care options for you, not the insurance companies. Insurance regulations often interfere with our ability to do this. Filling out paperwork and trying to keep up with all the bureaucratic rules take too much time and energy that I would rather spend looking for the best resources for you and your family.
I would rather work directly for you than any insurance company or bureaucrat. You can rest assured that the choices I make for you about your care are not influenced by your insurance company or any other organization that could gain from you not getting what you need. I will be able to respond to your needs, not the demands of the insurance companies. Your care can never be rationed if you are paying for it yourself.
In addition, insurance companies often require a diagnosis in order to pay for services, even if a diagnosis is not necessary or appropriate. Furthermore, when using insurance, any diagnosis given will become a part of your medical record. While that might not be such a big deal right now, it may become one later on if you want to get life insurance, work in the financial sector managing other’s assets, regularly handle firearms, or seek employment in any field in which your decision-making might be questioned due to your emotional state. I strongly feel that people should get help they need without fear or shame for making their mental health and personal growth a priority.
Do you provide a statement that I could use my out-of-network coverage for?
Absolutely! Indeed, your insurance plan may have out-of-network (OON) coverage. Here’s how that would work: you pay us directly and we provide you with a monthly statement of services (called a superbill). Then, you submit (e-mail, fax, or snail mail) it to your insurance company if you decide to seek reimbursement through your insurance company’s out-of-network coverage. Your insurance company will process the superbill and will either apply the amount you’ve paid to chip away at your deductible or reimburse you a percentage if you’ve already met the deductible. We don’t guarantee that you’ll receive reimbursement (or how much reimbursement) from your insurance company, but it’s definitely worth trying.
Ready to Begin?
Call (623) 628-0406 to book a free 15-minute consultation…