Therapy usually begins with weekly sessions. This is to develop rapport with the client, but it is also to achieve some progress in the therapeutic process. Once goals are being met and growth is being made, sessions become less frequent. A frequently asked question is how long will therapy last? There is no absolute answer for that. It depends on the client's willingness for growth, how well they trust the process, and how much they want to grow.
Child & Adolescent Therapy & Assessments
My professional career began with seeing children and adolescents in their foster homes. Currently I continue to see children and adolescents, with a wide variety of difficulties. The youngest I see is 4 years old and spanning into adulthood.
During the first appointment (initial assessment) with a child or adolescent, I like to meet with both the child/adolescent and parent. I gather a lot of information about the child/adolescents history, family history, and current circumstances. If there is information to report that is sensitive for the child/adolescent to not be a part of, then other arrangements will need to be made. One option is that the child/adolescent can be left in the waiting room unattended. If that is not possible, then I may need to schedule a session to speak to the parent one on one or arrange a phone call.
For most of the 45 or 52 minute sessions, I am seeing the child/adolescent one on one. Often I will meet with the parent(s) before I begin the session for the parent(s) to report any updates. There may be times that I will have the parent(s) join the session when there is information that I feel is alarming or for growth of the family dynamics and relationships. Art and play are often used in therapy as therapeutic tools and for establishing rapport.
Therapy also may involve working with the parent or parents of the child or adolescent. This is not unusual and it is a service that I often provide. I often find that in helping the child or adolescent grow, it is needed to work with the parent(s) as well. Sometimes it is to give the parent(s) insight to what the child/adolescent is experiencing in their world. Sometimes it is to give insight to the parent(s) on some things they could do differently to help their relationship with the child/adolescent.
Adult Therapy & Assessments
During the first appointment (initial assessment), I am gathering a lot of information about the current problem that is bringing them into therapy, their family history, and touching on all aspects of their life. I like getting to know the client thoroughly and this is to help establish treatment goals and the path for therapy.
Couples Counseling and Drug/Alcohol Treatment
I do not provide services to couples for counseling, nor am I certified in drug and alcohol counseling. If these issues arise during your treatment with myself, I will refer you to an individual that does specialize in these areas. This referral may be in conjunction to the service that I am providing for you or it might be a termination of services from myself and to work with that provider solely.