What are the benefits and risks of getting professional counseling services?

Psychotherapy has both benefits and risks. Risks may include experiencing uncomfortable feelings, such as sadness, guilt, anxiety, anger, frustration, loneliness and helplessness, because the process of psychotherapy often requires discussing the unpleasant aspects of your life.  However, psychotherapy has been shown to have benefits for individuals who undertake it.  Therapy often leads to a significant reduction in feelings of distress, increased satisfaction in interpersonal relationships, greater personal awareness and insight, increased skills for managing stress and resolutions to specific problems.  But, there are no guarantees about what will happen.  Psychotherapy requires a very active effort on your part. In order to be most successful, you will have to work on things we discuss outside of sessions.


Will what I say in counseling sessions be private?

Confidentiality  is an important and necessary part of good counseling.

As a general rule, I will keep the information you share with me in our sessions confidential, unless I have your written consent to disclose certain information. There are, however, important exceptions to this rule that are important for you to understand before you share personal information with me in a therapy session. In some situations, I am required by law or by the guidelines of my profession to disclose information whether or not I have your permission. I have listed some of these situations below.

Confidentiality cannot be maintained when:

  • A client indicates they plan to cause serious harm or death to themselves, and I believe they have the intent and ability to carry out this threat in the near future.
     
  • A client  tells me they plan to cause serious harm or death to someone else who can be identified, and I believe they have the intent and ability to carry out this threat in the very near future. In this situation, I must inform the person who the client  intends to harm.
     
  • A client  tells me that a minor or elderly adult is being abused-physically, sexually or if the elderly or minor client  tells me that they have been abused in the past. In this situation, I am required by law to report the abuse to the Hawaii Department of Human Services.
     
  • A client is involved in a court case and a request is made for information about their counseling or therapy. If this happens, I will not disclose information without a client’s written agreement unless the court requires me to. I will do all I can within the law to protect a client’s confidentiality, and if I am required to disclose information to the court, I will inform the client that this is happening.

How do I pay for counseling services?

I am a participating provider with HMSA, UHA and HMAA.  However, all insurance plans are not the same and I would recommend that you contact your insurance provider to discuss your benefits and to determine if there will be a co-pay, deductible or maximum amount of sessions that they will cover.  

My office fee is $160 for intake sessions and $150 for continuing sessions. I have some hours where I will provide fees based on a sliding scale for those with financial need.  You can call me to discuss this option.

I accept cash, personal checks, Visa, Mastercard, American Express and Discover cards for payments of services and ask that payments be made the day of services.