Fees, Insurance and Other Frequently Asked Questions      


Where are you located?

Our practice is located in the front of our home in the Highlands.  Clients have told us that our meeting space, our small sun room, is warm and inviting.

We also offer counseling online through phone, email and chat therapy.  Click here to learn more about the option.

Do you accept insurance?
We are not on any insurance panels.  We are; however, willing to work with your insurance company so that you may be reimbursed for our services.  You will need to check with them about their policies for out-of-network coverage and we are glad to print your charges on the proper forms.
 

Because of the problems with managed care and their increasing need for confidential information, we have decided not to participate on their panels.  We have some concerns about the need to give clients a mental health diagnosis and the possible repercussions as these diagnoses generally follow you and some may even increase your rates. 


Most insurance companies require us to provide you with a clinical diagnosis. Some require that we also add treatment plans or summaries, or, in rare cases, copies of the entire record. This information will become part of the insurance company's files and will probably be stored in a computer. Though all insurance companies report that these records are confidential, we have no control over what happens to it once it is in their hands. In some cases, they may share information with a national medical information data bank. We will provide you with a copy of any report that we submit if you request it.


We do know that saving a marriage is far less expensive than a divorce.


Do you ever reduce your fees?

We do have a limited number of openings for a sliding scale fee.  We recognize that this is an important service that we can offer, particularly in these tough economic times.


Do you accept credit cards?

Yes. We accept VISA, Mastercard and Discover.
   


What are your fees?

John’s fee is $130 per session. 
Sally’s fee is $100 per session.
        Pre-pay for 3 sessions and receive a 5% discount.

How often are sessions scheduled?

Sessions are generally scheduled weekly until there is an improvement in the problem, generally after 2 or 3 sessions.  After that time, sessions are spaced out.


How long does treatment usually last?

We generally see people 8-10 times over 3-4 months.  We have several clients who complete their work more quickly, others who take longer.  We each have clients who schedule regular monthly or quarterly appointments with us … just to stay on track.


How long are sessions?

Sessions last for 55 minutes.  We are open to contracting for longer sessions as some would like to spend a more concentrated amount of time, especially if they are traveling from out of town.


Should I come for couples counseling, even if my partner will not come with me?

While we always prefer to see couples together at the first session, coming on your own is okay. There are ways that we can coach half of a couple to try different things as a way of impacting the relationship.  We do know techniques that one person can use to change the dynamics of the relationship.


What generally happens in the first session?

We use the first session as an opportunity to get to know each other so that we can both evaluate if we are able to work together, if we can be helpful to you and you can feel comfortable with us and our style.

 
At the first session, we want to get an understanding of how each person would describe the problem that brought them to therapy. We also will spend time setting goals and getting a clear understanding of how things will look when therapy is over.
 

We also want our clients to leave with a clear understanding of some steps that they can take to achieve the changes that they want.  Occasionally we will provide homework, exercises or reading, for clients to complete in between the sessions.


What is your approach/philosophy as a couples’ therapist?

We are generally influenced by recent research in the area of positive psychology, including people such as John Gottman, (The Seven Principles for Making Marriage Work), and Martin Seligman (Authentic Happiness).


Do couples really find success in couples counseling?

Research indicates coming sooner rather than later is important.  All normal couples have difficult times when they feel stuck and treating couples’ consultation as a normative event in the marriage is healthy.    Even with long-stuck patterns, change can occur with motivation, effort, and the right approach.


Want to learn more about us and our approach?  Please contact Sally or John at Couples Counseling of Louisville and let's talk about what is happening in your life and your relationships.