Life in Motion Counseling & Psychotherapy - Because the nature of existence is change.
Frequently Asked Questions
Where & when would we meet, and for how long? The Life In Motion Counseling & Psychotherapy office is centrally located in Durham, close to Duke's East Campus, in a beautiful, National Historic Register house. Individual sessions are 50 minutes. (Group sessions are 90 minutes.) Daytime appointments are more available right now, which includes early mornings (before work) and lunchtime slots. Weekend appointments are also sometimes available. I'll do whatever I can to work with your schedule.
How much does it cost? How much will insurance cover? Individual sessions are $80. Your insurance may pay a portion of this, though you may have a deductible or co-payment. Currently, I am not an in-network provider for insurance companies. It is your responsibility to file claims with your insurance company. I accept cash, checks, bank checks, and credit cards. If you plan to file for remibursement, I will provide you with receipts for you to submit to your insurance comapany. Payment is due at the time of service.
Cancellation Policy:Except in cases of emergency, a $45 fee is charged for cancelling less than 24 hours before a scheduled session. Cancellations need to be communicated by telephone, not email.
Sliding Scale: If worry about cost is standing between you and your entering counseling, I encourage you to give me a call so we can talk it over. It is important to me that people who want the work have access to it. If you feel ready and motivated about giving counseling a try, we can usually find a session fee that we are both okay with. 
A word about insurance: Most insurance companies allow a modest "Usual and Customary Rate" (UCR) as the most a provider can charge for services. If your insurance company allows a UCR of $60/hr. and requires you to pay a $50 co-pay, the insurance company is paying only $10/hr.  Insurance companies often restrict the number of sessions allowed, demand a great deal of paperwork, and require a significant amount of personal information about you to be shared with them. Insurance coverage also typically requires a diagnosis, which will become a permanent part of your medical record. So, it's worth considering whether or not to use your insurance. If you do have insurance, but would prefer not to use it for counseling, I will work with you on an out-of-pocket rate to match the UCR your policy allows.
How long does therapy take?
Well, that depends on several things. You may experience the relief you're looking for in as little as 2 or 3 sessions. Or you might decide to come for a couple of months, take a break, and come back later for further work. The nature of some issues is such that it may take a few months, a year, or more to reach a resolution you feel satisfied with. Some people re-enter therapy throughout their lives, because they find ways to grow in this process they haven't found in other modalities. It all depends on the depth and complexity of change you're seeking, the level of your motivation, how much work you want to do at this particular time. 
If counseling is providing you with support as you go through a particularly challenging transition or experience, you may only want to schedule sessions till the intensity subsides. If faced with more chronic difficulties, you may have a few sessions that equip you with new tactics to help you cope better, or you may stay longer to see how you can change your situation, your relationship to your situation, or both.
The most important thing for you to know is that the decision of how long to be in therapy is always yours. We can talk it over, and I will offer you my recommendations if you want them, but you make the decision to continue or to end your therapy.
Check back soon for more replies to some of the questions I hear most often - about therapy, in general, and my practice, in particular.
If you'd like to suggest a question for this page, email me at:
I can't promise that your exact question will appear on this page, but I will do my best to get it answered here or elsewhere on the site.
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