The idea of therapy can be scary and many expect it to be painful, but the purpose of the first session is not to make you sweat. The purpose of the first session is for you and the therapist to get to know each other and determine if the therapeutic relationship is a good fit. You will be expected to fill out a few forms and discuss what brings you to therapy so the therapist can get an idea of what you expect and need, and you can begin to set your goals for therapy.
Rose Counseling Center is a fee-for-service therapy practice and accepts all insurances that have an option where you can see out-of-network providers. In order to be reimbursed by your insurance company, an invoice will be prepared for you at each appointment. The process of reimbursement includes sending the invoices with your insurance provider’s out-of-network paperwork to the insurance provider. Every employer purchases their own package of medical and mental health services for their employees. To be an informed consumer, it is important that you call member services to be informed what your deductible/ copay/ and coinsurance fees will be.

If you choose to not use your insurance, I can provide you with an invoice that you can use to receive reimbursement from your HSA account and/or use for taxes at the end of the year.

Many clients prefer not to use their insurance because they want to separate their professional lives from their personal mental health lives.

I am an in-network provider for BCBS PPO.

Therapy ends when the therapist and client mutually decide and when you have reached your goals and accomplished the things for which you sought therapy. It is preferable that you discuss the decision to end therapy with your therapist so you can evaluate together the changes you have made and discuss how you will handle future choices and challenges. The purpose of a final session is to discuss all of the progress you have made through therapy and say good-bye; think of it as closure for both you and the therapist.
The length of therapy varies with each client; we are all different and unique. Therapy can be brief or long, based on the complexity of the problem/s and the needs and motivation of the client. We stay focused on your goals and continue to develop new goals as they appear. I do make clinical recommendations to clients. It is ultimately the client’s decision to follow my recommendations. Ultimately, you are hiring me to help you improve your life. However, at important times in your life (divorce, marriage, childbirth, career change, etc.) it is helpful to check in with your therapist for a checkup, just as you would with a medical doctor. Completing a course of therapy is a major investment of your time, finances, and energy; it is an investment in yourself that can last a lifetime.
All of your personal information is kept private and locked in file cabinets, which are locked in the practice. It is possible that we may meet in public (at the store, on the metro, etc.). I will not acknowledge that I know you unless you acknowledge or approach me, and you may introduce me as a friend, acquaintance, or as your therapist; I leave that choice up to you. As your therapist my goal is to establish a safe place for you to openly explore your personal issues. I am committed to guarding your right to privacy, within the limits of the law. There are certain situations in which a therapist is required by law to reveal information obtained during therapy. Disclosure to the appropriate authorities is required by law in the following circumstances: 1. If there is a known risk of homicide or suicide. 2. If there is current and/or past child abuse or a reasonable suspicion of abuse/neglect of a child or vulnerable adult. 3. When a court of law issues a legitimate court order signed by a judge.
Yes, I am a licensed marriage and family therapist. I have received a masters degree in marriage and family therapy from the University of Maryland and have passed the licensing exam created by the Board of Professional Counselors and Therapists. Additionally, I am a licensed registered nurse.
Your scheduled session time is reserved for you. If you must cancel a session, I require 24 hour notice. If you do not call 24 hours in advance, you will be charged for the session. The same applies if you miss the session without notice. I understand that emergency situations come up and may make exceptions. Exceptions are at my discretion and will be based on frequency of occurrence. There is no charge for illness; however, to allow your reserved time to be used for another client I respectfully request notice as soon as possible. Likewise, I ask other clients to show the same respect so if you want a session, time will be available to you.
I will return all calls in a timely manner but I am not available 24/7. Calls received over the weekend can be expected to be returned Monday (unless Monday is a holiday). Therefore if you are experiencing an emergency, call 911 or go to your nearest emergency room and leave a voice message for me.
“Marriage and Family Therapists (MFTs) are mental health professionals trained in psychotherapy and family systems, and licensed to diagnose and treat mental and emotional disorders within the context of marriage, couples and family systems,” (AAMFT).
This is an important question due to the fact that technology is developing at rapid pace. Facebook is a connection to the world and it is only natural that you may want be friends with your therapist on Facebook during or after therapy has ended. I am honored that you would want to add me on Facebook as your friend however given our relationship as therapist/client, I would like to be available to you in the future should you require therapeutic services and therefore, I cannot maintain a role as both therapist and friend. I want to respect your right to confidentiality. Please know that I am available in the future should a therapeutic need arise.
Eye Movement Desensitization Reprocessing (EMDR) is approved by the American Psychological Association as the best treatment of PTSD. PTSD is a life or death experience that someone has seen or experienced first hand, produces flashbacks (intrusive memories of the event), hypervigilance (intensive continuous scanning of a situation, room, and the emotional energy of people-are they dangerous? Do I have to walk on eggshells with them? Or are they safe?), and avoidance behavior (I’m never going to drive again due to almost being killed in a car accident. I’m never going to risk falling in love again because my last partner hurt my heart.). EMDR looks at the past (how we came to believe what we believe about ourselves), present (current distress and symptoms), and future (where we’d like to be).
CBT or Cognitive Behavioral Therapy is a commonly used therapy model. It emphasizes that in order for a person’s behavior to change and be maintained, he/she must make an attitude change. CBT theory states that “behavior is maintained by its consequences,” (Nichols & Schwartz). For example, if your child whines for a cookie and you give in to stop the whining, then your child is going to whine again because it worked. CBT focuses on looking at a person’s thought processes, changing patterns of behavior, and altering the associated consequences, good or bad.
EFT or emotionally focused therapy is a model of therapy that emphasizes the importance of emotion and attachment. EFT looks at the patterns of interaction between people and the emotions they experience. EFT primarily examines present experience. The focus is on the emotions that are present during the interaction and helping people to express their wants and needs in a way that is receptive to their partner, child, parent, etc.

I would love to hear from you. Feel free to give me a call at 240-593-0444, email me at, or fill out the contact form below. Let me help you realize your full potential and bloom just like the strong and beautiful rose.

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