Counseling for AdultsIndividual counseling for adults follows the typical talk therapy format, with a few unusual options as needed, including:
1. Walk + Talk: take it outside! Often people find it easier to talk about sensitive topics while walking outside. The power of nature helps us to feel grounded, which make opening to conversation easier. 2. Home Visits: it may be possible for us to come to you! Certain circumstances can make it important for home therapy visits. If you are interested in learning more about eligibility, just ask! 3. Sporadic sessions: does your occupation require extended travel or strange hours? Do you worry this will be a barrier for therapy? Not here! We can get creative about when and how we meet. Set up a intro phone call so we can discuss it. Very individualized plans meet all sorts of needs. Vertical Divider
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What to Expect
Well hi! I'm so glad you've landed here. It gives me a chance to tell you what to expect, so that there are no surprises. If you read through this page, you will not only get loads of questions answered, but you can take you time sorting through it, which allows us to get started right away with helping you get to a better place, rather than taking the first session to go over all of this information. If you do have additional questions that come up when perusing this site, please don't hesitate to ask us. You can either jot down questions and bring them to your session, or you can send us the questions right away by clicking on the CONTACT tab at the bottom of the page and send us an email. Don't be shy, we want to hear from you because we want this to be a comfortable and efficient experience. Click on each tab below to get more specific information in that area.
Maybe you have wondered what happens to the things you tell me in session, will I have to tell anyone what you reveal or are your secrets safe with me? Good question! And here is the simple answer: what is said in my office stays in my office, with a few exceptions that are all based on safety. I'll get to those in a second. My office is a safe space for you, and I want you to know that you can share anything with me. No matter how old you are, I am a good person to talk to and I want to hear any secrets you want someone to know. Even if you are a kid or a teen, I won't share what you tell me. The only time I would share what you tell me is if I am worried about your safety, or the safety of someone else. So if you tell me something that I feel you parents, caretakers, or the authorities need to know to keep you safe, I am required by law to tell them. Here are some examples:
- If you are a kid and feeling very, very sad and don't see that it is going to get any better, and you start fading away from being with people, I would want someone who takes care of you to know how sad you are. I would want someone outside of my office to know you are hurting and need some extra support right now. In this case, I wouldn't need to give details of what you have shared with me necessarily, but I would want to make sure you had support of good people at home.
- If you are any age, and your sadness, despair, anxiety, rage, grief, take you to a place of feeling there is no way out but to hurt yourself or end your life, then I would need to bring in people who can keep you safe until you are able to keep yourself safe again.
- If you are any age, and your anger or rage take you to a place of wanting or needing to hurt someone else, then I would need to bring in people who can help keep you safe from harming someone else until you are able to keep yourself safe from hurting someone else.
- If someone is hurting you right now, I will need to tell the right people who can make sure you are safe and no longer being hurt. This includes someone touching any part of you in a way that hurts you or feels wrong. I want you to tell me if this is happening to you because no matter what, you DO NOT DESERVE to be hurt, and it's not okay. This includes someone who is stalking you, or bullying you. Your safety is so important to me, I need to make sure the right people are able to help if we need them.
Billing and Fee Policy
Here is an important thing to discuss. What do I charge and how do you pay? Read on! There is a lot of information here, but I want to be transparent about how I bill and what you can expect.
First, I am an out of network provider. That means I do not bill insurances directly. The Rose Center is a fee for service or private pay facility, so this means that you pay for my services up front. I will then given you an invoice to submit to your insurance company for reimbursement. While I can't promise that your specific insurance company will reimburse you, most companies will work with you - although not always willingly. I am willing to work with you on a payment plan if you need one. This may seem inconvenient or unfair at first, but I have very specific reasons for choosing to no longer accept insurance directly. Please read on so that you can see how it is beneficial.
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Fee Schedule
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- Diagnosis Required: If I were to bill insurance, the companies would demand that I give you a specific diagnosis for me to treat. Once I name a diagnosis, the insurance company then dictates how much they will pay, how many sessions you are allowed to have, and other rules and restrictions about your care. All these decisions are made about you and your care by people who have never met you. More to the point, this policy demands that I give you a diagnosis, even if I don't think you need one and even if you don't truly meet the criteria for a diagnosis. Insurance companies don't pay for all diagnoses, so you need specific diagnoses in order for the company to pay for treatment. So what happens if you are seeking counseling to help eliminate your fear of something, or because you want to explore how to set and maintain boundaries in your relationships, or because you want to understand your lack of motivation towards your goals? Perhaps you have several symptoms of different diagnoses, but don't truly meet criteria for any specific diagnosis. If I give you a diagnosis that doesn't fit you, I am being unethical. I can't charge an insurance company for treatment I'm not giving of a diagnosis you don't have, even though clinicians are forced to do that every day in this system. Furthermore, clinicians don't treat diagnoses, we treat the symptoms you are experiencing. The diagnosis is not nearly as important as the specific symptoms that are causing you distress. The only entities that demand a diagnosis are insurance companies and often referral agencies, if we do refer you to another place for any reason. I don't believe a person needs to necessarily be defined by a label. Private pay allows the two of us to decide what is causing your distress, how to address it, and for how long to address it. We drive the bus, and that is exactly as it should be. Finally, the diagnosis will follow you. The system is trying to change this, but until evidence says otherwise, your diagnose will become a part of your medical record. Since clinicians are aware that people can move in and out of the criteria that diagnoses require, as mental health is a fluid, breathing, changing state. The diagnosis doesn't reflect this truth if it becomes a fixed part of your record.
- Confidentiality: One of my biggest concerns is the confidentiality of your records by the insurance company. If you have already clicked on the "Confidentiality" tab above, then you are aware how sacred confidentiality is and how rigorously I vow to protect it while we work together and after you are discharged. But I can't promise the insurance companies hold themselves to the same high ethical standard. And I don't want your information to be revealed without your consent. I have had many clients who learned that their employers (who provided the insurance) were able to see where insurance money is going, and are therefore able to infer things about you based on the name of the organization or payee. In some cases, clients told me their employers were able to learn the diagnosis. Who wants that? No one. You have the right to decide what information is revealed about you, and to whom the information is given. That is always your right. Don't forget it.
- Time Required: If I were to bill insurance, the companies typically make it difficult for me to be paid. They require a lot of paperwork, and sadly, they often require me to get on the phone and spend hours tracking them down and getting them to pay for my services. They simply don't make it easy. All of that time spent with the paperwork and the phone calls is unpaid time for me, and I would rather spend my time helping people instead of chasing down insurance companies for free.
- Inadequate Reimbursement: And as a bonus, the companies don't ever pay my whole fee, regardless of the company. In fact, it typically slightly more than half of my fee. This doesn't include the unbillable hours I mentioned above. It feels like nobody wins, except the insurance companies.
Taking all of these truths into account, I become more and more disillusioned with using insurance companies in my practice. I understand money is stretched thin in most families, and it can be a challenge to come up with a fee, compared with a smaller co-pay. But you don't get to navigate your own care, and that is an important part of taking charge of your own mental health. I would rather work with you on a payment plan and have exactly the type, duration, and focus of therapy that you desire and need. I have never had a client tell me the counseling wasn't worth paying for. Not once.
You, my friend, have a lot of rights. As it should be! You have rights in every aspect of treatment, and you need to know what they are. These rights mean that you have to give your consent to everything I do, with a few exceptions. So it is important that you a) give your consent where I need you to, b) understand all the rights you have as a client of ours, and 3) understand all the exceptions to needing your consent. That is what this section is about. We're going to explain all of your rights here, and at the bottom of this page is a link to go fill out the required forms safely. You will have access to all of your signed forms, should you need them. We can also email . you a link to complete the forms if you would prefer. These forms must be signed by you BEFORE you come in for your first session. Once you sign these forms the first time, you won't need to sign them again. The one exception to this is the release of information, which you may need to sign during your treatment. More on that below. Happy reading!
Informed Consent
[This is the form where you agree to be treated by me, in other words, you give your permission for me to help you. In addition, there are a few things you need to agree to.]
Thank you for choosing the therapy practice of Jennifer D. Berton, Ph.D., L.I.C.S.W., C.A.D.C.-II. Today’s appointment will take approximately 50-70 minutes. We realize that starting counseling is a major decision and you may have many questions. This document is intended to inform you of my policies, State and Federal Laws, and your rights. If you have other questions or concerns, please ask and I will try my best to give you all the information you need. I, Jennifer D. Berton, Ph.D., L.I.C.S.W., C.A.D.C.-II have earned a Bachelor of Arts Degree in Psychology and a Masters and Doctoral Degree in Social Welfare from the University of California, Berkeley. I am licensed by the States of Rhode Island and Connecticut as a Licensed Independent Clinical Social Worker. I am also credentialed as a Certified Alcohol and Drug Counselor. I have over 20 years of clinical experience in treating adolescents, adults and families using individual, couples, family, and group therapy, specializing in substance abuse and mental health. In addition, I supervise other therapists and run a company that trains other clinicians. I, Jennifer Berton, Ph.D., L.I.C.S.W, C.A.D.C.-II practice a solution-focused, ecosystems, strengths-based approach for most conditions. I am trained in many specific treatment models, yet find myself utilizing components of motivational interviewing, cognitive behavioral therapy, mindfulness, acceptance and commitment therapy, and dialectical behavior therapy most often. Other treatment approaches may be used depending on the person or condition. Treatment practices, philosophy and plan limitations and risks will be discussed with you today.
CONFIDENTIALITY AND EMERGENCY SITUATIONS: Your verbal communication and clinical records are strictly confidential except for: a) information (diagnosis and dates of service) shared with your insurance company to process your claims, b) information you and/or you child or children report about physical or sexual abuse; then, by Rhode Island State Law, I am obligated to report this to the Department of Children and Family Services, c) where you sign a release of information to have specific information shared and d) if you provide information that informs me that you are in danger of harming yourself or others e) or when required by law. If an emergency situation for which the client or their guardian feels immediate attention is necessary, the client or guardian understands that they are to contact the emergency services in the community (911) for those services. I, Jennifer D. Berton, will follow those emergency services with standard counseling and support to the client or the client's family.
CONSENT FOR EMERGENCY CONTACT: I understand that if some medical or psychiatric emergency befalls me while in a counseling session, I authorize the following emergency contact person to be notified of the emergency: [you will input contact information for a specific person when you actually fill out this form].
FINANCIAL/INSURANCE ISSUES: I ask that at each session you pay your full fee for the session. I am happy to provide you with an invoice and record of payment for you to submit to your insurance company if you would like to be reimbursed. I cannot guarantee that your insurance company will reimburse you, or how much they will give you, but I am happy to help you by providing the necessary documentation. After 60 days any unpaid balance will be charged 1.5% interest a month (18% APR). In the event that an account is overdue and turned over to our collection agency, the client or responsible party will be held responsible for any collection fee charged to my office to collect the debt owed. I ask that every client authorize payment of medical benefits directly to Jennifer D. Berton, Ph.D., L.I.C.S.W., C.A.D.C.-II.
ATTENDANCE POLICY: If you need to cancel or reschedule an appointment, please give 48 business hours advance notice, otherwise you will be billed at the hourly rate. I sincerely appreciate your cooperation and at any time you have any questions regarding insurance, fees, balances or payments please feel free to ask.
VISUAL IDENTIFICATION: It is required that I have a visual identifier in addition to the other information you provide me about yourself. By signing below, you indicate your understanding that this form of identification, either a photograph we take or one you provide, will never be released to anyone under any conditions except when required by law.
COORDINATION OF TREATMENT: It is important that all health care providers work together. As such, I would like your permission to communicate with your primary care physician and/or psychiatrist. Your consent is valid for one year. Please understand that you have the right to revoke this authorization, in writing, at any time by sending notice. However, a revocation is not valid to the extent that I have acted in reliance on such authorization. If you prefer to decline consent no information will be shared.
CONSENT FOR TREATMENT OF CHILDREN OR ADOLESCENTS: I/We consent that _____________________________________ maybe treated as a client by Jennifer D. Berton, Ph.D., L.I.C.S.W., C.A.D.C.-II. At times it maybe necessary to schedule appointments during school hours. We ask for your cooperation to provide the most timely treatment for you and your children.
Thank you for choosing the therapy practice of Jennifer D. Berton, Ph.D., L.I.C.S.W., C.A.D.C.-II. Today’s appointment will take approximately 50-70 minutes. We realize that starting counseling is a major decision and you may have many questions. This document is intended to inform you of my policies, State and Federal Laws, and your rights. If you have other questions or concerns, please ask and I will try my best to give you all the information you need. I, Jennifer D. Berton, Ph.D., L.I.C.S.W., C.A.D.C.-II have earned a Bachelor of Arts Degree in Psychology and a Masters and Doctoral Degree in Social Welfare from the University of California, Berkeley. I am licensed by the States of Rhode Island and Connecticut as a Licensed Independent Clinical Social Worker. I am also credentialed as a Certified Alcohol and Drug Counselor. I have over 20 years of clinical experience in treating adolescents, adults and families using individual, couples, family, and group therapy, specializing in substance abuse and mental health. In addition, I supervise other therapists and run a company that trains other clinicians. I, Jennifer Berton, Ph.D., L.I.C.S.W, C.A.D.C.-II practice a solution-focused, ecosystems, strengths-based approach for most conditions. I am trained in many specific treatment models, yet find myself utilizing components of motivational interviewing, cognitive behavioral therapy, mindfulness, acceptance and commitment therapy, and dialectical behavior therapy most often. Other treatment approaches may be used depending on the person or condition. Treatment practices, philosophy and plan limitations and risks will be discussed with you today.
CONFIDENTIALITY AND EMERGENCY SITUATIONS: Your verbal communication and clinical records are strictly confidential except for: a) information (diagnosis and dates of service) shared with your insurance company to process your claims, b) information you and/or you child or children report about physical or sexual abuse; then, by Rhode Island State Law, I am obligated to report this to the Department of Children and Family Services, c) where you sign a release of information to have specific information shared and d) if you provide information that informs me that you are in danger of harming yourself or others e) or when required by law. If an emergency situation for which the client or their guardian feels immediate attention is necessary, the client or guardian understands that they are to contact the emergency services in the community (911) for those services. I, Jennifer D. Berton, will follow those emergency services with standard counseling and support to the client or the client's family.
CONSENT FOR EMERGENCY CONTACT: I understand that if some medical or psychiatric emergency befalls me while in a counseling session, I authorize the following emergency contact person to be notified of the emergency: [you will input contact information for a specific person when you actually fill out this form].
FINANCIAL/INSURANCE ISSUES: I ask that at each session you pay your full fee for the session. I am happy to provide you with an invoice and record of payment for you to submit to your insurance company if you would like to be reimbursed. I cannot guarantee that your insurance company will reimburse you, or how much they will give you, but I am happy to help you by providing the necessary documentation. After 60 days any unpaid balance will be charged 1.5% interest a month (18% APR). In the event that an account is overdue and turned over to our collection agency, the client or responsible party will be held responsible for any collection fee charged to my office to collect the debt owed. I ask that every client authorize payment of medical benefits directly to Jennifer D. Berton, Ph.D., L.I.C.S.W., C.A.D.C.-II.
ATTENDANCE POLICY: If you need to cancel or reschedule an appointment, please give 48 business hours advance notice, otherwise you will be billed at the hourly rate. I sincerely appreciate your cooperation and at any time you have any questions regarding insurance, fees, balances or payments please feel free to ask.
VISUAL IDENTIFICATION: It is required that I have a visual identifier in addition to the other information you provide me about yourself. By signing below, you indicate your understanding that this form of identification, either a photograph we take or one you provide, will never be released to anyone under any conditions except when required by law.
COORDINATION OF TREATMENT: It is important that all health care providers work together. As such, I would like your permission to communicate with your primary care physician and/or psychiatrist. Your consent is valid for one year. Please understand that you have the right to revoke this authorization, in writing, at any time by sending notice. However, a revocation is not valid to the extent that I have acted in reliance on such authorization. If you prefer to decline consent no information will be shared.
CONSENT FOR TREATMENT OF CHILDREN OR ADOLESCENTS: I/We consent that _____________________________________ maybe treated as a client by Jennifer D. Berton, Ph.D., L.I.C.S.W., C.A.D.C.-II. At times it maybe necessary to schedule appointments during school hours. We ask for your cooperation to provide the most timely treatment for you and your children.
Client Rights
Right to request how I contact you
It is my normal practice to communicate with you about health matters (e.g. appointment reminders) via email through my website system. Sometimes I may leave messages on your voicemail. You have the right to request that my office communicates with you in a different way.
Right to release your medical records
You may consent in writing to release your records to others. You have the right to revoke this authorization, in writing, at any time. However, a revocation is not valid to the extent that we acted in reliance on such authorization.
Right to inspect and copy your medical and billing records.
You have the right to inspect and obtain a copy of your information contained in our medical records. To request access to your billing or health information, please submit a written request to me. Under limited circumstance we may deny your request to inspect and copy. If you ask for a copy of any information, I may charge a reasonable fee for the costs of copying, mailing and supplies.
Right to add information or amend your medical records.
If you feel that information contained in your medical record is incorrect or incomplete, you may ask us to add information to amend the record. We will make a decision on your request within 60 days, or in some cases within 90 days. Under certain circumstance, we may deny your request to add or amend information. If we deny your request, you have a right to file a statement that you disagree. Your statement and our response will be added to your record. We will require you to submit your request in writing and to provide an explanation concerning the reason for your request.
Right to an accounting of disclosures.
You may request an accounting of any disclosures, if any, I have made related to your medical information, except for information I used for treatment, payment, or health care operational purposes or that I shared with you or your family, or information that you gave specific consent to release. It also excludes information I was required to release. To receive information regarding disclosure made for a specific time period no longer than six years, please submit your request in writing. I will notify you of the cost involved in preparing this list.
Right to request restrictions on uses and disclosures of your health information.
You have the right to ask for restrictions on certain uses and disclosures of your health information. This request must be in writing; however, we are not required to agree to such a request.
Right to complain.
If you believe your privacy rights have been violated, please contact me personally and discuss your concerns. If you are not satisfied with the outcome, you may file a written complaint with the U.S. Department of Health and Human Services. An individual will not be retaliated against for filing such a complaint.
Right to receive changes in policy.
You have the right to receive any future policy changes secondary to changes in state and federal laws.
It is my normal practice to communicate with you about health matters (e.g. appointment reminders) via email through my website system. Sometimes I may leave messages on your voicemail. You have the right to request that my office communicates with you in a different way.
Right to release your medical records
You may consent in writing to release your records to others. You have the right to revoke this authorization, in writing, at any time. However, a revocation is not valid to the extent that we acted in reliance on such authorization.
Right to inspect and copy your medical and billing records.
You have the right to inspect and obtain a copy of your information contained in our medical records. To request access to your billing or health information, please submit a written request to me. Under limited circumstance we may deny your request to inspect and copy. If you ask for a copy of any information, I may charge a reasonable fee for the costs of copying, mailing and supplies.
Right to add information or amend your medical records.
If you feel that information contained in your medical record is incorrect or incomplete, you may ask us to add information to amend the record. We will make a decision on your request within 60 days, or in some cases within 90 days. Under certain circumstance, we may deny your request to add or amend information. If we deny your request, you have a right to file a statement that you disagree. Your statement and our response will be added to your record. We will require you to submit your request in writing and to provide an explanation concerning the reason for your request.
Right to an accounting of disclosures.
You may request an accounting of any disclosures, if any, I have made related to your medical information, except for information I used for treatment, payment, or health care operational purposes or that I shared with you or your family, or information that you gave specific consent to release. It also excludes information I was required to release. To receive information regarding disclosure made for a specific time period no longer than six years, please submit your request in writing. I will notify you of the cost involved in preparing this list.
Right to request restrictions on uses and disclosures of your health information.
You have the right to ask for restrictions on certain uses and disclosures of your health information. This request must be in writing; however, we are not required to agree to such a request.
Right to complain.
If you believe your privacy rights have been violated, please contact me personally and discuss your concerns. If you are not satisfied with the outcome, you may file a written complaint with the U.S. Department of Health and Human Services. An individual will not be retaliated against for filing such a complaint.
Right to receive changes in policy.
You have the right to receive any future policy changes secondary to changes in state and federal laws.
Right to Privacy
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Effective date: April 14, 2003
I, Jennifer D. Berton, PhD, LICSW, CADC-II, have been and will always be totally committed to maintaining clients confidentiality. I will only release healthcare information about you in accordance with federal and state laws, and ethical code of the counseling profession.This notice describes my policies related to the use and disclosure of your healthcare information.
Uses and disclosures of your health information for the purposes of providing services. Providing treatment services, collecting payment and conducting healthcare operations are necessary activities for quality care. State and federal laws allow me to use and disclose your health information for these purposes.
TREATMENT
I may need to use or disclose health information about you to provide, manage or coordinate your care or related services, which could include consultants and potential referral sources.
PAYMENT
I may need information to verify insurance coverage and/or benefits with your insurance carrier, to process your claims as well as information needed for billing and collection purposes. I may bill the person in your family who pays for your insurance.
HEALTHCARE OPERATIONS
I may need to use information about you to review our treatment procedures and business activity. Information may be used for certification, compliance and licensing activities.
USE OF TECHNOLOGY
The Rose Center for Learning uses several different types of technology to both communicate and to keep records. We have taken every possible action to use technology that adheres to confidentiality laws and that protects your identity to the best of its ability. However, we want you to understand there is no existing technology that is 100% safe and impenetrable, so you must know that using technology always carries a minimum risk that your identity will be exposed. You may always make your own choices about how technology will be used in your individual case. We can discuss your options in person during any of our sessions.
Other uses or disclosures of your information which do not require your consent There are some instances where we may be required to use and disclose information without your consent. For example, in the event that you and/or your child or children report information about physical or sexual abuse, I am obligated by Rhode Island State Law to report this to the Department of Social Services. Similarly, if you provide information that informs us that you are in danger of harming yourself or others, or if a crime is committed on our premises or against our staff, I am obligated to report this information to the appropriate authorities. In some cases, information required by law such as a subpoena or court order may be disclosed, although all available legal measures to protect the therapeutic relationship will be maintained.
Effective date: April 14, 2003
I, Jennifer D. Berton, PhD, LICSW, CADC-II, have been and will always be totally committed to maintaining clients confidentiality. I will only release healthcare information about you in accordance with federal and state laws, and ethical code of the counseling profession.This notice describes my policies related to the use and disclosure of your healthcare information.
Uses and disclosures of your health information for the purposes of providing services. Providing treatment services, collecting payment and conducting healthcare operations are necessary activities for quality care. State and federal laws allow me to use and disclose your health information for these purposes.
TREATMENT
I may need to use or disclose health information about you to provide, manage or coordinate your care or related services, which could include consultants and potential referral sources.
PAYMENT
I may need information to verify insurance coverage and/or benefits with your insurance carrier, to process your claims as well as information needed for billing and collection purposes. I may bill the person in your family who pays for your insurance.
HEALTHCARE OPERATIONS
I may need to use information about you to review our treatment procedures and business activity. Information may be used for certification, compliance and licensing activities.
USE OF TECHNOLOGY
The Rose Center for Learning uses several different types of technology to both communicate and to keep records. We have taken every possible action to use technology that adheres to confidentiality laws and that protects your identity to the best of its ability. However, we want you to understand there is no existing technology that is 100% safe and impenetrable, so you must know that using technology always carries a minimum risk that your identity will be exposed. You may always make your own choices about how technology will be used in your individual case. We can discuss your options in person during any of our sessions.
Other uses or disclosures of your information which do not require your consent There are some instances where we may be required to use and disclose information without your consent. For example, in the event that you and/or your child or children report information about physical or sexual abuse, I am obligated by Rhode Island State Law to report this to the Department of Social Services. Similarly, if you provide information that informs us that you are in danger of harming yourself or others, or if a crime is committed on our premises or against our staff, I am obligated to report this information to the appropriate authorities. In some cases, information required by law such as a subpoena or court order may be disclosed, although all available legal measures to protect the therapeutic relationship will be maintained.
Release of Information
In order for us to share any information about you, your treatment, or to acknowledge that we even know you, we must have a release of information form filled out and signed by you. This release will include very specific instructions about what information can be shared, for what purpose, and a time limit. You will have access to these releases, and you may change them at any time, including revoking them.
Let's chat about diagnosis for a moment. A diagnosis is a label that a therapist or medical professional can give you to help explain the cluster of symptoms you may be experiencing. It does NOT define you, even though there are some who would make you think so. Originally, a diagnosis was a simple way for clinicians to talk to each other, a short hand way of giving some idea of the challenges or struggle you are experiencing. It was never meant to indicate treatment, to suggest length or frequency of sessions, or to recommend payment adjustments. Insurance companies, and other institutions, have grabbed hold of the diagnosis and made it much more than it was ever supposed to be. And that's unfortunate. Now, many people seem themselves through the lens of their diagnoses, and that's a shame. Because you are so much more than your diagnosis. So much more.
I will only give you a diagnosis if a) you meet criteria for a diagnosis, b) it would be helpful for you to have a diagnosis. In many cases, I don't give you a diagnosis because you are either don't meet criteria or if there is no helpful reason to give you one. You do not need a diagnosis to work with me. You will, however, need a diagnosis in order for insurance to reimburse your session payments. If you are going to ask me to submit invoices to your insurance company, I must include a diagnosis. In those cases, you and I will discuss the diagnosis. I am not willing to give you a diagnosis if you do meet criteria for one, even if you need to be reimbursed.
I will only give you a diagnosis if a) you meet criteria for a diagnosis, b) it would be helpful for you to have a diagnosis. In many cases, I don't give you a diagnosis because you are either don't meet criteria or if there is no helpful reason to give you one. You do not need a diagnosis to work with me. You will, however, need a diagnosis in order for insurance to reimburse your session payments. If you are going to ask me to submit invoices to your insurance company, I must include a diagnosis. In those cases, you and I will discuss the diagnosis. I am not willing to give you a diagnosis if you do meet criteria for one, even if you need to be reimbursed.
There are two reasons why you would be discharged.
Completion: If you have completed all the treatment goals that were created throughout the course of treatment, you will be discharged from The Rose Center for Learning. The door will always be open to you in the event that you need support or treatment in the future, but for now you are graduating! Yipee!!!
Referral: If you and The Rose Center are no longer a good match. This could be for several reasons. Perhaps you are moving out of the area and we can no longer work together for geographical reasons. Perhaps your needs would be better met by another professional. Perhaps you have not been compliant with the policies and procedures of The Rose Center, or have not been adhering to the treatment contract. In those cases, we will make every effort to match you with an alternative provider. We reserve the right, however, to terminate our relationship if you are unwilling to work with us.
Completion: If you have completed all the treatment goals that were created throughout the course of treatment, you will be discharged from The Rose Center for Learning. The door will always be open to you in the event that you need support or treatment in the future, but for now you are graduating! Yipee!!!
Referral: If you and The Rose Center are no longer a good match. This could be for several reasons. Perhaps you are moving out of the area and we can no longer work together for geographical reasons. Perhaps your needs would be better met by another professional. Perhaps you have not been compliant with the policies and procedures of The Rose Center, or have not been adhering to the treatment contract. In those cases, we will make every effort to match you with an alternative provider. We reserve the right, however, to terminate our relationship if you are unwilling to work with us.