In person appointments are available in my Framingham office on Monday, Wednesday and Friday.
Telehealth appointments are offered on Tuesday and Thursday.

In person appointments are available in my Framingham office on Monday, Wednesday and Friday. Telehealth appointments are offered on Tuesday and Thursday. | Call | Fax

  • FAQs

    How can therapy help me?

    A number of benefits are available from participating in therapy. Therapists can provide support, problem-solving skills, and enhanced coping strategies for many issues such as depression, anxiety, relationship troubles, stress management and addiction. Many people also find that therapists can be a tremendous asset to managing personal growth, interpersonal relationships, family concerns, marriage issues, and the struggles of daily life. Therapists can provide a fresh perspective on a difficult problem or point you in the direction of a solution. The benefits you obtain from therapy depend on how well you use the process and put into practice what you learn. Some of the benefits available from therapy include:

    • Attaining a better understanding of yourself, your goals and values
    • Developing skills for improving your relationships
    • Finding resolution to the issues or concerns that led you to seek therapy
    • Learning new ways to cope with stress and anxiety
    • Managing anger, depression, and other emotional pressures
    • Improving communications and listening skills
    • Changing old behavior patterns and developing new ones
    • Discovering new ways to solve problems in your family or marriage
    • Improving your self-esteem and boosting self-confidence

    What’s the difference between talking to you or my best friend or family?

    The difference is between someone who can do something, and someone who has the training and experience to do that same thing professionally. A mental health professional can help you approach your situation in a new way– teach you new skills, gain different perspectives, listen to you without judgment or expectations, and help you listen to yourself. Furthermore, counseling is completely confidential. You won’t have to worry about others “knowing my business.” Therapy provides long-lasting benefits and support, giving you the tools you need to avoid triggers, re-direct damaging patterns, and overcome whatever challenges you face. People seeking psychotherapy are ready to meet the challenges in their lives and ready to make changes in their lives.

    What is therapy like?

    Because each person has different issues and goals for therapy, therapy will be different depending on the individual. In general, you can expect to discuss the current events happening in your life, your personal history relevant to your issue, and report progress (or any new insights gained) from the previous therapy session. Depending on your specific needs, therapy can be short-term, for a specific issue, or longer-term, to deal with more difficult patterns or your desire for more personal development.

    It is important to understand that you must actively participate in the process in order to get results from therapy. The ultimate purpose of therapy is to help you bring what you learn in session back into your life. Therefore, beyond the work you do in therapy sessions, there are actions you must take outside of therapy to support your process – such as reading a pertinent book, putting skills/tools into use, journaling on specific topics, noting particular behaviors and taking action on your goals.

    What about medication vs. psychotherapy?

    It is well established that the long-term solution to mental and emotional problems and the pain they cause cannot be solved solely by medication. Instead of just treating the symptom, therapy addresses the cause of our distress and the behavior patterns that curb our progress. You can best achieve sustainable growth and a greater sense of well-being with an integrative approach to wellness. Working with your medical doctor you can determine what’s best for you, and in some cases a combination of medication and therapy is the right course of action.

    Do you take insurance, and how does that work?

    To determine if you have mental health coverage through your insurance carrier, the first thing you should do is call them. Check your coverage carefully and make sure you understand their answers. Some helpful questions you can ask them:

    • What are my mental health benefits?
    • What is the coverage amount per therapy session?
    • How many therapy sessions does my plan cover?
    • How much does my insurance pay for an out-of-network provider?
    • Is approval required from my primary care physician?

    If my insurance doesn’t cover me how do I know what I will have to pay?

    All self-pay clients have the right to a Good Faith Estimate. This Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service and rates are listed on our Rates & Insurance page (https://pathwaystopositivechange.com/rates-insurance). The estimate is based on information known at the time the estimate was created. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill.

    If you are billed for $400 or more more than your Good Faith Estimate, you have the right to dispute the bill. You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available. You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill. There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount. To learn more and get a form to start the process, go to www.cms.gov/nosurprises or call HHS at (800) 368-1019. For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call (800) 368-1019. Keep a copy of this Good Faith Estimate in a safe place or take pictures of it. You may need it if you are billed a higher amount.

    This estimate is not a contract. You are not obligated to receive services at this facility or by this provider. Our office can provide you with alternative referrals at your request.

    Are my sessions confidential?

    Confidentiality is one of the most important components between a client and psychotherapist. Successful therapy requires a high degree of trust with highly sensitive subject matter that is usually not discussed anywhere but the therapist’s office. Every therapist should provide a written copy of their confidential disclosure agreement, and you can expect that what you discuss in session will not be shared with anyone. This is called “Informed Consent”. Sometimes, however, you may want your therapist to share information or give an update to someone on your healthcare team (your Physician, Naturopath, Attorney), but by law your therapist cannot release this information without obtaining your written permission.

    However, state law and professional ethics require therapists to maintain confidentiality except for the following situations:

    • Suspected past or present abuse or neglect of children, adults, and elders requires therapists to report to the the appropriate social service agencies and/or legal authorities, including Child Protection and law enforcement, based on information provided by the client or collateral sources.
    • If the therapist has reason to suspect the client is seriously in danger of harming him/herself or has threatened to harm another person. This would include notifying the legal authorities as well as making reasonable attempts to notify the client’s emergency contact.
    • Prenatal exposure to controlled substances: In keeping with protecting vulnerable populations, therapists are required to report admitted use of controlled substances during pregnancy that are potentially harmful to the fetus.