During Social Distancing
Please don’t hesitate to be in touch as I am working with clients using video and/or telephone formats. We will discuss which options may work best for you when we connect.
Sessions are paid for at the time of the service unless other arrangements have been made in advance. You may pay for sessions by cash, check or credit card. Please feel free to discuss with me during the course of our work together, any financial concerns that you may have.
Insurance claims for coverage/reimbursements are handled directly by you, as I am not a member of any insurance carriers panels. I am licensed through the State of Connecticut and once you have paid for services, I will provide you with a monthly statement of sessions and payments to submit to your company. While this statement includes all of the information you need from me for the processing of your claim, you will still need to fill out the necessary forms specific to your insurance company.
Best Way to Contact Me
You have three options for contacting me. You may leave a voicemail or send a text to (203) 552-5280 or email to Sonya@SkrTherapy.com. I will return your call, text or email within 24 hours or the next business day. I am in the office Monday through Thursday. Therefore, Friday and holiday messages will be returned on Monday or the next business day.
When the occasion arises that I need to be out of the office during regular business hours, you will be notified in advance and I will provide contact information of the professional covering for me while I am away.
If You have to Cancel
When scheduling an appointment, I am reserving a special time for you. Missed appointments that you have not cancelled at least 24 hours in advance prevent others from using the time slot. To avoid paying the normal session fee for a missed or changed appointment (except for inclement weather), necessary changes or cancellations must be made at least 24 hours in advance so I have the opportunity to schedule another client for that time period. Please note that missed appointment charges cannot be submitted to insurance.
If You are Late
Sessions are 45 minutes in length. I keep track of elapsed session time so that you can focus on the issues at hand. Occasionally sessions may run long by a few minutes, however, on a routine basis it is an important part of our work together to honor the 45 minute time frame. Clients who arrive late for their scheduled appointment will be charged the full fee but the appointment will still end at the planned time for that session. The best use of the remaining time will be applied.
In Case of Emergency
If your situation is urgent and requires immediate attention, please call 911 or go to your local emergency room and inform me as soon as possible.
A “Notice of Privacy Practices” is available for your information as required by law. Please take time to familiarize yourself with it: Click Here to View, before you come. A printed version of these policies is available at your request. This notice describes how I may use and disclose your protected health information in accordance with the law and the NASW Code of Ethics. Information disclosed within sessions is confidential and may not be revealed to anyone without written permission except where disclosure is permitted or required by law. Disclosure may be required in the following circumstances:
- When there is suspicion or proof of child abuse or abuse to a dependent or elder adult.
- When the patient communicates a threat of bodily injury to others or to the public.
- When the patient is suicidal.
- When disclosure is required pursuant to a legal proceeding.
Before Your First Appointment
Please be prepared to stay up to 60 minutes for the first session, which includes the initial consultation and intake (Regular sessions are 45 minutes long). Upon arrival, if the door to my office is open, please feel free to enter. Otherwise, kindly have a seat in the waiting room and I will be with you shortly.
During the initial visit we will review what brought you to therapy. You will also be asked what your goals are for therapy and how you will know when those goals are met. It is okay if you don’t know, we can clarify these together, but it can be helpful to think about this ahead of time if possible.
When applicable, I will prepare a simple Genogram (family tree) based on the information you are providing. This includes immediate family and extended family names, ages, occupations, ethnicity, religious affiliations, and brief medical and mental health histories. If you have information you think will be helpful, please feel free bring it with you at this time.
Except in special circumstances, meeting weekly is the most effective and efficient scheduling of visits initially. Therapist and client become familiar with one another as trust builds and a routine is established. Information from previous sessions flows into current sessions, allowing both client and therapist to make connections, deepen understanding, and make progress.
Less than weekly visits usually results in slower progress (Unless you have come specifically for EMDR sessions). Each session , spread apart as they are, ends up feeling like a “first session” as client and therapist must spend the time reviewing. Connections amongst various issues are harder to form. Revelations and ideas emerge more slowly.
Obviously there are exceptions. I am open to seeing people as often as needed and will make every effort to be as flexible as possible. Please feel free to discuss this with me during our initial conversations and throughout the course of therapy as needed.
Many people want a clear idea on how long they will be in therapy. Progress in treatment depends upon many things including the type of therapy (EMDR vs. “talk” therapy), motivation for change, frequency of visits, and the amount of work done between sessions. Sometimes I may assign “homework” and/or encourage you to keep a journal. Writing in a journal is one of many tools for dealing with feelings. You can also use the journal to keep track of your goals and progress.
You may decide to end therapy at any time. Please keep in mind that ending therapy is an important learning experience in terms of how each of us relates to and communicates with others. When you think you may be ready to stop, it is better to talk about this several weeks before you plan on ending. This allows ample time to review your reasons for ending, the work that you have done, to clarify new coping skills, and to define your future goals. It also allows time for me to provide helpful suggestions or respond to your concerns. Many people feel uncomfortable or worried that the therapist will be upset or offended. Whether we agree on the reasons or not, I recognize that ending is a natural and vital part of the therapy process.