Health Psychology & Behavioral Medicine...

Coping with medical illness and its treatment can be a very challenging experience. Psychotherapy is increasingly playing a role in helping people meet and overcome these challenges. Whether it is in the form of facilitating lifestyle changes or learning new approaches to improve functioning and reduce symptoms, psychotherapy may be able to help. I have successfully worked with people facing a range of medical concerns including:

• Chronic Pain
• Chronic illness
• Infertility
• Cancer
• Terminal Illness
• Weight Loss
• Fibromyalgia
• Irritable Bowel Syndrome
• Multiple Sclerosis
• Spina Bifida

...to name a few. I also perform pre-surgical bariatric evaluations and pre-surgical screenings for lumbar fusion.

My approach to treatment varies based on the presenting issue. For example, in chronic pain and post operative adjustment I typically use a cognitive behavioral therapy approach whereas in catastrophic illness and end of life issues I may integrate dialectical behavior therapy (DBT) and existential approaches into the therapy. What is consistent is a warm and empathic atmosphere, deep knowledge and experience, and a willingness to work with physicians and family.

Several medical illnesses can have a significant impact on a family and may require counseling to address the emotional, psychological, and practical challenges they present. Some of these illnesses include:

Cancer: A cancer diagnosis can be emotionally devastating for both the patient and their family members. Counseling can help individuals cope with the stress, grief, and uncertainty associated with cancer and its treatment.

Chronic Illnesses: Conditions such as diabetes, multiple sclerosis, lupus, and others can require ongoing management and support. Counseling can assist families in adjusting to lifestyle changes, coping with the demands of caregiving, and dealing with emotional strain.

Mental Health Disorders: Conditions like depression, anxiety disorders, bipolar disorder, schizophrenia, and others can affect not only the individual with the diagnosis but also their family. Family counseling can help improve communication, set boundaries, and promote understanding.

Substance Abuse: Substance abuse and addiction can severely strain family relationships and dynamics. Counseling can be beneficial in helping family members support their loved one's recovery and address their own emotional well-being.

Alzheimer's Disease and Dementia: Dementia can profoundly impact families as they watch their loved one's cognitive abilities decline. Counseling can help families navigate caregiving challenges and cope with the grief associated with progressive memory loss.

Pediatric Illnesses: Serious illnesses in children can be emotionally overwhelming for parents and siblings. Counseling can offer support and coping strategies for the entire family during difficult times.

Traumatic Injuries: Accidents or severe injuries can disrupt family life, leading to emotional distress and lifestyle adjustments. Counseling can aid in processing trauma and rebuilding family bonds.

Genetic Disorders: Genetic conditions can raise complex emotional and ethical concerns within families. Counseling can help individuals and families navigate these challenges and make informed decisions about treatment and future planning.

Terminal Illness: When a family member is facing a terminal illness, counseling can offer a safe space to address end-of-life issues, process emotions, and strengthen family connections.

Chronic Pain Disorders: Conditions like fibromyalgia or chronic migraines can impact a person's ability to function and participate fully in family life. Counseling can provide coping strategies for both the individual and their loved ones.

In each of these cases, seeking professional counseling or therapy can provide valuable support, improve communication, and help families adapt to the challenges brought on by medical illnesses. It is essential to remember that seeking help is a sign of strength and can lead to improved overall well-being for both the affected individual and their family members.

In my practice, an individual therapy appointment typically lasts 45 minutes and the fee is $200 per session. I maintain a non-managed care practice and do not routinely provide information to insurance companies or seek authorization from them. I will, however, provide documentation requested by the client "going out of network" and seeking reimbursement from their insurer. This reimbursement typically ranges from 50 - 80%, after meeting a deductible. (Note: Before seeing any out-of-network provider, it is recommended that you contact your insurance company to determine your mental health coverage). Appointments are most often scheduled once per week and the number of sessions varies, based on the needs of the client. Sliding scale is available.

If you are interested in psychotherapy or would like to learn more about how therapy may be able to help you, please contact me for additional information. First appointments can often be scheduled within 24 hours.