Therapy

Individual, Couples, and Family Counseling

For people struggling with depression, we work together on reduction in the severity of depressive symptoms. When I work with people who suffer from depression I utilize two techniques to help people improve their ability to cope with depressive emotions, first I like to use Behavioral Techniques to help people to reduce their depression in the moment, secondly I like to use Cognitive Behavioral Therapy (CBT) to challenge negative thoughts that may cause them to be depressed negative. CBT is know as the gold standard for treatment of depression. I also help improve your self-esteem and self-worth. Expand your social support network and reduced feelings of isolation. You & I work to increased your engagement in daily activities and improved your overall functioning.

Anxiety/Panic Disorders

Working with people who struggle with anxiety I work together with you to reduce the intensity and frequency of your anxiety symptoms. Together we will enhance your ability to manage and cope with anxious thoughts and physical sensations. You will improve your self-confidence and reduced self-doubt.  Learn relaxation skills and greater emotional regulation. You will enhanced problem-solving skills to address stressors and challenge your negative thoughts.

 Marriage Counseling,

 The goals are to Improve communication: Couples can improve their ability to express themselves openly and empathetically., Learn conflict resolution skills: learn the 4 most common conflict resolution styles, leading to more constructive discussions and decreased negative interactions. Rebuild connection: rebuild emotional intimacy, trust, and connection by fostering understanding and mutual support. Identify and address underlying issues: Often one partner struggles with a mental health issue that impact a marriage. establish healthy boundaries: I teach couples to set and respect each other’s boundaries, fostering a sense of security and respect within the relationship. Relationship Group with Q & A,

The Relationship Group with Q & A is a sixty-minute weekly group where Randy will present a short psycho-educational presentation on several topic pertaining to Relationships.

Topics include:

Boundaries,	Respect	Communication	Conflict resolution
Trust	Infidelity	Emotional intimacy,	Betrayal
Freedom	Co-Dependency	Wholeness	Control

Due to the nature and format of the group Protected Health Information PHI cannot be given and only general principles will be discussed. In the event a couple wants specific Relationship advice they will be directed to schedule a private couples session. 

When Relationships End

We work together on 6 goals Identifying the stage of grief, Denial, Anger, Bargaining, Depression, Acceptance: Processing emotions such as grief, anger, sadness, confusion, related to the end of the relationship. I teach healthy coping strategies to manage distress, anxiety, and intrusive thoughts associated with the breakup. Self-exploration: I helped you reflect on your identity, goals, and aspirations outside of the relationship, and build a healthy self-care plan which can fostering self-discovery and personal growth. Rebuilding self-esteem: I support you in rebuilding your self-esteem and self-worth that has been negatively impacted by the breakup. Finally we focus on acceptance and moving forward: here we focused on accepting the end of the relationship and developing a plan for moving forward.  

Premarital Counseling,  

The couple will Enhance Their Communication: developing effective communication skills to foster understanding, empathy, and healthy conflict resolution. Build A Strong Foundation: couples will identify their strengths, shared values, expectations, and goals as they prepare to enter marriage. Conflict Resolution: I teach couples constructive ways to address disagreements, manage conflict, and prevent harmful relationship patterns. Emotional Intimacy I support couples and prospering emotional intimacy, trust, and a deeper connection in preparation for marriage. Preparations for Challenges: I assisted couple in discussing potential and developing strategies to navigate life’s ups and downs as a married couple.  

Addiction & Recovery

When I started providing Therapy back in the eighties less than 20% of my clients identified as having a substance use disorder. Thirty + years later over 60% of my practice. So I have developed a 5 point treatment plan to include Sobriety and Harm Reduction, Coping Skills Development, Address Underlying Issues, Relapse Prevention, Healthy Lifestyle.

Pornography Addictions

I have A  FIVE POINT approach to treating men with a Porn Addiction that focuses on Abstinence, Develop Healthy Coping Skills, Improve your Self-Esteem, Building healthy Relationships, and finally we will Develop a Relapse Prevention Plan together.

 Fee Policy

I strive to maintain a competitive fee structure. Changing economic conditions and the competitive nature of business has made it necessary for me to be fully transparent and disclosing my fee structure.  I have set my fees within the Reasonable & Customary standard for our industry and believe that clients have the right to seek services from any professional that best meet their financial goals. 

Charges are based on a standard 50 minute hour and are as follows:

                        Initial Sessions are billed @ $160 per hour and a half.

                        Individual Sessions are billed @ $130 per hour.

                        Marriage Sessions are billed @ $130 per hour.

                        Group Therapy Session is billed @ $40 per hour.

Additional services such as letter writing, consultation, etc. are billed at a prorated standard fee and will be billed at the discretion of your therapist.  We require 72 hours notice to prepare letters.  Expert Court testimony is billed @ $300 per hour, and is billed “portal to portal”.  Telephone calls lasting more than ten minutes will be charged at a prorated standard per-hour fee.  Additional services will not be billed to insurance or third party-payers; they are the sole responsibility of the client.

Randy does not bill your Insurance provide but will be happy to provide you with a super bill so you can seek reimbursement from your insurance carrier. Any and all dispute of insurance payment is between you and your insurance company.

If you are unable to attend a previously scheduled appointment, it is customary to give twenty-four hours notice to our office to avoid a standard fee of $130.  A $130 fee will be charged to the patient if they do not show up for a scheduled appointment. These charges will not be billed to your insurance company or third-party payers.