Frequently Asked Questions About Our Counseling Services in Bozeman

hr

Below is a list of our most frequently asked questions. Not seeing an answer to your question? Please don’t hesitate to contact us.

Appointments

How Do I Get Started?

It’s easy to get started with counseling! Call our office at (406) 582-0500 or email us at help@gallatinpsychotherapy.com to schedule an initial consultation or ask questions you may have. Your therapist will work with you to help you formulate your goals for therapy, determine what treatment will involve, and decide whether the treatment and therapist is a good fit for you.

What Can You Expect if You Come for Treatment?

We will spend the first two to three sessions really getting to know you. At your initial consultation, you’ll share with your counselor the problems you are having, and what you’d like to be different. Your therapist will share with you their sense of how much they’ll be able to help you, and you’ll get a good sense of your comfort and confidence in your therapist. If you decide to continue beyond your initial consultation, your therapist will talk to you about your past history and details of what is happening on a daily basis in your life now, including what’s going on inside your head. We spend time up front really getting to understand you so that psychotherapy can proceed as quickly and effectively as possible.

Next your therapist will propose and explain a treatment plan (what to do in therapy) that is designed specifically to produce the greatest amount of change in the least amount of time for you. If you agree, then its off to the races and treatment begins. Each week you and your therapist will be working on particular aspects of your goals. Not only will you be asked to work hard during your sessions, your therapist may assign projects for you to work on during the week, so that your learning and skills continues to develop. The point of psychotherapy is that the rest of your week becomes more and more joyful and empowering.

How Long Will Treatment Take?

Many of our clients see dramatic improvement within three to four months, and some in as little as four to eight psychotherapy sessions. Others may take a year or more before they see significant improvement. The success of psychotherapy depends only in part on the degree of trust and understanding that develops between the client and therapist, and the knowledge and skills (including psychotherapy treatments) the therapist brings to the process. Many other factors also determine how long therapy will take and how successful it will be, including the nature and severity of the client’s problems, the client’s motivation and readiness for change, the amount of homework the client does outside psychotherapy sessions, and the degree to which the client’s environment outside of therapy supports change. Once psychotherapy is underway, the client and therapist can assess all these factors and make a good estimate of how long therapy may take.

Want to see faster results? Lori Marchak and John Wimberly both offer intensive psychotherapy services for couples and individuals. These intensive services  are designed to accomplish months of treatment in one, 15-hour week.

Insurance, Payment & Fees

What are your fees?

Our fees for service vary by clinician and can depend on whether your therapist is an in-network or out-of-network provider for your insurance company. Our standard clinician fee for 55-minute initial consultations is $150, and $135 per regular 55 minute session. Some clients prefer 90 or 120-minute sessions; in this case additional charges are paid for entirely by the client. Typically health insurance will cover only one 55-minute session per day.

If your counselor is a preferred provider for your insurance company, you may have a lower fee that is negotiated by your insurance company. Not all therapists are in-network providers for all insurance companies. If you have health insurance coverage, your in-network or out-of-network deductible and co-pays apply.

What insurance carriers do you accept?

By law, insurance plans must cover mental health services for qualifying conditions. Most of our staff are in-network providers for Blue Cross Blue Shield and Allegiance, and provide out-of-network services for most other insurance companies. Lori Marchak is an out-of-network provider for all insurance companies.

Do you accept Medicaid and Medicare?

Unfortunately, we do not have a Medicare provider, and Medicare excludes LCPC services from their coverage. We have very limited openings for Medicaid clients. Please call to inquire about current availability of Medicaid openings.

Psychotherapy

Does everyone benefit from psychotherapy?

Unfortunately, no. We help most but not everyone who is referred to our practice. We assess as honestly and openly as possible with each client what it will take for them to meet their goals in terms of time in therapy and client effort.

In order of importance, research shows that degree of psychotherapy success depends on client factors, the quality of the client-therapist relationship, and the knowledge and skills of the therapist. Client factors that impact probability of success include motivation for change, existing internal resources (e.g., optimism, ability to self-reflect), length of distress (e.g., situational vs. life-long), quality of social support, degree of family support in general and for seeking professional help in particular, and ability to afford services.

We help clients understand where and when there are factors that make change difficult and are able to help many clients address their barriers to change. Because the quality of the client-therapist relationship is critically important, we schedule initial consultations in large part to assess “fit.” Clients are not charged for an initial consultation unless they decide to continue with the consulting therapist.

What Kinds of Psychotherapy Approaches are Used?

While each treatment program is individualized, your program is likely to consist of one or more of the following treatments: Internal Family Systems (IFS), Emotionally Focused Couple Therapy (EFT), and Cognitive-Behavioral Therapy (CBT). We experience Internal Family Systems and Emotionally Focused Couple Therapy to be the two most powerful approaches to treatment of anxiety, depression, relationship issues, self-esteem and trauma available. We find that the combination of these two approaches can be even more powerful. We now rarely recommend CBT, EMDR, mindfulness-based therapies such as Acceptance and Commitment Therapy, or other empirically-based treatments, including Dialectical Behavior Therapy (DBT), that we have used successfully in the past.

Internal Family Systems (IFS) works by helping people to separate out different parts of themselves, to develop a clear understanding and appreciation for each part. It’s normal to have many different parts, and for parts to be in conflict, repressed, and in extreme positions. With space to appreciate each part for it’s positive intent, and to heal vulnerable parts that hold negative experiences and beliefs, people can experience powerful relief and transformation.

Emotionally Focused Couple Therapy (EFT) is the most powerful and popular approach to working with couples. EFT is a powerful way to transform negative patterns that couples often find themselves stuck in, and a surprisingly effective treatment for many mental health issues when both members of a couple are engaged.

Cognitive-Behavioral Therapy (CBT) works by understanding how a person’s thinking patterns and behaviors contribute to their experience of anxiety. For example, a person may tend to think things like: “this is too hard, I won’t be able to handle this. I’m not good enough to do this. What if something goes wrong, that would be really bad and terrible.” These kinds of thoughts will tend to have most of us become increasingly anxious. It is very important to be able to become aware of what we are thinking, and to learn more balanced, accurate, and helpful ways of thinking. CBT also focuses on behaviors that tend to initiate or maintain anxiety. For example, if a person has had a panic attack in some public place, that person may want to avoid public places for fear that they might have another panic attack. Avoiding sort of helps people to avoid panic, but it also serves to keep some of the anxiety locked in place. These kinds of behaviors (things we do to manage our anxiety), are also a key target of CBT.

EMDR (Eye Movement Desensitization and Reprocessing) is used to allow clients to work through traumatic or difficult experiences from the past and in the present that might be contributing to anxiety. For example, if a child is bitten by a dog, the child may remain fearful and anxious around dogs, even until much later in her or his life. The adult may not even have any recollection of the bad experience with this dog, but this experience may be stored in his or her brain and that fear might get activated every time certain situations are encountered. These activations of past scary or difficult experiences may lead directly to phobias, excessive worry, or panic. These kinds of experiences can be effectively treated with EMDR. EMDR facilitates the processing of these events, so that the original fear, pain, or anxiety are no longer triggered. Successful treatment with EMDR removes the origin of the anxiety, and so anxiety symptoms are often quickly eliminated or reduced.

Acceptance and Commitment therapy (ACT) reduces or eliminates the power that anxious thoughts and feelings have over our lives. It is a sophisticated approach to psychotherapy that teaches clients how to fundamentally accept their thoughts and feelings so that these same thoughts and feelings no longer have the power to dictate how we experience our lives. ACT also places great importance on defining how we want to live, what is fundamentally important to us, and then to proceed to act in ways that support us in moving towards our most sought after life goals.

Do you work with children and families?
Our practice specializes in working with adults of all ages. We do not work with children or families. We do work with couples, mothers and fathers who seek to become more effective parents given the unique demands of their child and family situation.
What is the Anxiety Treatment Center?
The Anxiety Treatment Center was developed by the staff at Gallatin Psychotherapy, Inc. and is led by John Wimberly, Ph.D. to deliver the best that psychotherapy has to offer for the treatment of anxiety. Gallatin Psychotherapy, Inc. is a group psychotherapy practice owned by Lori Marchak, LCPC and John Wimberly, Ph.D. The center is located at the offices of Gallatin Psychotherapy, Inc. at 1902 W. Dickerson in Bozeman.
Do you prescribe anti-depressants?

Psychotherapy is a type of treatment that does not involve medicine. While we fully support our client’s use of medication to treat anxiety, depression and other mental health issues, we do not and are not qualified to prescribe medications or give medical advice. To discuss medication for psychological symptoms, we recommend you contact a psychiatrist or your primary care provider.