Common Questions

There are many reasons therapy could be a good and important choice for you.


Consider where you are at this moment in your life.  Presumably you’re thinking about therapy because parts of your life are not as satisfying or as rewarding as you’d like.  Perhaps you feel alone and alienated.  Perhaps you are deeply unhappy or distressed about past regrets or trauma.


There are two important things for you to recognize about yourself today:

          You have the courage to reflect on your life and seek change.

          You have the capacity to reach out and seek guidance.


If you’ve reflected on your life and decided to seek help, you are a good candidate for therapy.


Below are answers to some questions you may have regarding seeking therapy or the therapy process.

Is therapy right for me?


Seeking out therapy is an individual choice.  There are many reasons why people come to therapy. Sometimes it is to deal with long-standing psychological issues, such as problems with anxiety or depression.  Other times it is in response to unexpected changes in one's life, such as infidelity, divorce or a work transition.  Working with a therapist can help provide insight, support, and new strategies for all types of life challenges, anger issues, compulsive behaviors, and adjusting to  life cycle transitions.  Therapy is right for anyone who is interested in getting the most out of life by taking responsibility, cultivating self-awareness, and working towards change.



Do I really need therapy? I can usually handle my problems.


Everyone goes through challenging situations in life, and while you may have successfully navigated through other difficulties you've faced, there's nothing wrong with seeking out extra support when you need it.  In fact, therapy is for people who have enough self-awareness to realize they need a helping hand, and that is something to be admired.  You are taking responsibility by accepting where you're at in life and making a commitment to change the situation.  Therapy has been shown to provide significant benefits, helping you access the skill and courage you need to bring about change in your life.



How can therapy help me?


A number of benefits are available from participating in psychotherapy.  Therapists provide a safe and confidential time and space for exploring your most troubling or persistent problems.  Therapists are professionally trained to offer support, perspective, insight, problem-solving skills, and coping strategies for issues such as depression, anxiety, relationship troubles, unresolved trauma, grief, stress management, low self-worth, low motivation, and having a nagging “inner critic.”  Therapists can provide a fresh perspective on a difficult problem and assist you in identifying the best way forward.  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, grief, depression, and other emotional pressures

  • Improving communication and listening skills

  • Changing old behavior patterns and developing new ones

  • Discovering new ways to solve problems in your family or marriage

  • Cultivating compassion for yourself and honoring your goals and dreams.



What is therapy like?


Every therapy process is unique and caters to you and your specific goals.  The therapy process often begins with an extended assessment session, in order for you to be sure you feel comfortable with the therapist you have chosen, and for the therapist to be sure he or she can address your issues competently.  Ongoing therapy sessions are usually planned for 50 minutes, on a weekly basis.  Therapy can be brief, and focused on a specific goal, or longer-term, addressing entrenched issues or offering support for a lasting situation, such as a spouse’s disability or a child’s behavioral problem.  There may be times when you are asked to complete a task between sessions, such as reading a book or keeping track of your reactions to stressful situations.  Therapy is most effective when you are an active participant, both during and between the sessions.   


Here are some things you can expect out of therapy:

  • Compassion, respect, and understanding

  • Perspective to illuminate persistent patterns of thoughts and feelings

  • Real strategies for enacting positive change

  • Effective and proven techniques along with practical guidance



Is medication a substitute for therapy?


In some cases a combination of medication and therapy is the right course of action.  Working with your medical doctor you can determine what's best for you.  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 constrain our progress.  You can best achieve sustainable growth and a greater sense of well-being with an integrated approach to wellness.



Do you accept insurance? How does insurance work?


Beth Spring is an out-of-network provider, so to determine if you can use insurance, the first thing to do is check with your insurance carrier.  Check your coverage carefully and find the answers to the following questions:


  • What are my mental health benefits?

  • Do I have to meet a deductible?

  • 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?



Is therapy confidential?


Confidentiality is the cornerstone of a therapy relationship.  Your therapist will not disclose to anyone what you say in a session, unless you sign a Release of Information form for the therapist to consult with your physician, former therapist, or another party you believe would assist in the therapy process.  There are exceptions, required by law, to confidentiality.  These include a threat of doing harm to yourself or to another person; evidence of possible child abuse or elder abuse; and if a judge requests the release of a therapist’s case notes.



Do you go to court on behalf of your clients?


No.  Beth does not go to court voluntarily, and she does not prepare evaluations for court.  If Beth is compelled to appear in court by a judge, she will charge the client a substantial daily fee to cover her time for preparation, travel, and to compensate for the other appointments that would need to be cancelled.  When a client has been ordered to therapy by court or by an employer, Beth would be happy to write a letter documenting attendance and participation in therapy sessions.  A signed release is required in order to do so, and she will provide a copy of the letter to the client.