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For Clients

Getting Started

To make an appointment with me, please call us at 352-363-1998. My assistant will schedule you, or, we can talk briefly, and if desired, set up an appointment at my earliest opening. We’ll email you intake information for you to read and fill out.

The first session is one hour (subsequent sessions are 45-50 minutes). We’ll review your intake forms and talk about what you hope to gain from therapy, while we each assess if I’m a good fit for you. We’ll discuss office policies and procedures and I’ll answer any questions you have about the process, working with me, etc.

Services Offered

Individual psychotherapy
Group therapy

Couple’s counseling
Family counseling and consultation
Child therapy/play therapy

Coaching
Referral for psychological testing, medication, and other services as needed, if needed

How long is each session?

The first session is 60 minutes. Subsequent sessions are 45-50 minutes.

How long are most people in therapy?

Many variables influence the answer to this question. It depends on your goals and your life circumstances (time, energy, money, logistics). Some people are in therapy for many years, while others do brief work. Others go in and out of therapy as circumstances allow. I most enjoy working with people over the longer term as it affords the most rewarding  results. However I have seen therapy make a big difference in just a few sessions as well.

How do I know if you’re a good fit for me?

Consider this question seriously. Therapy is a deeply personal relationship. It’s also a commitment to and an investment in yourself. Good therapy requires trust, chemistry, and certainty—as well as kindness, and challenge. Do your homework: ask trusted friends for references, pay attention to results, listen to your gut when we meet. You’ll know if we’re a good fit!

How does insurance work?

First, you decide if you want to use insurance or pay privately. Paying privately is absolutely welcome, and the benefit to you is complete privacy. You may also use your workplace’s pre-tax Flexible Spending Account or Healthcare Spending Account (FSA or HSA), to offset the cost.

The benefit of using insurance is possible reduced cost to you, depending on the size of your deductible. The drawback is some intrusion in your privacy, as insurance companies require me to diagnose you and documentation your sessions.

Insurance is either open or managed care. If you have an open policy you chose your therapist, and your insurance company will pay for part a percentage of the “allowable” or what they state is an average cost of sessions by therapists in our locale, after you have met your insurance policy deductible. Please note that this “allowable” is a formula designed by insurance actuaries, not counselors.

We’ll begin with you paying either my full fee or your best estimate of what you owe (you can call your insurance company ahead of time to ask about your mental health benefits. The number is on the back of your insurance card). As a free service to you, my billing company will file the claim for you if you wish. Once we get the first “Explanation of Benefits” back, we’ll have a solid idea of your responsibility. In short, you’ll owe my fee minus what insurance pays.

I am not on any managed care lists at this time.

What if I need to cancel a session?

I require a minimum of 48 business hour notice for cancellations, by voice mail. I prefer more advance notice if at all possible. If you cancel a session with less than 48 hours or do not show up for a session, you are charged the full fee for our session as I cannot bill the insurance company for a session that did not happen.

That said, I know that real emergencies do happen. In case of real emergency, I offer the option to have a phone session which will mitigate the cost to you. We’ll discuss this in our first session together as we go over policies and procedures.

Cancellations and schedule changes must be done by voice mail (not email).

What is the best way to get a hold of you?

The best way is my office voice mail, which I check frequently. You can email me at lisa@lisawolcott.com; however know that email communication is neither private nor secure, and is not valid for session cancellations.

What happens when you go on vacation?

I work in an office with colleagues, so we cover each other’s phones (and provide emergency appointments if needed) for one another when we are out of the office for vacation or a conference. If a message is urgent, my covering colleague knows how to reach me. I return all other messages when I return.

Do you prescribe medication?

No. Only those with an MD, such as a psychiatrist, prescribe medication. I do evaluate the need for medication, and if you need medication, we will discuss it in our sessions and I will refer you to a psychiatrist for evaluation if needed.

Do you offer a free initial consultation?

No. My belief is that even the first session is valuable and therapeutic. Even one session can provide a breakthrough.

What are my options for beginning therapy with you? What do your services include?

We start therapy on a weekly basis and I can usually get you in for your first visit fairly quickly. As soon as we can, we get you into a time slot that works best for you.  After a couple months, if appropriate, we can discuss less than monthly if desired.

My services include a detailed intake first interview, where I gather history and really hear what it is you want to work on in therapy.

I demystify therapy for you. We talk about what works and what doesn’t, and how to get the very most out of every session. When appropriate, I use simple measures to take stock of, for example, levels of depression or anxiety, and we track it through sessions together to see your progress. I use a variety of creative tools and help keep you aware of the latest research that can help you. I listen deeply and am flexible; if what we’re doing isn’t helping, we’ll change directions. I offer coaching and mentoring to enhance life skills and help move through procrastination, obstacles or periods of apathy.

Most importantly, however, is that I create a safe, listening, kind and challenging environment where you are the focus.

Does therapy really work?

If you’re interested in improving your life, yes, therapy works. (See the “Working With Lisa” section for a descriptions of clients with whom I work well, and clients for whom my services will not work). The key is finding a therapist who makes you feel comfortable yet challenged, who provides a safe atmosphere for change, and with whom you can build a relationship rooted in trust. The other key is hanging in there when it feels like nothing is happening—because often, a lot is happening under the surface. I will never keep you in therapy with me if I believe we aren’t moving forward.

What results can I expect?

If we’re a good fit, you’ll feel better soon-often in the first session. For most people, the painful feelings they have been carrying around, sometimes in secret, are so distressing that the very act of making an appointment is a relief. For others, talking out loud to an understanding, listening, interested therapist begins to lift the burden they have been carrying. I teach my clients that progress is not linear but good therapy trends definitively in the right direction. My job is to point out–and underscore–the concrete indicators of progress that are happening, indicators that are easy to miss. Clients tell me that this practice—of holding the vision of hope while expanding their vision of progress—is key to their growth and key to feeling motivated to move through the difficult territory of change.

How quickly will I see results?

As fast as possible, given your situation. We’ll immediately identify your goals, where the obstacles to change are for you, and how to address them. At the same time, we are building a human relationship. You have probably heard before that progress is not a steady climb up a straight mountain road. Rather, it is a series of twists and turns, yet all moving in the right direction. My job is to make explicit the results I see—ones that can be veiled for a client mired in anxiety, depression, or chaos in their life. As we compile the evidence of results, change happens even more quickly. I love seeing this process happen with clients.

How can I guarantee that I’ll get the most from your services?

Show up on time. Treat our time together as a precious investment in yourself. Educate yourself on the process of therapy. Familiarize yourself with some common ways people can sabotage their own growth, acknowledge that even you may do so, and resolve to discuss this—even if it feels uncomfortable—in your session. Be as honest and as transparent as you feel you can be in sharing information. Stay current with payment so that issues around this do not get in the way of us both being fully present for your therapy. Entertain the notion that I might have something to say, even if you initially disagree or wish to disregard it. Seek out ancillary avenues of growth—group therapy, reading about psychotherapy and human growth, seminars, and bring what you learn into our sessions.

How do I measure if the investment I put into therapy with you is worth it?

Happiness, contentment, fulfillment – these are all your birthright. Therapy is a journey from lack to abundance in these areas. Along the way, there are concrete indicators of change, movement, dissipation of obstacles, and growth. From the very beginning, as I get to know you, we talk about what these indicators will look like for you. And as we move through the therapeutic process, we note when we reach these indicators. Change is challenging and invigorating. To change with the support of a knowledgeable, warm, confident and therapist is an experience that many clients feel is precious and unlike anything else in their lives.

Lisa, based on everything I’ve heard about and read about you, I know you are the one I want to work with. What are my options for getting started with you?

Great, I look forward to working with you! To get started, see the “For Clients” section. Call me at 352-363-1998 and leave me a message. Due to the number of new client requests, I or my administrative assistant, Cindy Martin, will get back to you within 48 weekday hours. You can also email me to request an appointment. However please note that email communications are neither confidential or secure.