In-Home Psychotherapeutic Assessment And On-Going Treatment
For a variety of reasons which can include physical limitations, lack of transportation, or concerns about privacy, many older adults and those with physical challenges can benefit from a psychotherapist willing to work with them in their own home. This can promote a feeling of comfort and ease distress for an older adult that is often associated with seeking psychotherapy, especially for those who've never experienced the need for therapy in the past. The same is true of medically fragile adults or those recovering from a medical condition/procedure who have multiple appointments in "medical" settings who would benefit from a service that supports them in their own home environment.
In home services are readily available: housekeeping, nursing, financial assistance, meal preparation, etc. However, what is sorely needed is access to emotional support and human connection that is vital no matter what one's age, physical abilities, or stage of life. Clinical Depression and Anxiety are increasingly prevalent so many, as is social isolation and hopelessness for the future.
In home psychotherapy services offers me, as the clinician, a unique opportunity to assess environmental stressors quickly and offer collateral consultation to family, loved ones, and caregivers at the time of visits. Family sessions are also more conveniently scheduled with the flexibility of working in a person's home.
***Kindly note, all clients will need to have access to a private space in their home that is free from outside interruptions for each home based session. All services are fee for service. Those with PPO plans that would like reimbursement can request monthly statements that the client/family can submit to the insurance company. A 24 cancellation notice is required to avoid charges for a missed session. Clients with advanced dementia or other neurological and/or medical conditions limiting one's ability to verbally communicate are not ideal candidates for this service, and will be screened at the time of intake/assessment in order to make linkages and referrals to the most appropriate services.
I have a relatively eclectic theoretical orientation, which means I spend a good amount of time getting to know a client to develop a treatment plan that is best suited to the goals we set together during the first few sessions. For clients with persistent anxiety, addiction issues, and mood disorders, I tend to offer a more behavioral approach to symptom management prior to a more in depth exploration of the causes of the symptoms. Most people take their first step into therapy because they have at least one area of their life that has become unmanageable and/or intolerable, so this is where we start.
The journey from this point is wide and varied. Often a client comes in for one issue, and after closer examination, comes to realize that the challenges are linked to persistent thought patterns, strongly held beliefs, and ways of being that no longer work (i.e. "defenses"). I believe the ultimate goal of therapy is not to rid oneself of these defenses, per se, but to name them, give a voice to what they are trying to "protect" you from, appreciate that they developed for good reasons, and find ways to take care of yourself that are based on self love and compassion rather than fear, resentment, and anger.
Parent/Child Conjoint Sessions
I often bring parents into work with their children, when indicated and appropriate, when the issues revolve around parent/child communication. This is usually in addition to individual treatment with children, adolescents, and teenagers.