What should I do in the event of a mental health emergency?
If you or someone you know is having a mental health emergency, please contact 911 or proceed to your nearest emergency room for immediate care. As soon as you have sought emergency treatment and are stable, please reach out to your therapist directly via phone or text. Though we do our best to reply as soon as possible, please be mindful that we do not monitor the phones 24 hours a day or in evenings, on holidays or weekends.
How much do sessions cost?
Session fees may vary by therapist. Individual sessions are approximately $175 for a 50 minute session, depending on the therapist. Couple’s sessions are approximately $200. All sessions are 50 minutes, unless specified otherwise. If a session runs more than ten minutes beyond the standard 50 minutes, the session fee will be prorated accordingly in 15 minute increments. If the client and therapist agree upon a longer session, the session fee will be prorated accordingly based on the client’s or couple’s 50 minute session rate. Sessions with additional family members or participants will be billed on a case-by-case basis. This is a brief summary of our standard fees for services. Not all of our services are listed. To receive fee information for any of our specialized services, please contact the practice and we will gladly provide more detailed information for you.
Occasionally brief phone calls may be needed for more than scheduling purposes. Phone calls running longer than five minutes will be billed at the above prorated session rates. If our services are utilized in any legal capacity and/or for forensic work, the billing rate will be $500.00 per hour and you will be required to make an up-front retainer (which will be determined on a case-by-case basis) and cover any attorney fees we incur due our involvement in your case.
Payment is due at the time of service. Forms of accepted payment are: Cash, Check, Major Credit Cards, HSA cards and Debit Cards. Many clients appreciate the ease and convenience of having their credit card information on file within our HIPAA compliant encrypted software service. This alleviates using session time to settle charges. Though a credit card is required to be kept on file with the practice, clients are welcome to pay with any of the forms of payment listed above.
Do you accept Insurance?
Tiffany Britt & Associates is considered an “out-of-network provider” and we do not file or accept insurance. However, our therapists will provide you with a receipt and a monthly super bill which includes the date of service, diagnosis code, and payment made. Depending on the licensure of the clinician, the superbill may or may not be able to be submitted to your health insurance company for potential reimbursement. Services may or may not be covered in full or in part by your health insurance company or employee benefit plan. Plans vary in the number of visits and fee amount they cover, the deductibles that must be met and the pre-authorizations that may be required. Please check your coverage carefully before scheduling. Because each policy differs regarding co-pays, and deductibles, we advise you to contact your individual insurance company to confirm coverage or reimbursement.
How do I make an appointment?
Our therapists prefer to have a brief phone consult with potential clients or their parents to determine if our expertise are a fit for your needs. If you are interested in scheduling an appointment, please reach out to us via email at [email protected] or via voice mail at 770-450-1210 or contact any of our therapists directly. Email is preferable and allows us to get back to you sooner. When emailing, please provide your name, contact information, briefly describe why you are seeking counseling and what days/times you are available for sessions. That information will help us determine if we are a good fit for your needs. If you’d like to schedule a brief 5 minute phone consult and provide a few days/times that would work well for a brief conversation, please do so. We will do our best to get in touch with you. Please keep in mind we do not have much opportunity to return phone calls due being with clients through out the day.
If we are suited to your needs, the therapist and you will choose an appointment date and time. Thereafter you will receive a link to the patient portal for the completion of intake forms, disclosers and initial assessments.
Appointment cancellation policy
A professional time commitment is reserved and held exclusively for you. If you need to cancel or reschedule, please notify your therapist at least 48-hours in advance via your therapist’s direct email or via text or voice mail at their direct number. Your therapist will always reply back and attempt to reschedule your session. If for some reason you do not hear back from your therapist, we encourage you to reach out again to ensure the message was received. Please provide 24 hours advance notice to avoid a session fee charge. If the change is made with less than 24 hours advance notice or if you do not keep your scheduled appointment and are a “no-show”, you will be responsible for the full fee and your credit card on file will be charged.
What is the best way to reach my therapist?
If you need to contact your therapist between sessions, the best way to do so is by directly texting your therapist. With the exception of an emergency, contact between sessions should be for quick, administrative issues such as changing appointment times or confirming an appointment or cancelling a session. You may also email your therapist directly. If you are unable to reach your personal therapist, please feel free to reach out to [email protected] or leave a voice mail at 770-450-1210.
Every attempt is made to return messages in a timely manner, however, we cannot guarantee immediate response and request that you do not use these methods of communication to discuss therapeutic content and/or request assistance for emergencies. Please understand there is a reasonable chance that communicating through electronic methods may be intercepted and eavesdropped on by a third party, including, but not limited to, family, co-workers, employers, and hackers. Your therapist cannot be held responsible for confidentiality breaches of any kind and the security of your technology.
How do I complete intake paperwork and assessments?
Once your first appointment is scheduled, you will receive an email with a link to our patient portal. You will be able to complete all paperwork online at your convenience. We ask that all paperwork is completed 48 hours in advance to allow our therapists time to review it before your first session. All personal intake paperwork and assessments will be securely housed on this cloud-based, HIPAA compliant portal. If you are unable to complete the documents online, please alert your therapist and they can be ready for you in a paper version at your first appointment. In the event you prefer a paper version, we ask that you arrive 30 minutes before your appointment time to allow for thorough completion.
Can you prescribe medicine?
Our therapists do not have a license to prescribe medication. They can, however, consult with your primary physician or psychiatrist or refer you to a psychiatrist, if there is a need.
What types of therapeutic approaches are used in sessions?
Our therapists are trained in a variety of evidence-based and highly researched therapeutic models. Our therapists are integrative and will adjust their treatment based on the current and evolving needs of the client. Some of the approaches regularly utilized are as follow:
Cognitive-Behavioral Therapy (CBT): CBT is used to treat a wide range of challenges. It is the gold standard for treatment of depression, anxiety and OCD. It is a short-term, goal-oriented psychotherapy treatment that takes a hands-on, practical approach to problem-solving. Its goal is to change patterns of thinking or behavior that are behind people’s difficulties, and so change the way they feel. It is used to help treat a wide range of issues in a person’s life. It provides tools and strategies to interrupt negative thought patterns and behaviors. CBT works to identify self-defeating patterns and what motivates a person’s behavior or response to emotional challenges. CBT attempts to change these patterns and responses by challenging the thoughts, images, beliefs and attitudes held by the individual.
Attachment Theory: This approach assesses the attachment quality of one‘s current intimate relationships and explores the level of emotional security one felt in early relationships with parents or guardians. Attachment theory helps to identify vulnerabilities in relation to self and others and help clients gain insight into dysfunctional patterns of relating to others.
Mind-Body Techniques: Often teaching simple behavioral tools help clients manage stress and experience a greater sense of well-being and relaxation. The mind-body approach utilizes various relaxation techniques such as meditation, visualization, exercise and simple breathing exercises to improve quality of life.
Dialectical Behavior Therapy: DBT is a type of cognitive behavioral therapy. Its main goals are to teach people how to live in the moment, cope healthily with stress, regulate emotions, and improve relationships with others. It was originally intended for people with borderline personality disorder (BPD) but has since been successful treating other conditions where the patient exhibits self-destructive behavior, such as eating disorders, mood disorders and substance abuse
Eye Movement Desensitization and Reprocessing (EMDR): When a disturbing event occurs, it can get locked in the brain with the original picture, sounds, thoughts, feelings and body sensations. EMDR procedures seem to stimulate that information and allow the brain to reprocess that experience. That may be what is happening in REM or dream sleep. The eye movements, tones or tactile sensations help reprocess the memory and other associated experiences. It is highly researched and evidence-based modality with incredible effectiveness with trauma survivors. For more information regarding the research and effectiveness of EMDR visit our EMDR page.
Prepare and Enrich – Pre-Marital/Engagement & Marriage Enrichment Therapy: Widely known as the leading relationship inventory, PREPARE/ENRICH is called a “program” because it contains both a couple’s assessment and a semi-structured feedback process. As part of the feedback process, the program teaches the couple relevant relationship skills like communication and conflict resolution. The goal of the program is to help premarital couples prepare for marriage (PREPARE) and married couples enrich their marriage (ENRICH) by increasing their awareness of relationship strengths and growth areas and providing them with skills to improve their relationship. The Customized version is totally online and is designed for dating, engaged, and married couples. It is called “customized” since the technology tailors and designs the assessment uniquely for each couple based on background information they provide.
PREPARE/ENRICH has been scientifically developed and has high reliability, high validity, and large national norms with couples from various ethnic groups. Numerous studies demonstrate the rigor of the assessment and its relevance to couples from a variety of ethnic groups (Olson, 1998; Asai & Olson, 2004; Allen & Olson, 2001). Larson, Holman, Klein, Stahmann, and Peterson evaluated premarital assessment questionnaires and found PREPARE to be “most psychometrically sound” and rated it as “the best instrument for premarital counseling” (1995, p. 251). The program has been adopted by professional counselors from various fields (marital and family therapists, social workers, and psychologists) and clergy from many diverse religious groups.
For more information visit our Prepare and Enrich page.
Solutions Focused Brief Therapy (SFBT): Also called Solution-Focused Therapy, Solution-Building Practice therapy was developed by Steve de Shazer (1940-2005), and Insoo Kim Berg (1934-2007) and their colleagues beginning in the late 1970’s in Milwaukee, Wisconsin. As the name suggests, SFBT is future-focused, goal-directed, and focuses on solutions, rather than on the problems that brought clients to seek therapy.
How often do we meet?
Meeting frequency depends on each individual client’s needs. We can discuss options based on your personal situation and goals at your first session.
How long is a session?
50 minutes unless you and your therapist decide otherwise.
What can I expect during the initial appointment?
The first couple sessions usually involve taking a detailed family history. We will discuss why you have decided to come to therapy, what you are hoping to work through and what your goals are for our work together. This time is important for your therapist to form an understanding of who you are, who you want to be and the significant influences in your life. You and your therapist will discuss any questions you have and the two of you will decide how to move forward.
How can I get the most out of psychotherapy?
Quite simply, you get out of it what you put into it. This is your time. Your therapist is the facilitator to help you while in session. But work has to be done outside of the session for real change to take place. Come prepared to be honest and open. Take some time after the session to review what was said and to think about how to act on it. There’s no magic wand or crystal ball (unfortunately) in a therapy session. One hour a week in therapy will not change your life. But spending time outside of our sessions reviewing your goals, trying new skills, reading supportive material and challenging old patterns will dramatically impact your outcomes and successes. Be sure to do any homework that you were asked to do. Not all therapists assign tasks to do between sessions, but when they are assigned, they are important to the process.
Pay attention to your emotions between sessions. Let your therapist know about any patterns that you notice, especially anything out of the ordinary. Write things down and take them to the session if you need to. Psychotherapy is a partnership. It will be more effective if you are an active participant.
Where can I review your complete office policies?
Included in this PDF below is a sample copy of the general Tiffany Britt & Associates, LLC Therapist-Patient Service Agreement which include our Practice Policies and Informed Consent. Each therapist will have a version customized to their skills and services. You will be asked to sign a copy of your therapist’s agreement before your initial appointment. Please keep in mind, this PDF is only a sample document. Tiffany Britt & Associates, LLC and its therapists make ongoing updates and changes to practice documents and therefore this sample may not include any recent changes and updates.
Do you offer online tele-mental health counseling sessions?
Yes. Our therapists are licensed to conduct mental health counseling in an online video conferencing and/or electronic format. Sessions may also be conducted over the telephone, if a client prefers.