Frequently Asked Questions

Frequently Asked Questions


We are often asked these questions

How do I get started?

Choose any of our therapists and select "Request a Consultation" our website will prompt an email for you to include your Name, Birth Date and Insurance Carrier, the therapist will get back to you with any available openings, wait list or if suggestions another one of our therapists if they do not have an opening.

Do you take insurance?

Yes, Folktown Counseling works with just about every insurance carrier that reimburses for mental health.  As a practice we contract with an excellent billing service that helps us navigate the complicated waters of medical insurance.  We bill for both "in-network" and "out-of-network" carriers. This means that you as the client can avoid having to submit your own superbills or spend hours on the phone getting answers about your medical coverage. We bill "out-of-network" with Cigna, Aetna, United Behavioral Health, and most carriers that provides a mental health reimbursement, and we bill "in-network" with Premera, Lifewise, Kaiser's PPO, First Choice Network and Regence.

Is counseling covered by Insurance? In most cases yes.  Most insurance carriers do have a mental health benefit either in-network, out-of-network or both.

How do I utilize my insurance?

Simple, first we have you fill out a one page form with your insurance information and then our biller will contact your insurance to get a general quote of your coverage.  Your therapist will then explain in session what your insurance has quoted (deductible, out of pocket limit, copays etc) and begin billing insurance for your sessions so that you don't have to worry about it. Each week we will charge your credit card on file for any copays so that your account stays manageable. Our biller will keep track of any credit / balance due during the course your treatment and you are welcome to ask questions to your clinician (or our biller directly) about your account .

What is Psychodynamic theory?

Psychodynamic is a term that describes a thoughtful type of therapy that is insight-oriented to help you gain insight into how your early life experiences affect your present day. In other words it is an approach that deals more with the root of your problems than just the symptoms. A psychodynamic therapist remains curious to your process, more than just solution focused, and utilizes more of the relationship that is created between the counselor and client to help the client heal. The frequency of treatments is generally weekly and the duration of treatment is defined by the client.

A psychodynamic approach is also informed by the psychoanalytic tradition. This is a tradition of psychological writers who observe the mental and emotional processes of behavior and the potential of unconscious drives, desires, and conflicts in childhood that may have had an influence. These psychological ideas help a therapist to remain thoughtful and curious to the patient's mental and emotional process, allowing a client to work through their own problems rather than trying to give a patient advice or solve problems for them.

A psychodynamic approach might better understood when compared with a Cognitive Behavioral Approach (CBT). A Cognitive Behavioral Approach is generally focused on practical solutions to present-day challenges (instead of looking for the root cause of the problem). CBT often entails providing homework to clients whereas a Psychodynamic approach engages more of the relationship between counselor and client.


Does insurance cover marriage counseling?

Yes and no.  Health insurance does not actually recognize marriage counseling directly but it can cover "individual counseling with a family member present."  That is how most marriage therapists bill for insurance.  However there are some issues with using your insurance this way that we feel does not compliment couples work.  Health insurance for requires an individual diagnosis in order for a claim to be processed. Therefor when you use insurance for marital or couples therapy it requires that the therapist diagnose one member of the couple with a mental health condition. We feel that this inevitably creates an imbalance in the couples work and it is for this reason that we choose to avoid  insurance when doing actual couples work.  There is a personal investment that is required for couple work to be successful and for both parties to work towards a good communication and emotional connection. We typically ask couples to split the cost of their therapy as part of that mutual commitment towards the process.

What mental health conditions do you treat?

We work with a wide range of mental health symptoms. However before we list these various issues, we want you to know that we hope to work with you in more than just your symptoms. A good therapy experience is one that walks alongside you in both your valleys and your mountain top experiences. We see our clients holistically, more than just their problems. We want to both share in the burden of your sorrows and the celebrations of your life.

We treat: relationship issues, couples problems, life transitions, depression, anxiety, ADHD, bipolarity, narcissistic, borderline or histrionic personalities (or trauma experienced from others with these conditions), PTSD, complex trauma, challenges to sexual orientation, gender identity, or gender expression, perinatal concerns, parenting, grief/loss, general addictions (drug/alcohol, sexual,) and disordered eating.

If certain conditions appear acute, we will work alongside you to make additional suggestions to your therapy.  This may include a medical practitioner or specialist, a medication referral, a nutritionists or participation in a support group.

How do you protect my records and confidentiality?

Our practice utilizes an electronic health records system (EHR) which is HIPAA compliant.  All of your client information is stored in this EHR for the protection of our clients.

Can a therapist or counselor prescribe medication?

No, but we can help advise you in getting a qualified medical assessment for medications if you feel they would be beneficial.  We can also partner with your medical provider if you would like to provide input on whether a medication is responding well and/or if you are noticing any side affects. Medications in mental health are prescribed by either a primary care physician (MD), Advanced Practice Nurse (ARNP) or a Psychiatrist (MD). We generally recommend using a psychiatrist that can provide a full 90 minute intake to give you the best possible assessment of whether medications could be beneficial for you.

Is there a difference between a therapist vs counselor?

Generally no, therapists and counselors are both terms that have been used interchangeably for the same vocation. There are many different types of counselors/therapists however, and you can read a little more about the history of these different types of approach in our Therapeutic Approach page. The term therapist has its roots in the psychoanaylitic tradition where as the term counselor was first utilized by Carl Rodgers in the mid 50's to describe his style of psychotherapy.

Do I need counseling or therapy?  Generally speaking they one in the same. Sometimes clinicians refer to themselves as "therapists" to convey a more formality or to emphasize a longer term style of therapy whereas clinicians that refer to themselves as counselors may want to relay less formality, but both terms are used interchangeably.

What is relational therapy?

Relational therapy is a general term that grew out of the psychodynamic tradition in which the therapeutic relationship is utilized thoughtfully by the therapist to help a client gain a better understanding of themselves.  This style of longer term therapy is generally weekly in frequency, and shows longer term results.  It might be best contrasted with Cognitive Behavioral Therapy which is generally shorter term and focuses more on exercises for the client to do on their own in order to change their behavior or mental framework.