How long is a session?
Counseling visits are generally offered in 50-minute sessions. The initial intake session may be longer. There may be times that we will need to schedule a longer session to deal with certain issues or other circumstances, and we will collaborate to find the best time frame to have the most success.
How many sessions will I need?
Unfortunately, this is not possible to say in a general FAQs page. Everyone’s circumstances are unique to them and the length of time counseling can take to allow you to accomplish your goals depends on your desire for personal development, your commitment, and the factors that led you to seek counseling. I will customize your treatment program based on your individual needs. I will work with you to determine the number of sessions recommended, although your total investment of time is often not known at the onset of counseling.
What is a LMFT
“LMFT” is the abbreviation for “Licensed Marriage and Family Therapist,” a formal designation for an individual who has demonstrated knowledge and skills in marriage and family therapy; and who has met licensure requirements per the Licensed Marriage and Family Therapy Licensure Board. Dr. Alvaro is licensed in both Hawaii and North Carolina.
Only therapists/counselors who are licensed are eligible for health insurance submission.
What about confidentiality?
All of our sessions will remain strictly and absolutely confidential except for the following circumstances in accordance with state law: (1) The client signs a written release of information indicating informed consent to such release; (2) The client expresses a clear and imminent intent to do serious harm to himself/herself or someone else; (3) there is evidence or reasonable suspicion of abuse/neglect against a minor child, elder person (65 or older), or disabled adult; or (4) a subpoena or other court order is received directing the disclosure of information. Also note that if you use third party insurers, such as health insurance policies, HMO, EAP, or PPO plans, you must sign a release of information and all information will be disclosed including diagnostic information, which is part of the client’s records. I will discuss confidentiality in detail during our initial session.
What about medication?
Medication can be effective, but it alone cannot solve all issues. Oftentimes, medication will only address symptoms, without resolving the core issues. Sometimes medication is needed and recommended in conjunction with counseling. If so, I will collaborate with you and your medical doctor to find the most appropriate medications. The key to our success is that our work together is designed to explore and unpack the problems you are experiencing and expand on your strengths that can help you accomplish your personal goals.