Tamra Zehner, L.C.S.W. - S.


Psychotherapist


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Frequently Asked Questions





HOW LONG DOES TREATMENT TAKE?



This is always a tough question, and there are no hard and fast rules. Some people need as little as 10 sessions to receive significant symptom relief and / or address the crisis that brought them to therapy. Research has demonstrated significant symptom relief in about 20 to 25 sessions, on average, but many problems take much longer to fully address, particularly long standing difficulties with relationships.


One way to think about this is that many mental problems and relationship difficulties derive from many years of deeply entrenched experience and therefore may take a few years (one to three) of treatment to fully overcome. My philosophy is to move the client through the therapeutic process as rapidly as possible, and not to create dependence on the therapeutic relationship.



What is a therapy relationship?



The therapeutic relationship is a rather unique relationship, unlike any other you probably have encountered as it is not a friendship, romantic relationship, parent / child relationship, work relationship, etc.


It is a relationship with many unique aspects:


You pay someone for their time, usually for one 50 minute sessions a week, don't talk to that person outside the sessions (or only briefly, usually by telephone), don't experience the usual give and take you get from other relationships (that is, you don't know a lot about the therapist personally because they don't share all that much about themselves-the session is about you, so the focus is on you), there is no physical contact, and while you can talk with anyone you like about your therapy, the therapist can't speak a word of it to anyone (except under certain circumstances, see limits of confidentiality).


This is what it is not, so what then, is it?


Therapy is a chance to examine a relationship at close range (with the above boundaries), and by understanding what happens in the therapy relationship between the you, the patient, and me, the therapist, we have an opportunity to discover and explore thoughts and feelings that happen to you elsewhere, in other relationships. We also discuss things no one talks about, but nevertheless are present in all social situations and influence them. In the session of therapy, I may ask you how you are feeling and what you are thinking about me or our work together, to get a better understanding of how your relationships outside of therapy work or fail.


To put it another way, the relationship that develops between you and the therapist mirrors, in part, how your relationships develop outside the therapy session. With this knowledge, you can then go about making changes in how you relate to others in order to have more rewarding relationships.



What is my job as a client?



The role of the client is to look at oneself honestly and be willing to work on that self. Easy to say, difficult to do.


In therapy, it will be your job:


1) to talk about what is foremost on your mind

2) be willing to carefully think about interpretations given by the therapist but be willing to reject them if they feel wrong and discuss why

3) be honest about your thoughts and feelings about the therapist and the therapeutic relationship so as to learn more about how your relationships outside of therapy work (this is difficult and may take time to get comfortable doing)

4) think about the last therapy session between the sessions (a lot of growth and understanding goes on between the actual sessions)

5) be willing to apply what you learn in therapy to you life outside of therapy (or then, what is the point of therapy?).


Material for this is taken in part from Nancy McWilliams' Psychoanalytic Case Formulation (1999) and Irvin Yaloms' The Gift of Therapy (2002).



How Long are sessions? How much are Sessions?



Therapy sessions are 50 minutes and can be scheduled for times that work for your schedule.


My fee is $130 per appointment, and I currently do not take insurance, but can provide a bill to submit for reimbursement as an out-of-network provider. In addition, I am able to accept payments through check, cash, or card.


I set aside 10% of my weekly appointments for reduced rate clients and typically have a waiting list for this option. I am not able to provide services free of charge.



4202 Spicewood Springs Road
Suite 116
Austin, TX 78759

Phone: (512) 569-1025
Email: twzehner@gmail.com

Copyright 2020 Tamra Zehner, L.C.S.W.-S. All rights reserved.