Counselling Can Be Expensive

Now that is a truism. Sometimes I tell my clients that I can’t even afford me! (I am never sure how they take that.)

But how you feel about the expense of counselling depends a lot on what you get out of it.

My fee is $170 per hour. Carole’s fee is $145 per hour and David’s fee is about $50-75 per hour. I usually see someone for about 10, 1-hour sessions, so the total is about $1700 over several months. That is a lot of money, perhaps what you pay on car insurance. And then you take that car in for a tune-up (actually they don’t tune up anymore – they download computer upgrades) or sign up for a course at Capilano U.

Here is what I do about fees:
• I charge $20-25 per hour less than the going rate for Psychologists ($200 as of January, 2012). I want to give back to you. And my rate has not increased for over 5 years.
• Many of you can have your fees covered under an employee assistance plan or an insurance program. Make sure that you check your coverage for “Psychologists” before you visit with me. By the way, Carole’s fees as a Registered Clinical Counsellor may be covered under your plan as well.
• By the way, if both you and your spouse are both covered under your EAP or insurance program it may mean that you have twice the number of appointments for couple counselling. Imagine how many family appointments you can have!
• Keep your receipts for your income tax – some of it may be reimbursable. Ask an accountant.
• I also create my own assistance plan with your church or community group. You pay a portion (about a third) of the fee and they pay about a third, and I will reduce my fee to correspond. And this for a maximum of 10 sessions. You would be surprised how many caring people want to provide financial assistance.

I am happy to say that most of my client-friends consider therapy to be good value and many recommend their family and friends. Counselling can be a valuable investment and worth much more than it costs.

(Updated from 2009)

Fighting: We See Things as We Are

Anais Nin commented that “we don’t see things as they are, we see things as we are.”

Acknowledging this – that our life and especially our pain, skews our seeing and our thinking – is the first step in mediation and conflict resolution.

If the psychologist observes this when two parties are deeply stuck and viciously divided, she challenges her client-friend’s way of being in the world, his world view.

The second step is to appreciate the other’s point of view – to see that it has merit.

The third step in mediation is to find an agreed upon goal that both parties can strive towards. This is popularly known as a ‘win-win’ solution and puts the combatants on the same side.

These 3 steps result in a ‘success’ that is seldom better than 70%; in other words, neither party gets the perfection they think they are due.

Acknowledging, then appreciating and finally agreeing. And that seems right to me.

Is My Marriage Worth It?

Conflict and relationships go together. A conflict-free marriage is an oxymoron.

Why? People mature at different rates; they have different values (some they don’t even know they have); and people see and experience the world differently. And all of this leads to tension that can result in conflict. And sometimes we wonder if marriage is worth it.

These are the kinds of issues my clients bring to couple therapy. Think about these questions for you and your marriage.

• If you had to create a short list of people you could spend the day with, would your spouse be on that list? Do you genuinely enjoy each other’s company? Do you laugh when you’re together?
• Do you have the same or similar values, goals and interests? Do you and your spouse enjoy doing some or lots of things together? Do the two of you want the same things out of life?
• Do you express a lot of affection and appreciation for each other? Or is there mostly indifference, negativity and hostility in your relationship?
• Do you feel understood when you are talking with your partner? Does your spouse try to see your point of view? When discussing things, does your husband or wife listen to what you have to say?
• Is your relationship usually based on fairness? Does your spouse see you as an equal? Do you feel you are treated with respect? Or do you feel used, exploited, or taken for granted?
Do you feel that your spouse will be there for you in a time of need? Can you count on your spouse for help when the going gets tough?
• Do you feel comfortable sharing your private thoughts with your spouse? How easy is it for you to talk to your spouse about sensitive issues?
• When you disagree with each other, do the two of you work together and try to resolve your differences? Or is there a lot of hostility, disregard and contempt when disagreements arise?
• Does your spouse care for you sexually? Do you make love pretty regularly? Or are you disappointed or frustrated with your affection?

The pain can be huge. This happens when conflict spikes and shared pleasures plummet. And even at these times, working on your marriage is always worth it.

Would You Like to Super-Size That?

Size matters in emotions. Some spouses bark, bully, blame and belittle with the noisier suppressing the other by volume and spite. Others may coerce their partners and kids to “submit” thinking they have some theological “right to respect” (which they clearly don’t!). Kids up-turn power into tantrums and tyranny. And then lots of families “tiptoe” their lives, waiting for the next tsunami. Yes, size matters especially the size of noise and especially again the noise of coercion. It is as if we “super-size” our emotions, pumping up insanity to defeat an enemy that used to be friends and family.

“I don’t know why you’ve got to be angry all the time,” she said to her husband of 7 years, clients of mine for several months. As I write this, I am listening to Tim McGraw singing “Angry All the Time” and that comment is the refrain: “I don’t know why you’ve got to be angry all the time.” (You can hear / watch this on You Tube. This is a tiptoe marriage, like my client friends, with super-sized emotions.

I have come from a week of super-sized emotions; watching super-sized partners push and prod while their tiptoe spouses lose voice, hiding and hoping for anything else. You know of course, that it is not either men or women who coerce – in some families it is both.

I want to tell you about a conflict questionnaire that I have used over the years in my teaching and consulting. I would love it if you became an expert in understanding conflict (not necessarily doing it!). The “Thomas Kilmann Conflict Inventory” is resourceful for people who want to understand conflict and why it perpetuates.

I can provide this assessment for you. Please contact me.

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