FAQ
Therapy is a wonderful opportunity to learn and expand your life. I’m glad you have begun the sometimes daunting search for a therapist to begin the process of change and growth. I have included many of the questions people wonder when looking for an addiction specialist therapist, from the practical to the curious. Please feel free to contact me with any additional questions not covered below.
What are your fees?
Individual Therapy: $195 for 50 minutes. There are reduced fee slots available on a limited basis.
Couples Therapy: $225 for 60 minutes
Relapse Prevention Group: 60 minute groups currently Tuesday and Friday at 10am. $200 for two groups a week
Do you accept insurance?
I am currently accepted as a provider for Contra Costa Health Plan (CCHP). For all others, please call your insurance provider to understand the coverage allowed for out-of-network services. I can provide a monthly statement of services for you to send to your insurance provider for possible reimbursements.
What types of payment do you accept?
I accept cash and or check. Payment is due at the beginning of each session.
What is your cancellation policy?
The time I have for seeing patients is valuable and limited; therefore, I must charge you for your appointments if missed or canceled less than 24 hours in advance. If less than a 24-hour cancellation notice is given, you are responsible for the full service fee.
What is it like working with a Motivational Enhancement Therapist?
Many people find when working with a Motivational Enhancement style therapist, they feel supported, heard, validated and respected, sometimes for the first time. Focusing on a person’s desire to change and helping find the inner strength to make it happen is important. In addition, many experience more self-awareness through mindfulness practices, setting better boundaries, being able to take care of their needs in healthier ways and developing a more authentic relationship with themselves and others.
What if I relapse or use again? Will I have to stop going to therapy?
No, you will not have to stop therapy. The path to recovery is rarely linear and with many triggers and stressors that are in our day to day lives, it’s understandable that people have slips. Your relapse or use episode is viewed as a potential learning opportunity to help you recognize the role alcohol and drugs play in your life and to examine the pros and cons of potential options.
Am I an alcoholic because I sometimes drink too much?
Some people who drink too much often benefit from understanding the underlying issues that drive the thoughts to drink (cravings) and trying techniques to see if they can actually stop. Moderation management is an option for some people, even ones who have struggled with compulsive behaviors. Having a place to feel comfortable enough exploring this question is a great way to begin finding answers.
Will I need medication? Will you work with me if I’m taking medications, like Suboxone?
Many of the clients I work with benefit from a combination of support from both medications and therapy. This includes Suboxone, Methadone, and all other medications. I am open to and in many cases, encourage collaborating with your medical team to support your care.
Many people need detox medications in order to help with potential withdrawal symptoms. There are also many medications that can be beneficial in the process of managing, tapering and/or stopping use. It is recommended you seek guidance and be evaluated by a medical professional to determine what is best for you for detox and/or Medication-assisted Treatment (MAT).
What do I do next since I just completed an Intensive Outpatient Program (IOP) or Rehab?
Sometimes seeking help in an outpatient setting, like seeing an addiction specialist therapist is most appropriate for learning how to be at home, be a parent, go to work, find a balance, deal with life as it is right now. This is especially true for additional accountability and support after completing an IOP or Rehab. I can help with understanding what your needs are and the level of support that would be a good match in order to achieve your goals. In my practice, people vary with degree of need and time availability. They range from 1 hour (50 minutes) of individual therapy a week with (if appropriate) occasional couples or family therapy, couples therapy only, and some additional support with two Relapse Prevention groups a week.
What should I do since rehab hasn’t worked?
You are not alone. Many people try on their own first and feel as if they disappoint themselves and their family. Many have gone to rehab and have felt judged or have been viewed as ‘not ready’. Feeling heard and understood, feeling you are not alone, feeling respected and valued can make a difference. It requires being committed to yourself, being brave, reaching out and being open to the uncomfortable process of change. Help is out there, and change is possible. For many this means therapy with an addiction specialist while being home or in a Sober Living Environment (SLE).
What if I’m currently seeing another therapist or already going to couples therapy?
I work collaboratively with outside therapists who help with relationship issues, depression, trauma, anxiety and grief and whose clients need help with compulsive behaviors, like drinking too much. Many benefit from the additional and intentional focus needed to get unstuck and make changes.
Can I do therapy if I’m using marijuana?
I’m not here to judge you. I want to help you. Many clients use marijuana in a way that is helpful to them and for many, it holds them back from being fully who they are. Some may want to make changes with their drinking, substance and prescription use while using marijuana and others may also want to change their marijuana use. An open exploration of one substance at a time can feel less overwhelming and produce more change.
What are the risks and benefits to therapy?
Therapy is a joint effort, with results that vary for each person. Progress depends upon multiple factors including motivation, effort devoted, and other life circumstances. Helping you to reach your goals, feel better and feel empowered is the purpose of our work together. You can do your part by openly and honestly communicating your thoughts and feelings, even though this may be difficult. There is a risk of feeling worse before you feel better. These feelings are a normal part of the therapy process, and are usually temporary. We will work together to get through the difficult times.
Is my work with you confidential?
Yes. Confidentiality is one of the most important components between a client and therapist. Successful therapy requires a high degree of trust with highly sensitive subject matter that is usually not discussed anywhere but the therapist's office. You will be provided an Informed Consent agreement that includes the details of confidentiality and what is involved in mandated reporting. Sometimes, however, you may want your therapist to share information or give an update to someone on your healthcare team (Physician, outside therapist), but by law your therapist cannot release this information without obtaining your written permission.
How do I contact you?
The best way to reach me is to call me at 925.444.5002. You can also e-mail me: mpairmft@gmail.com. I check my messages and e-mails throughout the day.
