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Kilian Fritsch, PhD
INDIVIDUAL, COUPLE, AND FAMILY PSYCHOTHERAPY
Common Questions

Do I really need therapy?  I can usually handle my problems.  
  
Everyone goes through challenging situations in life, and while you may have successfully navigated through other difficulties you've faced, there's nothing wrong with seeking out extra support when you need it. In fact, therapy is for people who have enough self-awareness to realize they need a helping hand, and that is something to be admired. You are taking responsibility by accepting where you're at in life and making a commitment to change the situation by seeking therapy. Therapy provides long-lasting benefits and support, giving you the tools you need to avoid triggers, re-direct damaging patterns, and overcome whatever challenges you face. 


Why do people go to therapy and how do I know if it is right for me?

People have many different motivations for coming to psychotherapy.   Some may be going through a major life transition (unemployment, divorce, new job, etc.), or are not handling stressful circumstances well.  Some people need assistance managing a range of other issues such as low self-esteem, depression, anxiety, addictions, relationship problems, spiritual conflicts and creative blocks.  Therapy can help provide some much needed encouragement and help with skills to get them through these periods.  Others may be at a point where they are ready to learn more about themselves or want to be more effective with their goals in life.   In short, people seeking psychotherapy are ready to meet the challenges in their lives and ready to make changes in their lives. 
 
  
What is therapy like?

Therapy is a particular kind of conversation in which people are helped to describe themselves and the way that problems have intruded into their lives. This is a process of exploration aimed at alleviating the extent to which these problems exercise their influence in the lives of individuals, couples or families. 
  
 
 
What about medication vs. psychotherapy?  
 
There are some circumstances in which I recommend the addition of pharmacotherapy to our work in therapy. I sometimes recommend consultation with a psychiatrist. Other times people have consulted their primary care physician for assessment regarding suitability of adding medication to their treatment program. I strive to collaborate with prescribing physicians to insure maximum benefit for those in our care.
 
 
Do you take insurance, and how does that work?
 
I am not a network provider for any insurance plans. I give itemized receipts for my service, which can be utilized for out of network reimbursement. Each individual has the responsibility to work with their carrier directly. 

 
Does what we talk about in therapy remain confidential?
 
Confidentiality is one of the most important components between a client and psychotherapist. Successful therapy requires a high degree of trust with highly sensitive subject matter that is usually not discussed anywhere but the therapist's office.   Every therapist should provide a written copy of their confidential disclosure agreement, and you can expect that what you discuss in session will not be shared with anyone.  This is called “Informed Consent”.  Sometimes, however, you may want your therapist to share information or give an update to someone on your healthcare team (your Physician, Naturopath, Attorney), but by law your therapist cannot release this information without obtaining your written permission.
 
However, state law and professional ethics require therapists to maintain confidentiality except for the following situations:
 
* Suspected past or present abuse or neglect of children, adults, and elders to the authorities, including Child Protection and law enforcement, based on information provided by the client or collateral sources.
* If the therapist has reason to suspect the client is seriously in danger of harming him/herself or has threated to harm another person.