FREQUENTLY ASKED QUESTIONS
Treatment is not like a medical doctor visit. Instead, it calls for a very active effort on your part. We have found that in order for treatment for sex addiction to be most successful, you will have to be active in your recovery both during your sessions and at home.
Sex addiction treatment has benefits, but it carries risks as well. Since treatment often involves discussing unpleasant aspects of your life, you may experience uncomfortable feelings like sadness, guilt, anger, frustration, loneliness, and helplessness. On the other hand, New York Pathways has found that sex addiction treatment has benefits for many people who go through it, and it often leads to better relationships, solutions to specific problems, and significant reductions in feelings of distress. But there are no guarantees of what you will experience in treatment.
“WHAT IS THE FIRST STEP IN MOVING FORWARD?“
“HOW LONG ARE SESSIONS?“
If treatment is begun, your therapist will usually schedule one 45-minute session (one appointment hour of 45 minutes duration) per week at a mutually agreeable time, although you and your therapist may mutually decide to schedule some sessions for a longer duration or more or less frequently than once per week.
“DO YOU OFFER SKYPE OR TELEPHONE SESSIONS?“
“DO YOU WORK WITH OTHER PROFESSIONALS OR SEX ADDICTION TREATMENT CENTERS?“
In addition to weekly appointments, you may be charged for other professional services you may need, and your therapist will provide you with an estimate of any such additional charges before they are incurred. Other services for which you may be charged include report writing, telephone conversations lasting longer than ten (10) minutes, attendance at meetings with other professionals you have authorized, preparation of records or treatment summaries, and the time spent performing any other service you may request of your therapist. If you become involved in legal proceedings that require your therapist’s participation, you will be expected to pay for your therapist’s professional time even if your therapist is called to testify by another party.
New York Pathways accepts payment by credit card, check, or cash. Payment by check should be made payable to “New York Pathways.”
“DO YOU TAKE INSURANCE?“
You should carefully read the section in your insurance coverage booklet that describes mental health services. If you have questions about the coverage, call your plan administrator. Of course, your therapist will provide you with whatever information he/she can based on his/her experience. Please be aware, however, that it is ultimately your responsibility to understand the nature and extent of your insurance coverage and the manner in which you can obtain any reimbursement for your treatment.
Certain plans may require authorization before they provide reimbursement for out-of-network mental health services. If you have one of these plans, it may be necessary to seek approval for more treatment sessions after a certain number of sessions. While a lot can be accomplished in short-term treatment, some clients believe that they need more services after insurance benefits end.
“HOW DO I CONTACT MY THERAPIST?“
If you are unable to reach your therapist and believe that you cannot wait for a return call, please contact your regular physician or go to the nearest emergency room. In emergencies, please call 911.
If your therapist will be unavailable for an extended time, he/she will provide you with notice and will also provide you with the name of a colleague to contact, if necessary.
“CAN I EMAIL OR TEXT MY THERAPIST?“
Please note as well that although your therapist’s email and text messaging systems are password protected and will only be accessed by your therapist, the nature of email and text messaging means that complete confidentiality cannot be assured. It is possible that email or text messages can be intercepted by third parties. Therefore, you may not want to email or text any highly confidential information to your therapist.
New York can at times feel like a small town. Therefore, some clients may know each other from the community. Consequently, you may run into someone you know in the New York Pathways waiting room. Your therapist will not discuss or divulge any information you share with your therapist with any other clients, even clients you may consider to be friends from the community.
In addition, you may run into your therapist out in the community. Your therapist will never acknowledge working with you without your written permission. In this regard, if you run into your therapist in a social setting, it may be appropriate for your therapist not to acknowledge you at all. Further, although you and your therapist may be members of the same online social network, such as Facebook or Linkedin, please do not “friend” your therapist or ask that your therapist be added to your network. This is for your protection and benefit, so please do not interpret your therapist’s behavior as rude, unfriendly, or uncaring.
“DO YOU KEEP RECORDS OF MY TREATMENT?“
“DO YOU TREAT MINORS?”
However, there are a few exceptions to confidentiality.
There are some situations in which your therapist is legally obligated to take action to protect others from harm, even if your therapist has to reveal some information about a client’s treatment. For example, if your therapist believes that a child, elderly person, or disabled person is being abused, your therapist must report the same to the appropriate state agency.
If your therapist believes that you are threatening serious bodily harm to another, your therapist is required to take protective actions. These actions may include notifying the potential victim, contacting the police, or seeking hospitalization for the client. If you threaten to harm yourself, your therapist may be obligated to seek hospitalization for you or to contact family members or others who can help provide protection for you.
These situations rarely occur in New York Pathways’s practice. If a similar situation occurs, however, your therapist will make every effort to fully discuss it with you before taking any action.
Your therapist will occasionally find it helpful to consult other treatment professionals about a case, including other professionals who work at New York Pathways. During such a consultation, your therapist will make every effort to avoid revealing your identity. Please be aware that the other treatment professional is also legally bound to keep the information your therapist reveals confidential.
While this written summary of exceptions to confidentiality should prove helpful in informing you about potential problems, it is important that you discuss any questions or concerns that you may have during your next session with your therapist. You therapist will be happy to discuss these issues with you if you need specific advice, but formal legal advice may be needed because the laws governing confidentiality are quite complex, and your therapist is not an attorney and cannot provide any legal advice to you.