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*Please Note: This is a GROUP practice. Current clinicians with openings have only virtual openings for the state of Missouri.

First time here? Please click below to tell us a little about yourself. Our client concierge will be in contact with you after you fill out this form.

FAQ

How long do sessions last?

All individual sessions are 45 minutes long. Couples and family sessions are longer.  First-time couples or family sessions are typically 2 hours long. Follow-up couples and family sessions are typically 90 minutes to 2 hours long depending on client needs.

How long will I need to come to therapy?

The frequency and duration of treatment will depend upon your goals, your nervous system’s capacity for change, how stable your current life is, and your level of motivation. Some people are helped by only a few sessions, while others require a long-term effort. And of course, many people fall somewhere in between. It’s best to discuss this with your therapist after the first session to see what they believe you will need. We generally suggest a minimum of 8 weekly sessions to meet your initial goals.

If you are part of a couple, it will also depend on how much both you and your partner are on the same page in these areas. Because there are many factors involved in the healing process, the answer can vary quite a bit from person to person.

What is the process to book a Couples Therapy session?

The process and current information for couples sessions can be found here on the Couples Booking Process page.

How do you evaluate my progress in therapy?

We’re glad you asked. During our first session together, we will collaborate with you to come up with goals that reflect why you are coming to see us in the first place. We will come up with an estimated timeline, frequency, and agreement together. If you are part of a couple, or if your current situation is complex in any way, this may take up to three visits to come up with goals and a plan of action that truly reflects your needs.

Therapy is a collaborative process, so we typically evaluate these goals with you every 3-8 weeks until the goals are either reached or have become irrelevant. As you make progress in therapy, you might find that goals themselves begin to change as you change or that the problems you once faced are simply not problems anymore.  These can all be positive signs of progress. We will have a discussion together about the progress you have made and celebrate your success!

What is Somatic Experiencing?

Somatic Experiencing (SE) is a somatic (body-centered) therapy developed by Dr. Peter Levine.

It alleviates symptoms of relational stress, traumatic stress, depression, and anxiety and brings the body/mind back into a natural state of balance in your daily life.

After an SE session, many people report feeling grounded, focused, alive, and at ease. For more information on SE and SE therapy, you can go here.

Does SE include being touched?

SE can include touch. SE is not a form of massage. The therapist may offer you touch support for the following reasons: grounding, containment, support, mobilization, or awareness building. You will always be asked before being touched and have the right and full support to decline. If you do not feel comfortable with touch, or if the session does not call for it, session work will not include touch.

What is EMDR?

EMDR (Eye Movement Desensitization and Reprocessing) is a type of psychotherapy that helps overcome difficult life experiences and stressful events.

Repeated studies have proven the effectiveness of EMDR to rapidly relieve symptoms of chronic stress, traumatic stress, and PTSD (Post-Traumatic Stress Disorder).

Do you take insurance?

We are not on any insurance panels, however, we do accept insurance and are considered an out-of-network provider.  We can accept payment through Health Savings Accounts (HSAs), credit cards, or checks.

We can also provide monthly billing statements, or Super Bills, that comply with insurance requirements. Some people choose to submit these statements to their insurance company for reimbursement. Since coverage varies widely, it is a good idea to check with your insurance company to see what services your policy covers, if they accept coverage for out-of-network providers and services, and the percentage of reimbursement.

Do you accept Medicare or Medicaid?

The therapists at our clinic are not Medicare or Medicaid providers. So you will not be able to submit invoices or Super Bills to Medicare or Medicaid in an attempt for reimbursement.

How do I pay for my sessions?

We accept cash, checks, credit cards, and HSA cards. Payment is due in full at the time services are provided.

Do you have a sliding scale?

Yes, we do offer a limited number of sliding scale sessions depending on time and availability. Give us a call or email us to schedule a chat with a client concierge and see what we can do for you.

Is your clinic a training facility?

Yes, we do offer training for qualified provisionally licensed therapists with entry-level experience working with clients.

All provisionally licensed therapists, and some licensed therapists, in this office are directly supervised as required by Missouri law. All psychological counseling and/or testing requiring the supervision of a psychologist is performed under the supervision of our owner and experienced practitioner, Danielle Kiesler.

Your therapist may discuss your case with their supervisor at a clinical meeting to ensure the highest quality of care. Should you ever have any concerns or questions regarding your treatment at our practice, do not hesitate to ask your therapist.

How do you protect my confidentiality?

We regard the information you share with us with the greatest respect. It is our job to maintain confidentiality and privacy of your therapy and our records as it is a privilege of yours and protected by state ethics and law. We do not mail, fax, email, or transmit protected health information without your consent. Furthermore, no one will be informed of your attendance in therapy unless you specifically request it in writing. The law provides certain exceptions to confidentiality (child abuse, elder adult abuse, health oversite, judicial or administrative proceedings, threats to health or safety, and worker’s compensation). Otherwise, no information about you will be released without your written authorization.

How should I prepare for my first session?

You can make the most use of your first session by completing the necessary paperwork ahead of time through our secure client portal Jane at least 24 hours before your first session.  The paperwork takes about 30 minutes and must be done in one sitting.

What is the Good Faith Estimate?

This Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created.

The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, and your bill is $400 or more for any provider or facility than your Good Faith Estimate for that provider or facility, federal law allows you to dispute the bill.

The Good Faith Estimate is not a contract and does not require the uninsured (or self-pay) individual to obtain the items or services from any of the providers or facilities identified in the Good Faith Estimate.

If you are billed for more than this Good Faith Estimate, you may have the right to dispute the bill.

You may contact one of our administrators at admin@danceofchange.com to let us know if the billed charges are higher than the Good Faith Estimate. You can ask us to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.

You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill.

If you dispute your bill, the provider or facility cannot move the bill for the disputed item or service into collection or threaten to do so, or if the bill has already moved into collection, the provider or facility has to cease collection efforts. The provider or facility must also suspend the accrual of any late fees on unpaid bill amounts until after the dispute resolution process has concluded. The provider or facility cannot take or threaten to take any retributive action against you for disputing your bill.

There is a $25 fee to use the dispute process. If the Selected Dispute Resolution (SDR) entity reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate, reduced by the $25 fee. If the SDR entity disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount.

To learn more and get a form to start the process, go to www.cms.gov/nosurprises/consumers or call 1-800-985-3059.

For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.