FAQ

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 Where is your office located?

7254 Blanco Rd Ste 204

San Antonio, TX 78216

I’m located near Blanco Rd and 410 near the North Star Mall. The office is disability accessible. We’re on the 2nd floor in suite 204. The door reads: Alamo Workplace Solutions, PLLC.

I also provide online counseling to individuals and couples who reside in Texas.

How long are the sessions?

Individual and couple’s sessions are usually 50 minutes long.

How do I set up an appointment?

Just give me a call, and we’ll get something scheduled!

Once the appointment is scheduled, I’ll send you a link to log in and complete all the forms prior to the appointment.

If you’re using insurance, I’ll need a copy of your insurance card, name, and date of birth to verify your benefits prior to the appointment.

What is your cancellation policy?

Cancellations need to be made 24 hours or more before your scheduled appointment, or a fee of $50 will be incurred. The same applies to no shows. To help avoid this, I can provide reminders via text.

Is therapy really necessary?

You may be the person who’s used to helping others vs. being the one to ask for help. It can be difficult to reach for help when you need it.

People who experience high levels of stress can find themselves worn down, confused, sad, frustrated, irritable, and not know where to turn.

Seeking help indicates you have courage and reflects emotional maturity. Taking personal responsibility can be scary, but it’s necessary to have the life and relationships you want. I’m often amazed and inspired by the transformation and resiliency of my clients who make changes to get the life they want.

Who do you work with?

Most of my clients are people who are ready to change the things that cause them pain. The clients I work with aren’t here to simply complain about their life. They’re ready for practical tools to help them reach their destination.

More specifically, I’ve worked with military, law enforcement, first responders, veterans, medical professionals, teachers, corporate professionals, moms, spouses and partners.

Most common reasons people contact me:

Trauma survivors: Most of us have experienced some disturbing event in our lives. Others have experienced multiple traumas. Our minds were not designed for this. Trauma causes irritability, difficulty sleeping, inability to concentrate, a mind that never stops, thoughts that repeat, overreacting to sounds, never letting your guard down, and the list goes on. Isolation isn’t the answer – help is available to get your life back.

Frustrated professionals: The workplace is constantly changing, no matter your profession or where you work. We’re constantly expected to do more with less. Over time, this leads to frustration, decreased interest in work, dreading going to work, and more. I help professionals manage stress and rekindle their passion for work. I help clients evaluate a career change or help during a life transition. A fulfilling future is possible, and I can help you achieve it.

Distant couples: Misunderstanding and miscommunication are common issues in relationships. We often interpret what the other person is saying through our lens and not theirs. This can cause resentment and lead to a distant relationship. I work to help you restore your relationship and head in a better direction.

Everyone else: Those who have experienced the loss of a loved one or are adjusting to a medical diagnosis: heart disease, diabetes, cancer or other chronic issue, loss of abilities because of medial injury or illness. Help is available to adjust to the news and discover life after the diagnosis. If you’re not sure I can help, please send me an email – I’d love to hear from you: sacousenlor78216@gmail.com

What are sessions like?

I work to make sure you get an individualized approach that works for you. Some clients prefer more structure and homework assignments while others want a more laid-back approach. There are clients who want more directive feedback and those who simply need a compassionate ear.

During the first session, I really try to get a sense of what brought you in and what you’d like to get out of counseling. I typically ask a lot of questions so I can get a clear picture on how I can help.

What approach do you use?

I use a result driven; solution focused practical approach to helping people. The goal of counseling isn’t sitting in someone’s office for an hour a week complaining about problems.

Counseling should assist you in making changes to transform your life for a more fulfilling future.

My mission: To help you gain insight into your personal struggles, teach you skills to have the life you want and resolve conflict with your loved ones. I’m committed to helping you create healthy relationships and personal success that can change your life.

How can I get the most out of counseling?

Be honest about what’s going on in your life. The best counseling outcomes occur when the client is authentic and genuine.

Commit to showing up to sessions and being present.

Be open to new ideas and approaches you haven’t tried.

Provide feedback when something is or isn’t working for you.

How many sessions is needed?

Most people find their issue is resolved in 12 sessions. However, the number of sessions depends on what you need and what you feel comfortable with. You’re engaged in the process to set goals and determine what’s needed. Some people benefit from ongoing long-term counseling and others may find a few sessions is all they need.

What is your professional training / experience?

I have a master’s degree in counseling and have two years of supervised experience in order to obtain my counseling license. I have 10 years of experience since getting licensed. My work has primarily been with military, veterans, and their families.

I have six years of experience helping individuals with injuries or illnesses accept their limitations and understand their abilities, so they can adjust to life after their trauma. I’ve provided career counseling and direction to help individuals with disabilities determine their best career. This includes helping students go through college and obtain/maintain employment.

What if I don’t like you?

If we’re not the best fit to work together, then please let me know. I want to help people who are a good fit. If I’m not the best counselor for you, then it’s important for you to get what you need to experience healing. Developing rapport usually takes 2-3 sessions.

Are you going to ask me to do something that I don’t want to do or share something I don’t want to talk about?

I may ask you questions that make you uncomfortable, but you control how much you share. I understand developing trust in the therapeutic relationship can take time. I want to make sure you’re ready to “go there” and have developed the coping strategies to deal with the uncomfortable emotions that may be associated with your trauma or experience.

If I ask you to try something that you’re not interested in, then please let me know. There are many different counseling strategies and tools we can implement. It’s important to me that what we’re working on is a good fit and working for you.

Is therapy really confidential?

If you use insurance for therapy, then the insurance company can always request a copy of the notes and treatment plan. Insurance companies require me to give you a diagnosis for a mental illness and treatment needs to be a medical necessity. I’m required to put your diagnosis on the insurance billing statement that is electronically submitted to the insurance company. The mental illness needs to significantly interfere with your work and/or relationships to require treatment.

If you pay for therapy out of pocket, then there are no stipulations on requiring a mental health diagnosis. You’re able to seek counseling for personal growth vs. medical necessity. In this case, the only way your record is released is if you request it in writing.

Other situations that require me to break confidentiality: if you report that you are in imminent danger of harming yourself or someone else or you report child/elder abuse or neglect.

Will therapy help?

Through the genuine relationship we develop, therapy can facilitate change. Being heard and understood is often healing. I provide an objective perspective, support, and insight to help you move past your pain.

Therapy can improve self-acceptance, communication and interpersonal skills, provide perspective and direction, help you identify a clear path ahead. Counseling can also enhance coping strategies, improve anxiety, depression or PTSD symptoms.

The amount of commitment you bring to the counseling relationship improves your chances of seeing the change you want and experiencing the healing you need.

Give me a call today to get started: 512-256-4929