by Dr. Deborah S. Miller, Ed.D.
Frequently Asked Questions
How many sessions are typical?
The number of 60 minute sessions are determined by the severity of the presenting concern. Due to typical limitations of time and money, sessions are scheduled weekly for a few weeks and then are spread out to every other week. The duration of counseling varies and will continually be reviewed to determine effectiveness of interventions.
When are appointments available?
Sessions are scheduled on Mondays, Tuesdays, and Wednesdays. Openings for evening appointments are limited. Attempt to schedule within a week of the initial inquiry is earnestly made. I will also give referrals to other therapists with more availability.
Can I reach you if there is an emergency?
Confidential messages can be left at any time @ 314-650-2834. I will return your phone call as soon as possible. I can also respond to texts at this number or Email: . In emergencies, such as suicidal attempts, clients are encouraged to call 911 or go to the closest Emergency Room or call the Life Crisis 24 hour help line at 314-647-4357.
How much does a counseling session cost? Will my insurance cover this service?
The fee for counseling is $100 per hour for individual, family, or couples counseling. As of April 1, 2011, I will not be submitting claims to insurance companies (except for United Health Care Insurance). Forms for reimbursement will be given to patients to deal directly with their insurance company. Payment at the time of service can be made in the form of check, cash, or credit card.
Can schools or other medical professionals access my therapy files?
It is my legal duty to safeguard your protected health information. The data gathered in the counseling sessions is confidential and privileged. Your written consent is needed for release of information unless you or others are in danger to self or others.
When working with children and adolescents, how much information will be shared with their parents?
In order to establish rapport with the child/adolescent, they must feel comfortable talking about anything and everything (which will include their parents and family) with me. If the young person is in danger to self or others, parents will be informed immediately. Disclosure of information will be in the presence of the adolescent and possibly the child, depending on their age. Family sessions will be scheduled intermittently in order to address on-going concerns.
In couple counseling can one partner talk to you confidentially?
When you enter couple therapy, your relationship is the client and disclosure of information must be made in the presence of both partners.