Are my problems significant enough for therapy?

You don’t have to have a “major” problem to come to therapy. Just feeling unhappy or really stressed, or wanting guidance though a difficult situation makes you a good candidate to benefit from therapy.

How do I schedule an appointment?

You can call me at (971)251-5587, email me at irishogan@reasontohope.net, or use the contact form on this website to connect. I will get back with you as quickly as I can, usually by the next business day, to schedule an appointment.

How long are sessions?

Regular sessions usually last 50 minutes. EMDR treatment or trauma therapy often requires more time. For this type of treatment, we typically schedule a 90-minute session.

How long will I need to be in therapy?
That depends on your presenting concerns and therapy focus. We will clearly identify and define your problems and therapy goals. Treatment length will be determined by your goals.

How will I know if therapy is working?

When therapy is working you will see and feel the evidence of it in your daily life. In addition, we will have clear goals to track your progress, so you will know if we are moving in the right direction. We will have an open dialogue about how you feel your therapy is going and if you feel you are moving in the right direction.

If I am on medication (or considering taking medications) do I still need therapy?

Research has shown that the use of medication and therapy in combination is an extremely effective way to facilitate change. It is not uncommon for people to be on an antidepressant or an anti-anxiety medication before or during their therapy work. If you feel you would benefit from a combination of medication and therapy, I am happy to refer you to a psychiatrist or a physician for a medication consultation. I can then coordinate your care with them, so you will gain the benefits of both approaches.

Some people seek to discontinue their medication as a treatment goal. In this case, therapy will be used as a means of gaining skills and insights so that medication may no longer be necessary.

How much does therapy cost?

My standard rate is $100 per 50-minute session. I have some sliding scale therapy slots reserved for people who are experiencing financial hardship. If you are concerned about the cost, please talk to me.

Do you accept insurance?

While I am not an in-network insurance provider, most of my clients find that they can gain reimbursement from their PPO insurance plan for out-of-network therapy services. I will be happy to fill out any required clinical paperwork for you to facilitate this process. I recommend that you check with your insurance company about the terms of your coverage and reimbursement rates for out-of-network therapy.

Here are some of the benefits of using an out-of-network provider:

Choice of clinician – You get to pick the person with whom you have the best fit, rather than simply having to work with someone on a preferred provider list. A good fit with your therapist is essential to getting the most out of your therapy work. In addition, it can be challenging to find an in-network provider that is qualified, local, and available.

Choice of therapy focus, length, and treatment type – Insurance policies often restrict the type of services, the number of sessions, and the scope of therapy, and they typically require a review of your medical records to justify “medical necessity.” With an out-of-network provider, you work on what you want to, in a way that is meaningful to you, for as long as you feel treatment is needed.

Choice of provider qualifications – You get to review the qualifications of your clinician. Insurance companies often contract with clinicians at far below market rate, which means that providers with specialized qualifications may be underrepresented on your insurance panel.

When should I not consider therapy?

If your schedule does not allow you time to come regularly (weekly or every other week initially), then therapy may not be right for you. Especially in the beginning, it is important to commit to regular attendance in order to build a strong foundation and facilitate healing.

I do not provide substance abuse treatment as primary focus. If you are struggling with active addiction, please seek help with a specialized Addiction Counselor.
A good place to start is Alcoholic Anonymous