Welcome to Cultivate You Counseling
Carl Rogers, one of the most influential therapists of the twentieth century said, "The good life is a process, not a state of being. It is a direction, not a destination." I want you to think of counseling with me as a self-exploration journey, where you get to work on cultivating the life you want and to work towards removing obstacles that are preventing you from growing or healing. I will work with you on developing realistic and sustainable goals, and to help you identify how you can empower yourself in your day-to-day life.
Therapy can help you explore just about any life problem, with possible goals of attaining greater mental clarity around your life, increasing your self-confidence, improving connection with your partner or friends, and experiencing greater levels of acceptance over upsetting situations.
I provide video therapy and occasional phone (insurance does not cover this modality) sessions or busy individuals in Colorado who may not have the time or desire to travel across town, for those who live in remote areas of the state, and for those who cannot access services otherwise. I also realize that some people feel anxiety, hesitation, or embarrassment about reaching out to a therapist, so video sessions can help to increase your comfort level with this service because you can see me from the comfort of your our own home.
MY TRAINING AND CREDENTIALS
I am trained in treatment approaches such as Eye Movement Desensitization and Reprocessing (EMDR), Dialectical Behavioral Therapy (DBT) and Person-Centered Therapy, for a wide array of concerns, such as infertility, relationships, anxiety, depression, desire for personal growth, and substance and behavioral addictions.
I've been a Licensed Professional Counselor since 2010 and Licensed Addiction Counselor since 2014 in Colorado. I am a member of the American Counseling Association, Colorado Counseling Association, and the American Society for Reproductive Medicine. Please feel free to click on my LinkedIn profile below to read more about my work history and education.
HOW LONG WILL I BE IN THERAPY?
Length of time for therapy depends on individual situations; however, many clients can expect to achieve some benefit within five to 10 sessions. If you do not feel any benefit from therapy by 10 sessions, it is important to consider alternatives, such as seeking out another therapist, changing or adding treatments (e.g., medication, acupuncture, spiritual practice, another therapy approach). I encourage all of my clients to talk to me when they feel we are not achieving their goals or if they have any requests to change the focus of our sessions.
EMERGENCIES AND CRISIS
Please note that I do not review client appointment requests on a daily basis nor am I available 24/7 for support or consultations; if you are currently in crisis and feel unsafe, please call Colorado's Crisis Hotline at 1-844-493-8255. For additional information, please go to https://coloradocrisisservices.org.
GOOD FAITH ESTIMATE
As of January 1st, 2022, under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges. You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give clients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees. Make sure your health care provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.
As of January, 2022, an initial intake and 50 minute session without insurance will be $150. If subpoenaed for court, I charge $250/hour to the attorneys to prepare to testify and time spent in court. In some situations I might be able to complete paperwork requests, and my fee is $75 per hour and can be prorated per 15 minutes. Late cancelation (less than 24-hour notice)/no show fee: $85 for self-pay clients. Please contact me with any questions.
CONSIDERATIONS FOR USING INSURANCE
When you use insurance to cover the cost of services, a therapist must provide you a diagnosis in order to justify enrolling you in counseling. A therapist may also have to report to your insurance company your progress and why treatment is continued to be "medically necessary." Additionally, having a mental health disorder diagnosis on your health records could potentially make it more difficult or expensive to get health insurance in the future and could impact security clearances or attaining certain jobs. It can also negatively impact child custody cases. If you have a pending legal case, you may want to consult with your attorney before starting treatment.
I encourage all clients to, when possible, call their insurance company to understand their coverage before starting any treatment. I can provide you a superbill to submit for reimbursement of some fees from your insurance company.
What you share in counseling is generally considered private and is protected information. There are some limits of confidentiality, however, such as imminent safety concerns about yourself or others or suspected child/elder abuse or neglect. Before you have your first session with me, you will receive documents which outline the specifics on confidentiality and you will have the opportunity to ask any questions about this.
If you are interested or curious in taking the next steps, I would enjoy hearing from you! Thank you for taking the time to read my website.
Shaun M. Fischler, LPC, LAC
Licensed Professional and Addiction Counselor