top of page

Frequently Asked Questions

How do I know what I share is protected and just between us? 

Confidentiality and Privacy Policy:

The law protects the relationship between a client and a therapist. Information cannot be disclosed without written permission. Confidentiality is one of the most important components between the client and therapist. Successful therapy requires a high degree of trust with highly sensitive subject matter that is usually not discussed anywhere but the therapist’s office.  It is extremely important to gain your trust and provide a warm, safe, and sacred space to hold for you while you work through your struggles.


Exceptions include:

  • Suspected child abuse, dependent adult, or elder abuse for which I am required by law to report this to the appropriate authorities immediately.

  • If a client is threatening serious bodily harm to another person, I must notify the police and inform the intended victim.

  • If a client intends to harm themselves, I will make every effort to enlist their cooperation and ensure their safety. If they do not cooperate, I will take further measures without their permission that are provided to me by law in order to ensure their safety

Image by Larm Rmah
Image by TOMOKO UJI
Image by Wolfgang Hasselmann

What if I need to cancel my appointment?

Cancellation Policy:

48 hours minimum notice is required to avoid cancellation fee of $125. If you do not show up for your scheduled therapy appointment, and you have not notified us at least 48 hours in advance, you will be required to pay the full cost of the session which will be charged to your card on file.

How much are sessions and how long are they? 

Rates for Professional Individual Counseling:

  • $125 per 50-minute session (scheduled here through website)

  • $190 per 75-min session (scheduled directly with therapist)
     

Please remember, any cancellation without at least 48 hours’ notice will be charged the full amount to your card on file. 

artem-kovalev-fk3XUcfTAvk-unsplash.jpg
daoudi-aissa-absT1BNRDAI-unsplash.jpg

How do I make payment and when is it due?

Payment:

All major credit cards accepted for payment. FLEX spending or Health Savings Account debit cards may also be used. A card must be put on file for therapy sessions. Session fees will be charged to your card immediately after session.

Insurance:

Do you take my insurance?

This is a self-pay practice of investing in your mental health.  You might want to consider contacting your insurance carrier to see if services may be reimbursed for ‘out of network’ therapy in full or in part by your health insurance or employee benefit plan as an out-of-network provider by you submitting your paid receipts.

Image by Emma Svalstad

What is the model and more information about IFS?

IFS

The Internal Family Systems Model Outline (from Institutes Website


I. BASIC ASSUMPTIONS OF THE IFS MODEL

It is the nature of the mind to be subdivided into an indeterminate number of subpersonalities or parts.
Everyone has a Self, and the Self can and should lead the individual's internal system.
The non-extreme intention of each part is something positive for the individual. There are no "bad" parts, and the goal of therapy is not to eliminate parts but instead to help them find their non-extreme roles.
As we develop, our parts develop and form a complex system of interactions among themselves; therefore, systems theory can be applied to the internal system. When the system is reorganized, parts can change rapidly.
Changes in the internal system will affect changes in the external system and vice versa. The implication of this assumption is that both the internal and external levels of system should be assessed.


II. OVERALL GOALS OF THERAPY

To achieve balance and harmony within the internal system
To differentiate and elevate the Self so it can be an effective leader in the system
When the Self is in the lead, the parts will provide input to the Self but will respect the leadership and ultimate decision making of the Self.
All parts will exist and lend talents that reflect their non-extreme intentions.


III. PARTS

Subpersonalities are aspects of our personality that interact internally in sequences and styles that are similar to the ways in which people interact.
Parts may be experienced in any number of ways -- thoughts, feelings, sensations, images, and more.
All parts want something positive for the individual and will use a variety of strategies to gain influence within the internal system.
Parts develop a complex system of interactions among themselves. Polarizations develop as parts try to gain influence within the system.
While experiences affect parts, parts are not created by the experiences. They are always in existence, either as potential or actuality.
Parts that become extreme are carrying "burdens" -- energies that are not inherent in the function of the part and don't belong to the nature of the part, such as extreme beliefs, emotions, or fantasies. Parts can be helped to "unburden" and return to their natural balance.
Parts that have lost trust in the leadership of the Self will "blend" with or take over the Self.

 

IV. SELF

Different level of entity than the parts -- often in the center of the "you" that the parts are talking to or that likes or dislikes, listens to, or shuts out various parts
When differentiated, the Self is competent, secure, self-assured, relaxed, and able to listen and respond to feedback.
The Self can and should lead the internal system.
Various levels of experience of the Self:

  • When completely differentiated from all parts (Self alone), people describe a feeling of being "centered."

  • When the individual is "in Self" or when the Self is in the lead while interacting with others (day-to-day experience), the Self is experienced along with the non-extreme aspects of the parts.

An empowering aspect of the model is that everyone has a Self.

 

V. GENERAL GROUPS OF PARTS

EXILES
Young parts that have experienced trauma and often become isolated from the rest of the system in an effort to protect the individual from feeling the pain, terror, fear, and so on, of these parts
If exiled, can become increasingly extreme and desperate in an effort to be cared for and tell their story
Can leave the individual feeling fragile and vulnerable
MANAGERS
Parts that run the day-to-day life of the individual
Attempt to keep the individual in control of every situation and relationship in an effort to protect parts from feeling any hurt or rejection
Can do this in any number of ways or through a combination of parts -- striving, controlling, evaluating, caretaking, terrorizing, and so on.
FIREFIGHTERS
Group of parts that react when exiles are activated in an effort to control and extinguish their feelings
Can do this in any number of ways, including drug or alcohol use, self-mutilation (cutting), binge-eating, sex binges
Have the same goals as managers (to keep exiles away) but different strategies

 

VI. BEGINNING TO USE THE MODEL

Assess client's parts and sequences around the problem.
Look for polarizations:

  • Within individuals

  • Among family members

Look for parallel dynamics: The way you relate to your own parts parallels the way you relate to those parts of others.
Introduce the language of the model.
Check for individual's awareness of parts -- ask how he or she experiences the part: thoughts, feelings, sensations, images, and so on.
When working with families, check for the family's awareness of parts in self and others.
Make a decision about how to begin using the model: language, direct access, imagery, and so on.
Come to agreement with client on initial goals of therapy in terms of the internal system -- create a "contract."
Assess the fears of manager parts and value the roles of the managers; explain how the therapy can work without the feared outcomes of the managers happening.
Inventory dangerous firefighters; work with managers' fears about triggering firefighters.
Assess client's external context and constraints to doing this work.


VII. RELATIONSHIP BETWEEN INTERNAL AND EXTERNAL SYSTEMS

The way you relate to your own parts parallels the way you relate to those parts of others.
Individual's internal system affects and is affected by the external system of which he or she is a part.
Internal and external systems often parallel each other.


VIII. WORKING WITH INDIVIDUALS

Protective Parts
Important to assess protective parts and work with them first.
Develop a direct relationship with the part.
May need to negotiate pace of work -- give the part an opportunity to talk about concerns.
Work out a system for the part to let you know when things are moving too fast.
Respect the concerns of the part.


Non-imaging techniques
Assessing internal dialogue
Using the IFS language
Location/sense of a part in the body
Diagrams -- relationships among parts
Journaling
Direct access:
Therapist to parts
Self to parts
Part to part


Imaging
Room technique
Mountain or path exercise
Going back in time with a part, then "unburdening"
Bringing parts into the present -- "retrieval"
Future imaging
Working with more than one part
Confronting abuse/significant others
Horizon/healing place
Use of light


Concept of Blending: keeping the feelings of the part from overwhelming the Self
Working with the Self to understand why/how not to blend
Working with the part to understand why/how not to blend


Working with young children
Assess developmental level of child and whether need to be concrete or able to use imaging techniques
Be creative, use modalities comfortable to child -- art, play techniques
Children respond well to techniques that externalize parts and then involve interacting with the parts, such as sandtray, puppets, and so on.


IX. WORKING WITH FAMILIES

Introduce IFS language (power of IFS language vs. monolithic language)

  • Language is powerful in changing sequences.

  • Language frees people from seeing themselves (and others) in extreme ways.

Looking for parts that are activated in session.

  • Identifying sequences (both internal and external)

  • Selves working together to keep extreme parts of each family member from interfering

Enactments

  • Set up enactments of family.

  • Set up enactments of sequences/relationship among parts of individual family members.

Work with one family member while others watch.

  • Establish safety: Family members not to analyze parts outside of session

  • Contract not to talk about others' parts; can talk about own parts

  • No matter what others are doing, individual always responsible for own parts

  • Ask for reactions of others who are watching.

  • Try to alternate among family members.

Working with one member outside of family sessions

  • Emphasize taking responsibility for own parts and help practice accessing Self.

General frame of Selves working together to keep extreme parts of each family member from interfering


X. CONSTRAINTS TO THE WORK

Therapist's parts (rational/scientific, approval, worrier, protective)
Protective parts of client
Protective parts of other family members
External system unsupportive or abusive


XI. COMMON THERAPIST MISTAKES

Working with exile before system is ready.
Therapist assumes he/she is talking to person's Self when is talking to a part.
Therapist thinks Self is doing the work, but it's really a part.


XII. TROUBLESHOOTING PROBLEMS

Helping Self to distance from/unblend from parts
Dealing with extreme parts


XIII. STRENGTHS OF THE MODEL

Focuses on strengths: the undamaged core of the Self, the ability of parts to shift into positive roles
IFS language provides a way to look at oneself and others differently.
Language encourages self-disclosure and taking responsibility for behavior.
IFS language is powerful.
Provides a way to work with "resistance" and denial
Ecological understanding of entire therapy system, including therapist
Respect for individual's experience of the problem

  • Clients provide the material -- the therapist doesn't have to have all the ideas.

  • Therapist looks at client's Self as "co-therapist" and trusts the wisdom of the internal system.
     

bottom of page