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frequently asked questions

What does therapy with you look like?

I am what is considered “eclectic,” using multiple different approaches in our sessions and finding what works best for you. Sometimes sessions look like teaching skills to manage overwhelm, others it’s traditional “talk therapy” or using Somatic Experiencing and parts work to help access experiences in a felt way. Often, it’s a combination of many different interventions. Depending on what you’re working on, we may use tools from different therapeutic approaches, including Somatic Experiencing (SE), Inner Relationship Focusing (IRF), Exposure-Response Prevention Therapy (ERP), Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), mindfulness, and more. Of all these approaches, I default to SE and IRF (parts work) in each session. Because of this, you can expect a slower pace to sessions than you may be used to. I will check in with you regularly to see what is working and what isn’t—therapy is your space and your time, and it’s my goal to give you the support you want and need as you learn to trust yourself in working through challenges.

What is Somatic Experiencing? What is a Somatic Experiencing Practitioner?

Trauma is, unfortunately, a universal experience. Our bodies and nervous systems have an amazing capacity to heal and regulate themselves. Sometimes, the trauma we experience overwhelms our systems and we feel frozen in time—stuck in the same fight/flight/freeze process as if we were reliving the trauma in our bodies today. Somatic Experiencing is a body-based approach that supports your nervous system to process the “residue” trauma has left in our bodies. Instead of traditional talk therapy that asks that you tell and process the narrative of your trauma, Somatic Experiencing helps your body find a deep sense of safety by resolving its activated (fight/flight) or deactivated (freeze) states so that you can get back to the natural rhythms of nervous system regulation—protecting you when necessary, and enjoying both activity and rest when not. Somatic Experiencing is a gentle and supportive approach to resolving the activation in our bodies leftover from the challenges of life. If you’d like to learn more, please go here.

 

A Somatic Experiencing Practitioner is someone who has completed three years of study, in addition to 40+ hours of consultation through Somatic Experiencing International. It is the highest certificate available to those studying Somatic Experiencing.

How long should I expect to work with you?

Therapy is different for everyone. Some folks need a few sessions to learn new skills, while others will need more long-term support to work through complex trauma or challenging relational dynamics. There is no “good” or “bad” timeline for “finishing” therapy—it takes the time that it takes. As your capacity for managing your experiences increases, you may need less and less therapeutic support. That said, my hope is to support you moving through the therapeutic process at a pace that works for you. I am here for as long as you need!

Therapy is expensive! What are my options?

It’s true, therapy is expensive, and it’s definitely worth the investment. I offer sliding scale rates on a case-by-case basis. When requesting a sliding scale, I trust that you will pay the highest rate you are able within our payment range. Please contact me directly to discuss further.

Services are billed “out of pocket” practice and payment is due at the time of service. I accept cash, check, or credit card, or Venmo/Zelle. I gladly provide a “Superbill” for you to submit to your insurance company for reimbursement. Please ask about insurance during our consultation call, as I am approved as an “Out of Network” provider with some insurance plans. If you are looking for an in-network provider (i.e. covered by insurance), I recommend searching your insurance provider’s directory and/or searching Psychology Today for a full list.

In-person or virtual--what is available?

COVID-19 changed the way we do therapy, making virtual sessions more available. Virtual therapy is an option, as long as you reside any of the states I am licensed in: California, Washington, Texas and Illinois. If you live outside these states, I would love to refer you to a provider in your area, when possible. If you are in San Diego but need a virtual session, you can “opt in” to virtual sessions at any time. Some clients are always virtual. In both situations, a HIPAA-compliant video link is sent for all sessions.  If you prefer to be in-person, great! For in-person sessions, my only ask is that you don’t come to session while sick!

What if I need to cancel?

I get it—things come up! Whether you’re sick, have a scheduling conflict or need to cancel for any other reason, just let me know! I have a 36-hour notice policy: there is no fee if you cancel your session 36 hours before your session is scheduled to occur. If you let me know after the 36 hour marker, I do charge a “late cancellation” fee, which is the full fee for the session. While not ideal, please keep in mind, I have reserved this time in our schedule for you and without enough notice, often aren’t able to fill that space to provide a service to someone else. If you need to cancel within 36 hours but are able to reschedule within the same week, there is no late cancellation fee.

How do I receive a "Good Faith Estimate" for my time with you?

In California, you have the right to receive a “Good Faith Estimate” as a rough estimate how much your mental health care will cost. You can ask for a Good Faith Estimate before you schedule a service, or any time during our therapeutic relationship. For more questions or more informations regarding your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.

Serving clients in CA, WA, IL and TX

 

Mailing Address:

409 Camino del Rio S, Suite 303

San Diego, CA 92108

kara@karakimball-lcsw.com

Tel: 858-256-6205

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