1. How can counseling help? Repair and improve relationships (with family, spouse, God) Solve communication problems Develop stronger parenting skills Address fears and develop more courage in daily life Find clearer direction in life and explore how to change as needed Explore values and beliefs and create a plan for greater authenticity Process grief, trauma, betrayals, and loss so that you can move forward in life
2. What age groups do you serve? Samantha Salazar provides services primarily to teens and adults. Angela Sarafin provides services primarily to adults - some teens and children are seen in the context of family therapy
3. What kind of issues do you see? Abuse/Trauma recovery ADHD Anxiety Christian Spiritual issues Couple conflict Depression Grief/Bereavement Identity/Phase of life issues Life/work balance issues Parent/child conflict
4. What issues do you not see? Because there are some issues that require specific additional training, we suggest you look at www.goodtherapy.org or psychologytoday.com to find a specialist for these issues: Substance Abuse Interventions/Detox/Rehabilitation Schizophrenia and other psychotic disorders Teenage substance abuse treatment (intensive outpatient and alternative peer groups) Intensive outpatient treatment for self-harming behavior issues DBT groups/therapy for borderline personality disorder Hypnotherapy/EMDR/Biofeedback Non-verbal children
5. What kind of therapy/counseling do you offer? We offer a mix of cognitive/behavioral, spiritual, family systems, experiential therapies. Ms. Sarafin also offers EMDR therapy.
6. What are all those letters after the therapist's name? M.A. - Master of Arts LMFT - Licensed Marriage and Family Therapist LPC - Licensed Professional Counselor Associate - the therapist has fewer than 3000 hours of post-graduate therapy work Intern - essentially the same as an associate -S - state-board approved supervisor for interns and/or associates
7. What happens if I have a complaint about my therapist? Your therapist will make mistakes. We hope that you will talk with your therapist if you have a complaint so that she has an opportunity to remedy the situation. If you feel that you cannot approach your therapist or if you have tried and the two of you were unable to resolve the situation, or if you believe that a therapist has violated any board rules or privacy laws, you may file a complaint to the appropriate licensing board: Texas state licensing board Complaints Management and Investigative Section P.O. Box 141369 Austin, Texas 78714-1369 1-800-942-5540
DC licensing board at 899 North Capitol Street, NE Washington, DC 20002 Phone: (202) 442-5955
About Insurance & Psychotherapy
You may use your health care savings account (Flex Spending Account) to pay for your session fees, even if your insurance company does not cover the services. Sarafin Family Therapy, PLLC is out-of-network on all insurance plans in Texas and most plans in DC. This means that we collect the full session fee from you when services are provided. If you wish to seek reimbursement from the insurance company, we will provide you with a receipt that includes all the necessary information.
The DC office does a limited amount of direct insurance billing. Please contact Ms. Sarafin for more details on whether insurance can be billed directly for your CareFirst/BCBS plan.
A few things you should know about insurance: 1. Insurance is designed primarily for treatment and prevention of issues caused by dysfunction in the physical body. Some plans have no coverage for mental health issues and many plans do not cover relationship issues (such as communication issues, parent/child conflict, or marital distress), nor will they cover court mandated sessions. 2. Plans that do cover mental health counseling/therapy often restrict coverage to 45-60 minutes per day (couples therapy is generally more effective with 80-90 minute sessions). 3. Many insurance companies limit the number of sessions allowed per year. 4. Payment by insurance usually requires that someone diagnose you with a mental illness, such as major depressive disorder, schizophrenia, bipolar disorder, etc. The therapy sessions must be directly related to treating the illness. We can only bill under a particular diagnosis if you meet the criteria for that diagnosis (as defined in the DSM 5). 5. Even if you have a diagnosis, the insurance company may deem that the counseling services are not medically necessary for that diagnosis and deny payment. Licensing board rules dictate that we must be accurate and ethical in our billing practices. Please do not ask or expect us to commit fraud in order to get around the limitations of your insurance coverage. 6. Having a mental health diagnosis in your medical history can negatively impact your ability to obtain or maintain certain types of employment (security clearances, jobs that directly impact public health and safety, etc) and legal pursuits such as adoption.
The benefits of the self-pay model:
1. With less paperwork and billing, the therapist has more time available for client appointments and for planning effective interventions.
2. The therapist/client relationship is not strained by issues related to insurance restrictions and denied claims.
3. As a client, when you invest financially, you are more likely to be actively involved in the therapeutic activities and increase your sense of self-efficacy.
4. You know exactly how much you are expected to pay and can budget according to how much you are willing to invest as opposed to being surprised by denied claims, new deductibles, exceeding the number of sessions allowed, etc.
Having trouble logging into the client portal?
If it has been more than 2 months since your last appointment, your account may be inactive. Please call or email the therapist to reactivate your login.
Error: An account already exists for this email address
Your therapist has already registered your information in the system. You need to click on the login icon, not the register icon. Look in your email for a message titled: "Login for Sarafin Family Therapy" (check your spam filter if necessary). This email has your login name and password. It also has a link that will take you straight to the login page.
Error: Incorrect username or password
Did you put in your username or your email address? Your email address is only valid the first time you login. If you forgot your new login name, call your therapist.
Passwords are case sensitive. Click on the "Forgot your password?" link (on the login page) to generate a password reset.
Stuck on Change Password screen
Is your password at least 8 characters? Do you have at least one upper case letter? Do you have at least one number? Do you have one of these special characters? % ^ $ @ * ! # (other special characters are not allowed)