MCH / Russell Associates
, LLC
   
Counseling, Consulting, Coaching
   
Helping you achieve the greatest possible change in the shortest possible time


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David M. Russell, PhD


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FAQ's for New Clients
 

   

We realize that getting help is a significant commitment and investment in your future. Thank you for choosing Russell Associates to help you on this part of your journey. As the newest member of your team, we will do whatever it takes to allow you to move forward in your life. We look forward to working with you.

Thank you for choosing Dr. Russell to be your psychologist. Together, the two of you will do whatever it takes to allow you to move forward in your life. He looks forward to working with you.

 

 


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Contacting Dr Russell

  • Call-in period. During call in times, we answer the phone directly. If you get the voicemail, it means that we are on the line with someone else. Try again in a few minutes and you should get through. This period is free of charge for all current and past clients.

    First appointments. We usually schedule new clients within 2-6 weeks depending on urgency and the flexibility of your schedule. Ex-clients and new clients referred by previous clients get priority scheduling (usually within 1-2 weeks).

  • Emergencies. Please call the main number at any time to get the current emergency number. If we don’t answer immediately it means that we may be in the middle of a presentation, on the highway, involved in an urgent issue, or temporarily out of range. We will return the call as soon as possible, usually within an hour. If you are experiencing a critical emergency (for example. if you are considering hurting yourself), call 911 or contact your nearest hospital emergency room and have them call us when you get there. Please note that most insurance policies do not cover emergency phone calls.

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Please Ask About Confidentiality And Know Your Rights

  • Legal limits. Except as required by law, the information provided by and to you during therapy sessions is legally confidential, including the fact that you are our client. Exceptions to confidentiality include threat of serious harm to self or others and child abuse.
  • Written records.  As professional therapists, we are required to keep written records of each session. We will review these with you at any time and will write them at the end of the session with your input if you wish.  In order to insure your privacy, all written records that leave our office (including insurance forms) will be sent to you so that you can send them out yourself.
     
  • Family members. We will not share things that your child or spouse tells us with you unless they give us permission. If they tell us something that we think you should know, we do reserve the right to try to convince them to tell you themselves.
  • Abuse by past therapists. We believe that it is not only unethical but also extremely damaging for a therapist to have any sort of sexual relationship with a client. If you have been abused in this way we will do our best to convince you to report that therapist to the appropriate licensing board and professional organization. Reporting such abuse will not only help prevent the therapist from abusing other people, but will also help him or her to get the help that they need.

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Fees

  • Rates. Our fees are higher than many, if not most, therapists. This is because we offer a very specialized form of treatment. If you are looking for standard therapy we will be happy to refer you to the many good therapists that offer general treatment. If, however, you need and are ready for a very fast-paced, concentrated therapy that focuses on resolving root causes, then we will look forward to work with you to achieve the greatest possible change in the shortest possible time. Payment by cash, check or charge is expected at time of service for all professional services including sessions, phone consultations, travel, school meetings, report or letter writing. My associates use the same techniques as I do and are directly supervised by me. Their fees usually range from 1/3 to 2/3 of my fees.

    Any unpaid balances are subject to a 1.25 % per month interest charge. There is a $20 fee for returned checks. We usually adjust fees in October or April for new clients and those fees then become effective 3 months later in January or July for ongoing clients.
     
  • Missed Appointments.  You will be charged for missed appointments if you fail to give a 24-hour (72-hour for Monday appointments) notice. We will forgive one missed appointment for each client. If you fail to give 24 hours notice for long sessions you will only be charged for the first 45 minutes. If you are not sure if you can make a session (for instance if you are feeling sick or you may have to attend a meeting) call and let us know that the session is tentative. You can then cancel the session even at the last minute.

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  • Insurance.  We do not contract with any insurance company since this would require us to agree to their philosophy of treatment, give them counseling information and accept their fee schedules. We will give you an insurance readable form at the end of each session that you can send in to get reimbursed.

    Some policies allow you to see out-of-network providers as long as you are willing to pay a higher deductible or co-pay. Please contact your insurance company for details.

    If your policy does not allow you to go out of network we may be able to help you get an exception called a ‘single-case agreement’ based on your need for specialized counseling.

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  • Business Tithing.  The business tithing program allows clients to offset the cost of counseling by donating time at a church or church-related charity. All donated time must be above and beyond what you usually do and must be in an area of service where both you and a pastor feel you have a gift.  To learn more about business tithing, click here.

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Sessions

We see people anywhere from 2-3 times a week to 2-3 times a year. Sessions can last anywhere from 15 minutes to 4 hours. We will decide together what length and frequency is best for you based on your issues, schedule, etc. If you are unable to make it into the office, but still want to have a counseling session, we can have a session over the phone.

Sessions usually begin with a review of the progress you have made since the last session. We then spend the bulk of the session working on one or more issues. Towards the end of the session we will review the work we just did, discuss how it relates to issues in your life and discuss any homework. We spend the final few minutes dealing with payment, insurance forms and scheduling.

The following table outlines typical 45- and 90-minute sessions.

 

Task

45-minute session

90-minute session

Review/Update

5-10

5-10

Work/Processing

20-30

60-75

Review/Homework

5-10

5-15

Payment/Next Appointment

5

5

We will do our best to start and stop on time, however, there will be times when we run over with the client before you. This occurs when we have an emergency during the day or when we run into an unexpectedly difficult issue with a client near the end of a session. We will call you to let you know if we are running late if at all possible. If we do run late please be assured that we will give you your full allotted time.

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Length of Treatment

We are committed to help you achieve the greatest possible change in the shortest possible time. We have found that the severity of symptoms or the number of problems has little to do with the time it takes to resolve an issue. Factors that seem to predict how long it takes to resolve a problem include the length of time you have had the problem, how well you were functioning before your problem began, the amount of social support that you have, your ability to trust, and finally your ability to tolerate strong emotions. The list below gives a rough estimate of the number of sessions it may take to resolve an issue. These are broad estimates; we will be able to give you a better idea of the length of treatment after meeting with you.


Treatment
Category

Average Number of Sessions


Typical Profile

Simple

4-6

Problems began within last year with good prior adjustment. Good current social support. No difficulty with trust or tolerating emotions.

Routine

6-12

Problems began within the last few years with good prior adjustment. Good current social support. No difficulty with trust or tolerating emotions.

Involved

12-25

Problems began many years ago but there is clearly a time when problems did not exist. Good current social support. No difficulty with trust or tolerating emotions.

Complex

25-75

Problems have waxed and waned for as long as you can remember. Limited social support but able to trust therapist and tolerate emotions.

Extended

50-???

Limited social support. Difficulty trusting therapist and/or tolerating emotions.

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To print our brochure, click here:  BROCHURE

 


 


This website is designed for general information only. The information presented at this site should not be construed to be formal advice nor the formation of a doctor/client relationship.


Copyright 2006-2007, David Russell, PhD
All Rights Reserved.