FREQUENTLY ASKED QUESTIONS
Frequently Asked Questions
What is counseling?
Professional counseling is a professional relationship that empowers diverse individuals, families, and groups to accomplish mental health, wellness, education, and career goals.
Counselors work with clients on strategies to overcome obstacles and personal challenges that they are facing.
Source: American Counseling Association
What is Psychotherapy?
Psychotherapy, or talk therapy, is a way to help people with a broad variety of mental illnesses and emotional difficulties. Psychotherapy can help eliminate or control troubling symptoms so a person can function better and can increase well-being and healing.
Problems helped by psychotherapy include difficulties in coping with daily life; the impact of trauma, medical illness or loss, like the death of a loved one; and specific mental disorders, like depression or anxiety. There are several different types of psychotherapy and some types may work better with certain problems or issues. Psychotherapy may be used in combination with other therapies.
Source: American Psychiatric Association
What is CBT (Cognitive Behavioral Therapy)?
Cognitive behavioral therapy (CBT) is a form of psychological treatment that has been demonstrated to be effective for a range of problems including depression, anxiety disorders, alcohol and drug use problems, marital problems, eating disorders and severe mental illness. Numerous research studies suggest that CBT leads to significant improvement in functioning and quality of life. In many studies, CBT has been demonstrated to be as effective as, or more effective than, other forms of psychological therapy or psychiatric medications.
It is important to emphasize that advances in CBT have been made on the basis of both research and clinical practice. Indeed, CBT is an approach for which there is ample scientific evidence that the methods that have been developed actually produce change. In this manner, CBT differs from many other forms of psychological treatment.
CBT is based on several core principles, including:
Psychological problems are based, in part, on faulty or unhelpful ways of thinking.
Psychological problems are based, in part, on learned patterns of unhelpful behavior.
People suffering from psychological problems can learn better ways of coping with them, thereby relieving their symptoms and becoming more effective in their lives.
CBT treatment usually involves efforts to change thinking patterns. These strategies might include:
Learning to recognize one's distortions in thinking that are creating problems, and then to reevaluate them in light of reality.
Gaining a better understanding of the behavior and motivation of others.
Using problem-solving skills to cope with difficult situations.
Learning to develop a greater sense of confidence is one's own abilities.
CBT treatment also usually involves efforts to change behavioral patterns. These strategies might include:
Facing one's fears instead of avoiding them.
Using role playing to prepare for potentially problematic interactions with others.
Learning to calm one's mind and relax one's body.
Not all CBT will use all of these strategies. Rather, the psychologist and patient/client work together, in a collaborative fashion, to develop an understanding of the problem and to develop a treatment strategy.
CBT places an emphasis on helping individuals learn to be their own therapists. Through exercises in the session as well as “homework” exercises outside of sessions, patients/clients are helped to develop coping skills, whereby they can learn to change their own thinking, problematic emotions and behavior.
CBT therapists emphasize what is going on in the person's current life, rather than what has led up to their difficulties. A certain amount of information about one's history is needed, but the focus is primarily on moving forward in time to develop more effective ways of coping with life.
Source: APA Div. 12 (Society of Clinical Psychology)
Existential Therapists believe that conflict stems from confrontations with the “givens” or “ultimate concerns” of existence. These include:
The inevitability of death
Freedom and the responsibilities associated with it
Existential isolation
Meaninglessness
Existential therapy focuses on each person as a unique individual as well as the choices that shape their life. The therapist empowers the patient to take responsibility for their decisions and create the present and future they desire. Techniques may pull from cognitive behavioral, Jungian, Gestalt, narrative or other therapeutic approaches.
Existential therapy can help alleviate anxiety, shame, guilt and other difficult emotions through honest self-evaluation. At the same time, this approach candidly confronts the realities of life such as death, meaninglessness, loss and suffering and works to promote positive experiences, relationships and emotions.
Existential therapy encourages clients to:
Evaluate their values, beliefs and situation
Acknowledge their limitations as well as the possibilities for their lives
Find meaning and purpose in their lives
Develop more effective ways of communicating
Source: American Psychological Association
What is Existential Therapy?
An LPC is a highly trained, skilled mental health professional who:
Holds a Master's or higher degree in Counseling
Has four years of Clinical supervised experience
Is licensed by the Secretary of State of Georgia Composite Board of Professional Counselors, Social Workers, and Marriage and Family Therapist
Completes yearly continuing education required to maintain state licensure.
An LPC guides those struggling with many of life's challenges in relationships, life transitions, career decisions, personal growth, trauma, grief, anger, etc. An LPC provides counseling and support to individuals diagnosed with clinical disorders and concerns with depression, anxiety, unwanted thoughts, substance abuse, addictions, self-harming behaviors, etc. An LPC helps people heal, grow, and achieve their life goals.
Source: Licensed Professional Counselors Association of Georgia
What is an LPC (Licensed Professional Counselor)?
Certified Clinical Mental Health Counselors (CCMHC) have earned their board certification and offer the highest standards of practice in clinical mental health counseling because they have met stringent education, examination, supervision, experience, and ethical requirements.
Source: National Board for Certified Counselors
What is a CCMHC (Certified Clinical Mental Health Counselor)?
The Substance Abuse Professional (SAP) is a person who evaluates employees who have violated a DOT (Department of Transportation) drug and alcohol program regulation and makes recommendations concerning education, treatment, follow-up testing, and aftercare.
An SAP represents the major decision point (and in some cases the only decision point) an employer may have in choosing whether or not to place an employee behind the steering wheel of a school bus, in the cockpit of a plane, at the helm of an oil tanker, at the throttle of a train, in the engineer compartment of a subway car, or at the emergency control valves of a natural gas pipeline. An SAP’s responsibility to the public is enormous.
An SAP is an advocate for neither the employer nor the employee. The SAP’s function is to protect the public interest in safety by professionally evaluating the employee and recommending appropriate education and/or treatment, follow-up tests, and aftercare.
Source: United States Department of Transportation
What is a SAP (substance Abuse professional)?
National Certified Counselors (NCC) are board certified counselors who offer the highest standards of practice because they have met stringent education, examination, supervision, experience, and ethical requirements.
An NCC has completed postgraduate education from a regionally accredited program, including at least 48 semester or 72 quarter hours of graduate-level academic credit in counseling. The degree must include one course in Professional Orientation to Counseling and at least six semester or 10 quarter hours of supervised field experience in counseling.
Coursework must cover the following nine content areas and all areas must be represented within the master’s degree: Human Growth and Development Theories in Counseling, Social and Cultural Foundations in Counseling, Helping Relationships in Counseling, Group Counseling Theories and Processes, Career Counseling and Lifestyle Development, Assessment in Counseling, Research and Program Evaluation, Professional Orientation to Counseling, and Counseling Field Experience.
The Certification also requires supervision, professional endorsement, work experience, ethics, and an examination.
Source: National Board for Certified Counselors
What is an NCC (National (Board) Certified counselor)?
Master Addictions Counselors (MAC) have earned their board certification and offer the highest standards of practice in addictions counseling because they have met stringent education, examination, supervision, experience, and ethical requirements.
The Master Addictions Counselor (MAC) certification is intended for professionals working within Substance Use Disorders/Addiction-related disciplines to demonstrate their skills gained through supervised work experience and specific graduate course work.
The Master Addictions Counselor (MAC) certification was created jointly by the American Counseling Association (ACA), specifically the International Association of Addiction and Offenders Counselors (IAAOC), and the National Board for Certified Counselors (NBCC). The MAC certification attests to the educational background, knowledge, skills, and competencies of the specialist in addictions counseling.
Source: NAADAC, the Association for Addiction Professionals, National Board for Certified Counselors
What is a MAC (Master ADdictions Counselor)?
What is a CDMHC (Certified Disaster mental health counselor)?
Certified Disaster Mental Health Counselors (CDMHC) are counselors who offer best practice strategies, clinical skills, and cultural insights to effectively serve in disaster-affected areas – anywhere in the world. They provide relief to affected individuals and communities, assist in the recovery of individuals and communities, conduct triage in identifying vulnerable populations, and collaborate with other professionals in defining effective disaster response interventions and preparation,
Source: American Counseling Association
Many counseling experiences generally take 6-12 sessions. Of course, counseling can continue for longer periods of time if clients feel the need for future “tune-ups.” Session times can be 45 minutes, 60 minutes, or 90 minutes.
The length of treatment for psychological problems will necessarily vary from one individual to another. Essentially, the treatment (type and duration) should always be matched appropriately to the nature and severity of the client's presenting difficulties. Acute difficulties usually require fewer treatment sessions than do chronic conditions. Moreover, length of treatment also varies with the type of treatment provided; cognitive behavioral treatments, which focus on a specific problem, are generally briefer than are psychotherapies with a broader focus.
It is important to consider the following when determining the length of treatment:
Therapy successfully ends when the patient has accomplished the goals mutually agreed upon with the therapist.
Discussion of treatment length should be part of your conversation with the therapist.
Treatment length is often tentative and revisited throughout the course of treatment.
It is common for therapists to conduct several assessment or evaluation sessions before suggesting a treatment plan or to request a trial length of treatment at which time the needs for treatment will be reassessed. In some cases, additional, sequential treatment goals are then negotiated.
Research has generally found a positive relationship between treatment length and clinical outcomes such that more individuals will show significant change or recovery with increasing treatment length. It is therefore important that you have a sufficient amount of treatment and reasonable expectations for treatment length before deciding treatment is not working.
So how long does it typically take for treatment to work?
Recent research indicates that on average 15 to 20 sessions are required for 50 percent of patients to recover as indicated by self-reported symptom measures.
There are a growing number of specific psychological treatments of moderate duration (e.g., 12 to 16 weekly sessions) that have been scientifically shown to result in clinically significant improvements.
In practice, patients and therapists sometimes prefer to continue treatment over longer periods (e.g., 20 to 30 sessions over six months), to achieve more complete symptom remission and to feel confident in the skills needed to maintain treatment gains.
Clinical research evidence suggests that people with co-occurring conditions or certain personality difficulties may require longer treatment (e.g., 12-18 months) for therapy to be effective. There are a few individuals with chronic problems who may require extensive treatment support (e.g., maintenance therapy to reduce risk of psychiatric rehospitalization), but such patients are a minority of those who need or seek treatment.
If you believe there is insufficient progress after a reasonable period of treatment, it is always appropriate to discuss your treatment with another therapist and/or request a re-evaluation of the treatment plan with your therapist to assure that treatment is on track and helpful to you.
Source: APA Div. 12 (Society of Clinical Psychology)
How long does counseling take?
Confidentiality includes not just the contents of therapy, but often the fact that a client is in therapy. For example, it is common that therapists will not acknowledge their clients if they run into them outside of therapy in an effort to protect client confidentiality. Other ways confidentiality is protected include:
Not leaving revealing information on voicemail or text.
Not acknowledging to outside parties that a client has an appointment.
Not discussing the contents of therapy with a third party without the explicit permission of the client.
Confidentiality is the cornerstone of this counseling practice. Personal problems are sometimes difficult to talk about. That is why confidentiality is extremely important to us. We take every precaution in protecting the confidentiality of your visit with us, and we hope you will also do the same. We strongly stand on Codes of Ethics that include the American Counseling Association, The National Board for Certified Counselors, NAADAC, the Association for Addiction Professionals, and the Georgia Composite Board of Professional Counselors, Social Workers and Marriage and Family Therapists Rule 135-7-.03 - Confidentiality. Confidentiality is protected by Georgia state laws and the Health Insurance Portability and Accountability Act (HIPAA).
Source: American Counseling Association, The National Board for Certified Counselors, NAADAC, the Association for Addiction Professionals, and the Georgia Composite Board of Professional Counselors, Social Workers and Marriage and Family Therapists
What is confidentiality?
We accept cash, checks, and major credit cards for payment of services. If you are seeking a Mental Health Assessment, Anger Assessment, or Substance Use Assessment, only cash or money order is accepted.
Should you wish to use your insurance company, please complete the Client Registration Form on the Client Forms page and return to us. Verification of benefits usually takes 24-48 hours. Once complete, we will contact you to arrange a Intake Session appointment.
Chambless Counseling accepts the following insurance companies:
Aetna
Anthem BCBS
BCBS
Cigna/Evernorth
Humana
Maestro/The Care Network (St. Joseph’s/Candler)
Magellan
Memorial Health Partners (includes CoreSource)
MultiPlan
TriCare
UBH/Optum
If you are seeking counseling through Human Resources at your place of work, Chambless Counseling is a paneled EAP (Employee Assistance Program) Provider for:
Aetna EAP
Anthem Beacon EAP
BHS EAP
Carilion EAP
Cigna/Evernorth EAP
ComPsych
Humana EAP
Magellan EAP
Optum EAP
Palmetto EAP