Yes. You can still receive services with an out-of-network insurance. You can be seen as a cash pay client or you can submit a superbill to your out-of-network insurance for reimbursement. Superbills are generated and sent out monthly. Spirit River Counseling, LLC cannot guarantee services will be reimbursable through your out-of-network insurance.
All sessions are conducted via telehealth through a HIPAA compliant ZOOM link. Spirit River Counseling, LLC may be contracted with Comprehensive Community Service (CCS) agencies for in-person services. If you are not enrolled in a contracted CCS program, your session must be via telehealth.
No. Medication management must go through a licensed psychiatrist, general practitioner, or other medical provider.
Everyone goes through challenging situations in life, and while you may have successfully navigated through other difficulties you've faced, there's nothing wrong with seeking out extra support when you need it. In fact, therapy is for people who have enough self-awareness to realize they need a helping hand, and that is something to be admired. You are taking responsibility by accepting where you're at in life and making a commitment to change the situation by seeking therapy. Therapy provides long-lasting benefits and support, giving you the tools you need to avoid triggers, re-direct damaging patterns, and overcome whatever challenges you face.
People have many different motivations for coming to psychotherapy. Some may be going through a major life transition (unemployment, divorce, new job, etc.), or are not handling stressful circumstances well. Some people need assistance managing a range of other issues such as low self-esteem, depression, anxiety, addictions, relationship problems, spiritual conflicts and creative blocks. Therapy can help provide some much needed encouragement and help with skills to get them through these periods. Others may be at a point where they are ready to learn more about themselves or want to be more effective with their goals in life. In short, people seeking psychotherapy are ready to meet the challenges in their lives and ready to make changes in their lives.
Confidentiality is one of the most important components between a client and psychotherapist. Successful therapy requires a high degree of trust with highly sensitive subject matter that is usually not discussed anywhere but the therapist's office. Every therapist should provide a written copy of their confidential disclosure agreement, and you can expect that what you discuss in session will not be shared with anyone. This is called “Informed Consent”. Sometimes, however, you may want your therapist to share information or give an update to someone on your healthcare team (your Physician, Naturopath, Attorney), but by law your therapist cannot release this information without obtaining your written permission.
However, state law and professional ethics require therapists to maintain confidentiality except for the following situations:
* Suspected past or present abuse or neglect of children, adults, and elders to the authorities, including Child Protection and law enforcement, based on information provided by the client or collateral sources.
* If the therapist has reason to suspect the client is seriously in danger of harming him/herself or has threated to harm another person.
The name Spirit River Counseling pays tribute to Natalie's childhood memories of time spent in Tomahawk, Wisconsin. She found that the Spirit River was a passageway to discovering her core values, zest for life, and an undying spirit for overcoming obstacles. She later spent 2 years of her career providing mental health services in Tomahawk, where her passion for serving rural communities flourished. In 2024 when Natalie opened her LLC, she wanted to empower those she served to experience similar discoveries to assist them in achieving their treatment goals; thus the name Spirit River Counseling.