Practice


ABOUT THERAPY

Mr. Redeker is a firm advocate of individual, family, and group therapy as processes of change. However, it is important that clients understand the nature of the therapeutic process so that they will know what to expect. The following represent a partial list of answers to common questions and expectations. Please feel free to ask ANY questions that may arise.

  1. Psychotherapy is a collaborative effort between you and the therapist. Your therapist only facilitates change; he cannot make changes happen.
  2. The efficacy of psychotherapy (the power to produce results) is in the nature of the relationship between the client and the therapist. It is very important that you feel a comfortable and safe working relationship with your therapist. While this takes time, it also requires that the client be honest about their behavior and any concerns they may have about therapy or their therapist.
  3. The change process can be uncomfortable.
  4. The clients may have insights, memories or otherwise gain information that maybe unpleasant.
  5. Clients may experience loss in relationships as they discover and change behavior.
  6. Families and individuals often experience escalations in problems before they experience improvements.
  7. Family members and significant others may be reactive to changes a client may make as a result of psychotherapy.
  8. The therapeutic relationship is a very special professional relationship. While clients may develop a close emotional bond with the therapist, they need to understand that this does not include a social relationship or friendship.  If the therapist sees the client in a public setting outside of the office, the therapist will not acknowledge the client, however; the client is free to acknowledge the therapist and approach him if so desired.  This is done to protect the privacy of the client.
  9. Touch can be an important aspect of therapy. Touch may be used to show support, acknowledge, and in greetings and salutations. Therapeutic touch should never be inappropriate or sexual. Mr. Redeker will ask clients for permission to provide therapeutic touch. Clients need to inform Mr. Redeker if they are in any way uncomfortable with therapeutic touch.
  10. Confrontation is an essential element of psychotherapy. Clients can expect Mr. Redeker to confront issues, behaviors and processes in as gentle and efficient manner as possible.
  11. Mr. Redeker believes that human beings live in relation to other human beings. We do not live in a vacuum. Therefore with the clients permission, family, friends and significant others may be requested to participate.
  12. Mr. Redeker is an existential, humanistic – process oriented therapist who uses techniques that are largely client centered, gestalt, experiential, cognitive-behavioral, and solution focused.
  13. Mr. Redeker believes that spirituality is an essential portion of the mind-body-spirit integration. Clients can expect input regarding their spirituality with respect to all religions/denominations.

APPOINTMENTS

Appointments are scheduled on an as needed basis, and recurring appointments can be arranged.  Clients are subject to being charged for their missed appointments if cancellation is not received 24 hrs. prior to their scheduled appointment.  Missed appointments are not covered by insurance and become the responsibility of the client.

SESSIONS

Individual sessions are approximately 50 to 60 minutes long.  Family therapy may run as long as three (3) hours.  Usually, sessions are scheduled weekly, however, sessions may occur more or less frequently depending on the needs of the client.

CONFIDENTIALITY

Current Texas state law requires that information provided to mental health practitioners be kept confidential; therefore, no information given to F. Sean Redeker will be disclosed to the employers, family members or community persons without specific written permission given by the client or unless such information is ordered disclosed by State or Federal courts. In the case that a client is deemed to be a dangerous to themselves or others (potentially suicidal, child abuse, psychotic or homicidal), current Texas state law requires that practitioners report such information to the appropriate legal authorities. In the case of minor children (under the age of 18), the parents or guardians may legally request information concerning the child’s progress and treatment.  An exception to this is if the child is 17 and enters into a therapeutic relationship with knowledge and permission from the parent(s) or legal guardian(s), confidentiality is treated as if the child were an adult.  Mr. Redeker will maintain confidentiality with minors and work with them to make disclosures to parents in order to preserve therapeutic relationships. Mr. Redeker, periodically, will be under supervision for various credentialing purposes.  Appropriate written permission will be obtained from the client for audio and/or video recording of sessions. Confidentiality is waived in the event of collection procedures.

CONFIDENTIALITY AND MANAGED CARE

Clients should also be aware that the state of managed care for insurance almost always requires the reporting of information to insurance representatives for the purpose of qualifying need for mental health care and sessions.

Confidentiality can not be kept if you are accessing your health insurance for your care.

TERMINATION

Termination of the counseling/therapy relationship is ideally mutually agreed upon by client and therapist.  Mr. Redeker’s primary goal is for his clients to be content with their direction in life or toward a solution and relatively confident in their skills and abilities to accomplish such. Termination of the counseling relationship will automatically occur if there has been no contact between client and therapist for three (3) weeks.

REFERRALS

Mr. Redeker believes that everyone has the right to participate in their treatment planning and that joint goal setting is the preferred professional relationship between client and therapist.  If, for any reason, Mr. Redeker is unable to meet a client’s needs, he will gladly refer to other qualified practitioners in the area.  It is also the responsibility of the client to inform Mr. Redeker if the client feels his needs are not being met, and encourages clients to inform him if any discomforts arise, so that joint resolution can be made.

EMERGENCY

Mr. Redeker can usually be reached via his office phone at 512.799.7348.  If he does not return your call the next business day, please call again as your message may not have recorded correctly. You may also try Mr. Redeker's emergency cell phone if you are a current client.  Mr. Redeker will inform his clients if he is to be unavailable for more than a three day period.  If for any reason, a client is unable to reach Mr. Redeker, they should contact Shoal Creek Hospital at 512.324.2000 or the emergency mental health line at 512.472.4357.

COMPLAINTS

Complaints regarding this office should be directed to: the Texas State Board of Examiners of Licensed Professional Counselors or the Texas State Board of Examiners of Marriage & Family Therapists at 800.942.5540

INSURANCE & MANAGED CARE

If you are considering using insurance to pay for services rendered, Mr. Redeker would like you to be aware of some of the aspects of using a heath care benefit. Your insurance is a relationship between you and the insurance company.

LOSS OF CONFIDENTIALITY

  1. Information may be reviewed by the employees of the insurance company and a separate managed care company
  2. Some employees of those companies do not have the same training in confidentiality as professionals.
  3. Insurers put confidential information on computers.
  4. Industry mergers allow information to change hands.
  5. Insurance companies or managed care may ask for a copy of your chart, searching for pre-existing conditions, reviewing for medical necessity or auditing purposes

CONFIDENTIALITY CANNOT BE KEPT IF YOU ARE ACCESSING YOUR HEALTH INSURANCE FOR CARE

LOSS OF CONTROL OF TREATMENT

  1. Managed care companies make money by reducing treatment
  2. Treatment decisions are based on formulas for average cases.
  3. Managed care treatment focuses on symptoms not underlying problems
  4. The managed care philosophy limits the number of sessions available for treatment as well as the provider eligible to provide the services.
  5. Changing insurance carriers ,insurance companies changing managers, mergers and the contract between the insurance company; managed care entity and your therapist are subject to change affecting whether your services will be paid.

EFFECTS OF PSYCHIATRIC DIAGNOSIS

  1. Health insurance benefits can only be used for the treatment of an illness, requiring a diagnosis.
  2. Choosing not to use health insurance benefits means you do not have to have a psychiatric diagnosis.
  3. A psychiatric or substance abuse diagnosis diagnosis may affect your future ability to obtain life insurance..
  4. Some diagnostic categories are not payable by some insurance and managed care entities.

AUTHORIZATIONS

  1. Managed care may require the submission of treatment plans to have sessions certified.
  2. Managed care may require a report about your history, lifestyle and other personal information to determine medical necessity.
  3. Authorizations for sessions is not a guarantee that the services will be paid. All claims are reviewed with the terms and conditions of you policy, medical necessity, diagnosis and eligibility.
  4. Authorized sessions may be subsumed under your deductible.