Frequently Asked Questions

What happens at the first appointment?

Our initial session is considered a consultation. It will consist of a review of the information packet, a brief discussion of what brings you to treatment, and identification of your treatment needs and goals. Your provider will also discuss with you their model of treatment and how it can be applied to your situation. By the end of the session, you will determine with your provider if working together is the best option for you. If so, you will complete a consent for treatment and your next session will be scheduled. Sometimes we are able to address your concerns in that initial session, in which case your provider will remain available to you if you need assistance in the future. We may also decide that another treatment provider or service would be more effective for you, perhaps if there is another provider with an expertise in your area of need, scheduling conflicts, or simply our lack of “fit.” Psychotherapy involves a large commitment of time, money, and energy, so you should be very careful about the clinician you select. Therefore, it is very important that you feel comfortable and confident in our working relationship. If you have questions about procedures, your should discuss them whenever they arise. If it is determined for any reason that your provider is not the best option for you, they will provide you referrals to other services. No matter the outcome of the initial consultation session, they will provide you with an assessment of your current diagnosis and treatment recommendations. We believe strongly in the importance of advocating for oneself and one’s medical care, and this information will assist you in that process.

How long do sessions last?

The initial consultation session for psychotherapy usually lasts 60-90 minutes. Individual sessions generally last about 55 minutes. Some of the providers are also available for brief consultations and behavioral health consultations, which usually last for 30 minutes. Psychological assessments range greatly in length, but average 2-4 hours. Alpha Stim sessions last 20-30 minutes.

Isn’t therapy just for people who are really sick? Does this mean I am “crazy?”

According to the National Institute of Mental Health, one-third of adults in the United States seek professional help for an emotional or substance abuse problem. Nearly 25 percent of the adult population suffers at some point from depression or anxiety. Along with joy and love, pain and sadness are often an essential part of the human condition and are common across all people. In addition, research suggests that at least 80% of all medical problems are stress-related. Stress, depression, and anxiety contribute to and/or exacerbate problems with diabetes, heart problems, chronic pain, and many other medical conditions. Despite all this, many still experience a pervasive stigma against acknowledging psychological pain and/or seeking help with this. All the more reason to congratulate yourself for taking this step!

People begin psychotherapy for many reasons at various times in their lives. Some just experience a vague sense of unhappiness or dissatisfaction. Others are overcome by intense depression or anxiety. For some, their actions (such as drinking or anger) are hurting themselves or those they love. Relationship conflicts with family members or coworkers can become overwhelming. Life changes, even those considered to be positive, can result in anxiety and confusion. The struggles we go through are immeasurable, and there are times when we could all benefit from help in managing life’s challenges.

I’m worried other people will know that I’m in therapy. Is it confidential?

Details about your medical care are very personal, and our providers and staff take the protection of that information very seriously. Legal and ethical requirements protect your confidentiality in treatment. This means that, if someone tries to ask or talk about you or your treatment, we will not even acknowledge that we know you without your written consent. If we see you around town (which is very possible!) we will also not acknowledge you unless you acknowledge us first. And of course, we will never share any of your personal information, treatment status, or diagnoses with anyone without your consent. We may consult with other providers (contract or staff) within the practice only as needed to facilitate treatment. There are a few important exceptions to this, including situations involving child or elder abuse, a report of sexual misconduct by another mental health professional, in response to a subpoena, or if we are concerned about your immediate risk to hurt yourself or someone else. Also, some information may be shared to facilitate reimbursement or collection on a past due bill. We will discuss all of these situations in more detail at your initial appointment.

This seems like a lot of money. Why should I pay to talk to you when I can talk to my family or friends for free?

You’re right; psychotherapy is a significant investment, both in your money and your time. However, remember that the issues bringing you to treatment have often been with you for a very long time, and likely have resulted in stress and losses in many areas of your life. You may have even spent a large amount of money trying to “fix” your life, only to end up in the same place with the same (or worse!) problems. The opportunity to greatly (and potentially permanently) improve your life and your relationships is likely worth much more than you will pay for this treatment. And remember, this is not a long-term commitment. In this practice, we use evidence-based practices that are designed to give you results quickly- in most cases, we fully expect you to feel our my patients attend regular treatment for 3-4 months and then follow-up once or twice a year for "check-ups."

As for the second issue, psychotherapy is not the same as talking with friends or family members. There can be great value in that kind of support, and you will likely be encouraged to seek out such resources to supplement our work together, in addition to other supports like faith-based services, recreational activities, and community groups. However, our work together will be focused on providing specialized treatments for your specific presenting problem. While it may seem at times like we are “just talking,” there should always be a purpose and plan behind the discussions. If at any time you are uncertain about why we are doing something, please let us know immediately so we can discuss it.

Who are your providers?

Services are provided by Dr. Kroll, who is the owner of Pineywoods Psychological Services, or by several therapists who contract with the practice. These therapists have various licenses, such as Licensed Clinical Social Worker and Licensed Professional Counselor, and maintain their own independent practices. An Independent Contractor has a binding contract with the practice that outlines the terms/conditions of that therapist's engagement and specifies their role as an independent contractor rather than an employee. This means the therapist, and not the practice, makes all clinical decisions about their own clients, including what type of interventions to use, fees, frequency/duration of sessions, etc. Particularly because there are so few mental health resources in this area, we utilize this model to expand the number of clients that can be seen and to broaden the range of therapeutic expertise available to the community. This also allows providers to collaborate while also maintaining their own autonomy and businesses. If you have any questions about this, please don't hesitate to ask your provider. 

Concerns about licensure issues or complaints should be submitted to the applicable licensing board and should specify the specific provider.
Texas State Board of Examiners of Psychologists
Texas State Board of Social Worker Examiners
Texas State Board of Examiners of Professional Counselors