One who knows others is wise. One who knows self is enlightened.

Tao Te Ching

 

Michael Schneider, Ph.D.

Clinical Psychologist

Licensed to Practice in Illinois and Missouri

 

                                

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Information for Clients

Thank you for considering my office as a source for psychological services. I appreciate your giving me the opportunity to be of help to you.

This page answers some questions clients often ask about any therapy practice. It is important to me that you know how we will work together. I believe our work will be most helpful to you when you have a clear idea of what we will be trying to do.

This page talks about the following in a general way:

My view of psychotherapy.

The main goal of treatment.

The length of treatment.

Benefits and risks of psychotherapy.

Consultations and second opinions.

What to expect from our relationship.

About confidentiality.

My background.

About our appointments.

How much does therapy cost?

If you need to contact me.

My Emergency Policy.

If I need to contact someone about you.

Other points.

Statement of Principles and complaint procedure.

After you review this information we can discuss, in person, how these issues apply to your own situation. Please note any sections or statements that are not clear to you. Write down any questions you think of and we can discuss them at our next opportunity. 

About Psychotherapy

Because you will be putting a good deal of time and energy into therapy, you should choose a therapist carefully. I strongly believe you should feel comfortable with the therapist you choose and hopeful about your therapy. When you feel this way, therapy is more likely to be very helpful to you. Let me describe how I see therapy.

My theoretical approach is strongly influenced by Dr. William Glasser's Choice Theory and Reality Therapy. I often incorporate elements of mindfulness, which is a form of self-awareness, into my treatment approach. Research on neurological, social and emotional development and the effects of trauma also play a significant role in my approach to counseling. In addition, research has found that the practice of meditation can enhance the effectiveness of treatment, as can a healthy diet, regular exercise and a healthy lifestyle.

The central ideas in my approach are:

bulletWe can always choose to act in a way that brings us closer to what we want in life.
bulletOur past has led us to where we are today, but what we choose in the present will determine our future.
bulletHappiness results from our figuring out how to effectively meet our basic needs.
bulletOne of our strongest needs is to feel close to the significant people in our lives.
bulletSelf-awareness, or mindfulness, is a key part of our being able to choose what we want to do today. (In other words, it helps to know where you are before you decide how to get where you want to be.)
bulletWhatever we choose to do, we are always choosing what appears to us to be the best choice at the time, based on the totality of the information available to us.
bulletIt is not reality that influences what we do, it is our unique perception of reality that influences our thoughts and behavior.
bulletWe can directly control our behavior and thoughts (though not all the time) and we can indirectly influence our emotions and our physiology through the thoughts and behavior we choose. (Back to top)

The principle goal of my treatment is: To help you gain effective control of your life.

We often believe that our behaviors and feelings are caused by what happens in the real world. However, this is not quite true. When we have any kind of experience, it does not affect us directly. Rather, we first give it a meaning through our beliefs about it. For example, if I hear a sound in the kitchen and believe it is made by my wife, I am not bothered at all. But if I believe I believe I am alone in the house, the same sound can bother me a great deal since I will probably think it was made by an intruder. Here we see that feelings and behaviors (my actions in response to the sound) flow from the active process of thinking about or adding meaning to the actual event (the sound).

I believe my approach to helping people with their problems is, in great part, an educational one. Anyone can learn to recognize irrational beliefs, dispute them, and replace them with more rational beliefs. We can, with practice, unlearn irrational beliefs and become happier persons who function better in the world. 

I want you to learn to be able to use Choice Theory, Reality Therapy and mindfulness without me. I encourage you to learn more about what methods are used in these approaches; how well they work, and what possible problems or side effects they may have. I can suggest to you books and articles that explain how it works. Many of these should be available in or through the local library, on-line, or in bookstores. I may also give you copies of articles or handouts that are yours to keep.

I usually take notes during our meetings. You may find it useful to take your own notes, and also to take notes outside the office.

During our first session or two we will be getting to know each other. This is the "assessment" phase of treatment. I will be looking to find out how you see your life and how you want it to be different than it is. By the end of our first or second session, I will tell you how I see your case at that point and how I think we should proceed. I view therapy as a partnership between us. You define the areas of your life you want to change; I use my training and experience to help you identify and make the changes you want to make. Psychotherapy is not like visiting a medical doctor in that it requires your very active involvement. It requires your best efforts to change thoughts, feelings, and behaviors. For example, I want you to tell me about important experiences, what they mean to you, and what actions, thoughts, feelings and sensations are involved. This is one of the ways you are an active partner in therapy.

I expect us to plan our work together. In our treatment plan we will list the areas to work on, our goals, the methods we will use and the time and practice commitments we will make, and some other things. I expect us to agree on a plan that we will both work hard to follow. From time to time, we will look together at our progress and goals. If we think we need to, we can then change our treatment plan, its goals, and its methods.

An important part of your therapy will be practicing new skills that you will learn in our sessions. I will ask you to practice outside our meetings, and we will work together to set up homework assignments for you. I might ask you to do practice exercises, to keep records, and perhaps to do other tasks to deepen your learning. Most clients will be working on relationships in their life and make long-term efforts to get the best results. These are important parts of personal change. Change will sometimes be easy and quick, but more often it will be slow and sometimes frustrating.  Success comes through repeated efforts or through building more effective habits. There are no instant, painless cures and no "magic pills." However, you can learn new ways of looking at your problems that will be very helpful for changing your feelings and reactions.  (Back to top)

The length of treatment varies considerably for different clients. Some clients may come in for only a few sessions and end their treatment when they have gotten the help they wanted. Others may see me once a week for a few months and then meet with me less often for several more months. Regardless of whether it is short term or takes longer, therapy comes to an end when you feel the way you want, or when you believe you have gotten the help you wanted. The process of ending therapy, called "termination," can be a very valuable part of our work. Stopping therapy should not be done casually, although either of us may decide to end it if we believe it is in your best interest. If you wish to stop therapy at any time, I ask that you agree to meet for at least one session to review our work together. We will review our goals, the work we have done, any future work that needs to be done, and our choices. Some clients like to take a "time out" from therapy to try life on their own. We can often make such a "time out" more helpful. In fact, some people use a psychologist like they might use a physician, that is, they go in when they feel bad and stop going when they feel better.  (Back to top)

The Benefits and Risks of Therapy

As with any powerful treatment, there are some risks as well as many benefits with therapy. You should think about both the benefits and risks when making any treatment decisions. For example, in therapy, there is a risk that clients will, for a time, have uncomfortable levels of sadness, guilt, anxiety, anger, frustration, loneliness, helplessness, or other negative feelings. Clients may recall unpleasant memories. These feelings or memories may bother you at work or in school. In addition, some people in your community may mistakenly view anyone in therapy as weak, or perhaps as seriously disturbed or even dangerous. Also, clients in therapy may have problems with people important to them. Family secrets may be told. Therapy may disrupt a marital relationship and sometimes may even lead to a divorce. Sometimes, too, your problems may temporarily worsen after the beginning of treatment. Most of these risks are to be expected when people are making important changes in their lives. Finally, even with our best efforts, there is a risk that therapy may not work out well for you.

While you consider these risks, you should know also that the benefits of therapy have been shown in hundreds of well-designed research studies. More often than not, people who are depressed may find their mood lifting. Others may no longer feel afraid, angry, or anxious. In therapy, people have a chance to talk things out fully until their feelings are relieved or the problems are solved. Clients’ relationships and coping skills may improve greatly. You may get more satisfaction out of social and family relationships. Your personal goals and values may become clearer. You may grow in many directions—as persons, in your close relationships, in your work or schooling, and in your ability to enjoy your life.

I only take on clients I think I can help. Therefore, I will enter our relationship with optimism about our progress.  (Back to top)

Consultations and Second Opinions

If you could benefit from a treatment I cannot provide, I will try to help you to get it. You have a right to ask me about such other treatments, their risks, and their benefits. Based on what I learn about your problems, I may recommend a medical exam, use of medication or other treatments such as EEG Neurofeedback. If I do this, I will fully discuss my reasons with you, so that you can decide what is best. If you are treated by another professional, I will coordinate my services with them and/or with your own medical doctor.

If for some reason treatment is not going well, I might suggest you see another therapist or another professional in addition to me or instead of me. As a responsible person and ethical therapist, I cannot continue to treat you if my treatment is not working for you. If you wish for another professional’s opinion at any time, or wish to talk with another therapist, I will help you find a qualified person and will provide him or her with the information needed.  (Back to top)

What to Expect from Our Relationship

As a professional, I will use my best knowledge and skills to help you. This includes following the standards of the American Psychological Association, or APA. In your best interests, the APA puts limits on the relationship between a therapist and a client, and I will abide by these. Let me explain some of these limits, so you will not think they are personal responses to you.

First, I am licensed and trained to practice psychology—not law, medicine, finance, or any other profession. I am not able to give you good advice from these other professional viewpoints.

Second, federal and state laws (including HIPAA) and the rules of the APA require me to keep what you tell me confidential (that is, private). You can trust me not to tell anyone else what you tell me, except in certain limited situations. I explain what those are in the "About Confidentiality" section of this brochure. Here I want to explain that I try not to reveal who my clients are. This is part of my effort to maintain your privacy. If we meet on the street or socially, I will usually not initiate a greeting or conversation. My behavior will not be a personal reaction to you, but a way to maintain the confidentiality of our relationship. I leave you the choice of acknowledging that we know each other in public. However, if you wish to greet me I will certainly respond. 

Third, in your best interest, and following the APA’s standards, I can only be your therapist. I cannot have any other role in your life. I cannot, now or ever, be a close friend or socialize with any of my clients. I cannot be a therapist to someone who is already a friend. I can never have a sexual or romantic relationship with any client during, or after, the course of therapy. I cannot have a business relationship with any of my clients, other than the therapy relationship.

Even though you might invite me, I will not attend your family gatherings, such as parties or weddings.

As your therapist, I will not celebrate holidays with you or give you gifts. Generally speaking, professional ethics discourage my accepting gifts from clients as well.   (Back to top)

About Confidentiality

I will treat with great care all the information you share with me. It is your legal right that our sessions and my records about you be kept private. That is why I ask you to sign a "release-of-records" form before I can talk about you or send my records about you to anyone else. In general, I will tell no one what you tell me. I will not even reveal that you are receiving treatment from me.

In all but a few situations, your confidentiality (that is, your privacy) is protected by state law and by the rules of my profession. Here are the most common cases in which confidentiality is not protected:

bulletIf you were sent to me by a court or an employer for evaluation or treatment, the court or employer expects a report from me. If this is your situation, please talk with me before you tell me anything you do not want the court or your employer to know. You have a right to tell me only what you are comfortable with telling. However, it is important we both realize that withholding information pertinent to the court proceedings could cause you difficulty when you go back to court.   
bulletAre you suing someone or being sued? Are you being charged with a crime? If so, and you tell the court that you are seeing me, I may then be ordered to show the court my records. Please consult your lawyer about these issues.
bulletIf you make a reasonably forseeable threat to harm yourself or another person, the law requires me to try to protect you or that other person. This usually means telling others about the threat. I cannot promise never to tell others about threats you make.
bulletIf I suspect a child has been or will be abused or neglected, I am legally required to report this to the authorities.
bulletIf I believe that an adult sixty years of age, or older, is being abused or neglected and is unable to call for help themselves, I am legally required to report this to the authorities.
bulletIf you refuse to pay your fees for professional services, state law allows me to release very limited information to a collection agency or small claims court. This would include contact information and the amount owed.
bulletIf you use insurance to pay for services, your insurance company most likely reserves the right to audit your case file.
bulletThe Homeland Security Act allows government agents to examine or copy records if they are investigating terrorism and I would be legally prohibited from telling you. 

There are two situations in which I might talk about part of your case with another therapist. I ask now for your understanding and agreement to let me do so in these two situations.

bulletFirst, when I am away from the office for a few days, I may have a trusted fellow therapist "cover" for me. This therapist will be available to you in emergencies. Therefore, he or she needs to know about you. Of course, this therapist is bound by the same laws and rules as I am to protect your confidentiality.
bulletSecond, I sometimes consult other therapists or other professionals about my clients. This helps me in giving high-quality treatment. These persons are also required to keep your information private. Your name will never be given to them, and they will be told only as much as they need to know to understand your situation.

I almost never make any audio or visual recordings of therapy sessions. If I were ever to do so I will ask for your written permission to make any recording. I promise to destroy each recording as soon as I no longer need it, or, at the latest, when I destroy your case records. You can refuse to allow this recording, or can insist that the recording be edited.

Except for the situations I have described above, my office staff and I will always maintain your privacy. I also ask you not to disclose the name or identity of any other client being seen in this office.

My office staff makes every effort to keep the names and records of clients private. My staff and I will try never to use your name on the telephone if clients in the office can overhear it. All staff members who see your records have been trained in how to keep records confidential and have signed an agreement to do so.

If your records need to be seen by another professional, or anyone else, I will discuss it with you. If you agree to share these records, you will need to sign a release form. This form states exactly what information is to be shared, with whom, and why, and it also sets time limits. You may read this form at any time. If you have questions, please ask me.

It is my office policy to destroy clients’ records 7 years after the end of our therapy (or 3 years after a minor child client reaches the age of majority). Until then, I will keep your case records in a locked cabinet.

If I must discontinue our relationship because of illness, disability, or other presently unforeseen circumstances, I ask you to agree to my transferring your records to another therapist who will assure their confidentiality, preservation, and appropriate access.

If we do marital or couple therapy (where there is more than one client), and you want to have my records of this therapy sent to anyone, all of the adults present will have to sign a release.

You can review your own records in my files at any time. You may add to them or correct them, and you can have copies of them. I ask you to understand and agree that you may not examine records created by anyone else and sent to me. You would need to contact that person to see their records about you.

In some very rare situations, I may temporarily remove parts of your records before you see them. This would happen if I believe that the information will be harmful to you, but I will discuss this with you.  (Back to top)

My Background

I am a clinical psychologist with 25 years of experience in clinical settings. For the past several years, I have had my own office for the general practice of clinical psychology. I have previously worked as the director of the Quincy University Counseling Center, as Associate Clinical Director in a residential treatment center for emotionally and behaviorally disturbed adolescents, as Staff and then Chief Psychologist in a Family Court setting, and as therapist and then Clinical Director in a therapeutic day school for children and adolescents with Behavioral and Learning Disabilities. I am trained and experienced in doing individual, group and couples therapy. I hold these qualifications:

bulletI have a doctoral degree in psychology from the University of Missouri-St. Louis, whose program is approved by the American Psychological Association (APA).
bulletI completed an required internship in clinical psychology, approved by the APA.
bulletI am licensed as a psychologist in Illinois and Missouri.
bullet

I am a member of:

bullet

The American Psychological Association

bullet

The Illinois Psychological Association

bullet

The Missouri Psychological Association

bullet

The Central Illinois Psychological Society.  (Back to top)

About Our Appointments

The very first time I meet with you, we will need to give each other much basic information. For this reason, I usually schedule 90 minutes for this first meeting. Following this, we will usually meet for a 45-minute session once or twice a week. When you are feeling better we may meet less often. We can schedule meetings for both your and my convenience. I will tell you in advance of my vacations or any other times we cannot meet. Please ask about my schedule when making plans for your treatment.

An appointment is a commitment to our work. We agree to meet here and to be on time. If I am ever unable to start on time, I ask your understanding. I also assure you that you will receive the full time agreed to. If you are late, we may be unable to meet for the full time, because I may have another appointment after yours.

A cancelled appointment delays our work. I will consider our meetings very important and ask you to do the same. Please try not to miss sessions if you can possibly help it. When you must cancel, please give me at least 24 hours notice. Your session time is reserved for you. If you start to miss a lot of sessions, we will need to talk about whether or not therapy is an important need for you at this time.

I will reserve a regular appointment time for you into the foreseeable future if this is what will work best for you. I often do this for my other clients, as well. I ask that you please let me know if a regularly reserved appointment time no longer works for you.

I request that you do not bring children with you if they are young and need babysitting or supervision, which I cannot provide. In some cases, having your child with you in the therapy session might be appropriate. Please discuss this with me in advance.  (Back to top)

Fees, Payments, and Billing

In order to keep costs as low as possible, I ask that services be paid for at the time of service. The cost for services is $140.00 for the initial 90-minute intake assessment and $110.00 per 45-minute hour for counseling and therapy. Fees for group therapy is $45.00 per session. Court testimony is charged at $150.00 per hour, with a four-hour minimum, payable in advance. The per-hour charge includes travel time to and from the court. The fee for adolescent sexual behavior assessments is $500.00.

Please note: Assessment reports are not released until after the fee has been paid.

Options for payment include cash or check. If you will have difficulty in paying for service, please discuss this with me. If you need to pay by credit or debit card, I will need to know in advance so that I can make arrangements.

I am on several insurance provider panels, and insurance providers have different rates for "in-network" and "out-of-network" providers. Please check with your insurance representative to find out what coverage you have and whether or not I am a network provider, and especially whether or not you need pre-authorization in order to be reimbursed for services. I will be happy to submit insurance forms so that you may receive reimbursement for the covered services you obtain. I am willing to work with you and discuss my receiving delayed payment for insurance work if paying the full fee at the time of service would create a financial hardship. Please let me know prior to or during the initial assessment meeting.

Checks that are returned may result in a $25.00 check return fee for the client unless payment is received by the next session. (Note that this fee is separate from any fees your bank may charge you for overdrafts.)  (Back to top)

If You Need to Contact Me

I cannot promise that I will be available at all times. Although I am in the office frequently during the week, and sometimes on weekends, I may not always be available to see you on very short notice or in an emergency where you need immediate assistance. Also, I usually do not take phone calls when I am with a client. You can always leave a message with my answering machine or voice mail, and I will return your call as soon as I can. Generally, I will return messages daily except on Sundays and holidays.  (Back to top)

EMERGENCY POLICY

Unfortunately, being a one-person office, I cannot promise to provide 24-hour/day coverage for psychiatric or behavioral emergencies. To the extent that I can, I will try to respond to your emergencies as quickly as possible, but I cannot guarantee that I will be available to assist you immediately. Therefore, I require that all of my clients agree to utilize one or more of the following resources in the event of a psychiatric or behavioral emergency:

bulletUtilize family, friends, neighbors or others in the community to help support and protect you when you are feeling the most vulnerable, until you can receive professional services or the crisis passes.
bulletCall (217) 222-1166, or 1-800-779-HELP (4357). This is the Suicide Prevention and CRISIS Service of Transitions of Western Illinois. Other crisis hot lines may be available locally or may be listed on the Internet.
bulletCall 911 and request assistance. Let them know the nature of the emergency and your location.
bulletTravel to, or have someone take you to the emergency room at Blessing Hospital or the nearest hospital emergency room. Let them know the nature of your emergency.

If you should need services from someone that can provide 24 hour/day coverage, I will assist in making a referral to an agency that can better meet your needs.  (Back to top)

If I Need to Contact Someone about You

If there is an emergency during our work together, or I become concerned about your personal safety, I am required by law and by the rules of my profession to contact someone close to you—perhaps a parent, relative, spouse, or close friend. I am also required to contact this person, or the authorities, if I become concerned about your harming someone else. Please write down the name and information of your chosen contact person in the blanks provided:

Name: ____________________________________________________________

Address: ___________________________________________________________

Phone: ________________________ Relationship to you:____________________  (Back to top)

Other Points

If you ever become involved in a divorce or custody dispute after you have been in therapy with me, I want you to understand and agree that I will not provide evaluations or expert testimony in court. You should hire a different mental health professional for any evaluations or testimony you require. This position is based on two reasons: (1) My statements will be seen as biased in your favor because we have a therapy relationship; and (2) the testimony might affect our therapy relationship, and I must put this relationship first.

Doing follow-up and outcome research is always educational. As a professional therapist, I naturally want to know more about how therapy helps people. To understand therapy better, I may sometimes collect information about clients before, during, and after therapy. Therefore, I may ask you to help me by filling out some questionnaires about different parts of your life-relationships, changes, concerns, attitudes, and other areas. I ask your permission to take what you wrote on these questionnaires and what I have in my records and use it in research or teaching that I may do in the future. If I ever use the information from your questionnaire, it will always be included with information from many others so that your identity will be completely anonymous. Your name will never be mentioned, and all personal information will be deleted. After the research, teaching, or publishing project is completed all the data used will be destroyed.

If, as part of our therapy, you create and provide to me records, notes, artworks, or any other documents or materials, I will return the originals to you at your written request but will retain copies.  (Back to top)

Statement of Principles and Complaint Procedures

It is my intention to fully abide by all the rules of the American Psychological Association (APA) and by those of my state license and applicable federal laws, including HIPAA (The Health Information Portability and Accountability Act).

Problems can arise in our relationship, just as in any other relationship. If you are not satisfied with any area of our work, please raise your concerns with me at once. Our work together will be slower and harder if your concerns with me are not worked out. I will make every effort to hear any complaints you have and to seek solutions to them. If you feel that I, or any other therapist, has treated you unfairly or has even broken a professional rule, please tell me. You can also contact the state or local psychological association and speak to the chairperson of the ethics committee. He or she can help clarify your concerns or tell you how to file a complaint. You may also contact the state board of professional regulation, the organization that licenses those of us in the independent practice of psychology.

In my practice as a therapist, I do not discriminate against clients because of any of these factors: age, sex, marital/family status, race, color, religious beliefs, ethnic origin, place of residence, veteran status, physical disability, health status, sexual orientation, or criminal record unrelated to present dangerousness. This is a personal commitment, as well as being required by federal, state, and local laws and regulations. I will always take steps to advance and support the values of equal opportunity, human dignity, and racial/ethnic/cultural diversity. If you believe you have been discriminated against, please bring this matter to my attention immediately.  (Back to top)

 

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