FAQ

FAQ’s
What can I expect at my first session?
Is treatment confidential? 
What is EMDR?
How does EMDR work?
How does art as therapy work?
Do I have to be talented to do art as therapy? 
How often can I schedule an appointment for services?
What do you talk about with your supervisor(s) in regards to my care?
What should I do in the event of an emergency? 
What insurances do you accept?

How much do sessions cost?
What happens if I have to cancel an appointment?

Are you an out of network provider?
Can I self pay?
How do I set up my first appointment?
How are you different from a psychiatrist, psychologist, or social worker? 

What can I expect at my first session?

That’s a great question! No matter how you found me and got connected, we’ll spend some time getting to know each other to see if it’s a good fit. I’d like to give you the opportunity to ask me anything you like about therapy, and share as you feel comfortable. I like to take every opportunity to empower my clients. We will plan your treatment together. If you feel comfortable and we have time, we can jump into the first module of therapy. Lastly, if you feel it is a good fit and would like to return, we’ll schedule your next appointment and manage payment.

Is treatment confidential?

All of our work together is protected by something called “privilege.” The law protects you from having your personal information shared without your permission. At times, you may choose to allow us to disclose privileged information. I will honor your privilege except in cases where breaking confidentiality is a professional or legal mandate. This applies to both adults and children, men and women, irrespective of social class, race, ethnicity, philosophical worldview, or sexual orientation.

What is EMDR? 

EMDR is an acronym for Eye Movement Desensitization and Reprocessing. The name describes what happens, and gives a glimpse into how it was developed by Shapiro. Shapiro is a therapist who would take walks after counseling many people each day. It was her way to wind down and practice self-care. She found that after her walks–left foot, right foot, left foot, right foot–she would feel much lighter and her mind clearer. She took this to research whether it would be helpful to her clients to have bilateral stimulation. She accessed this by directing eye movement during therapy, and discovered that clients would not only reprocess material with less anxiety and greater clarity, but also would naturally desensitize to the heightened sensations that normally came from disturbing and difficult recollections. EMDR is now taught worldwide and has many levels of accountability and certification.

How does EMDR work?

The human body is incredibly and wonderfully designed! EMDR utilizes the body’s natural self-healing process of bilateral feedbacks in the brain and the body. The clinician facilitates the process by providing guidance and tools for the body’s self-healing to be activated. Tappers, a light beam, or similar tools may be used to help the activation. AS a result, neurotransmitters reconnect properly and balance is restored. Safety is of paramount importance. So, the clinician regularly checks in with the client throughout therapy.

Can EMDR work for me? 

Absolutely! EMDR’s design is informed by the way the human body naturally processes information and self-heals. If you are human and alive, you can make EMDR your own.

How does art as therapy work?

Art as therapy is a fun way to activate change in our lives! Sometimes therapy can feel like all talk and no work. (Just kidding!) Art as therapy blends creativity, education, compassion and encouragement. I use it to help you feel more self-aware and grounded in your life. By combining it with talk therapies, we can help you create a forward moving momentum allowing you to live out your hopes and dreams, and make meaning.

Do I have to be talented to do art as therapy? 

Everyone is welcome at the table! No matter where you are with art, I’d like to help you find the wise artist that lives inside you, inside all of us.

How often can I schedule an appointment for services? 

We can meet as often as twice a week–once for individual services, and once for group services. We can discuss additional meetings if your clinical need is urgent. In the event of emergencies, our offices recommend that you call 9-1-1.

What do you talk about with your supervisor(s) in regards to my care? 

My supervisor(s) ensure that I provide you excellent quality of care. They make sure that my ongoing assessments are accurate, and the clinical interventions are empowering to you. They also make me laugh and are generally the best mentors ever.

What should I do in the event of an emergency? 

Please call 9 – 1 – 1 and go to the nearest hospital emergency room! Pathways Counseling Center is a medical mental health center for out patient day treatment. It is not a 24-hour emergency facility. You deserve every level of care that you need, from the professionals who are ready at each level.

What insurances do you accept?

At Pathways Counseling Center, I can accept Aetna, Anthem, Medical Mutual, and OSU Prime Care.

How much do sessions cost?

Pathways charges $150 for the initial assessment (90 minutes), and $135 for subsequent sessions (60 minutes). We do not charge for the first ten minutes of telephone consultation, but do charge for significant support at pay increments of 15 minutes. There are also additional fees for work related to legal issues, and separate fees for group therapy.

Each client is advised to consult with their insurance regarding co-pay and co-insurance costs due at the time of service.

What happens if I have to cancel an appointment?

Please inform Sylvia or text/email me at least 24 hours in advance. Pathways’ policy is as follows: For cancellations made without notice or less than 24 hours in advance the first time, the fee is $35. For the second time a cancellation is made without notice or less than 24 hours in advance, the fee is $70. For the third occurrence of a cancellation with no notice or less than 24 hours in advance, the fee is for the full hour, $135. Please note that insurance does not pay for missed sessions. Returned check fee is $35.

Are you an out of network provider?

I’m sorry, I am not at this time.

Can I self pay? 

Yes.

How do I schedule my first appointment? 

Please Call Sylvia Tuesday through Thursday at 614 – 818 – 4099 during business hours, or email/text me.

How are you different from a psychiatrist, psychologist, or social worker? 

Great question! The answer to your question comes down to education and whether the provider can meet with you to provide medication or counseling therapy services. A psychiatrist must graduate medical school and pass boards in order to hold a license to prescribe medication. A psychologist must graduate with a doctoral degree and also pass exams, but cannot prescribe medication; they can however, hold the title of a doctor. A licensed counselor (that’s me!) must graduate with a masters degree and pass state exams. A social worker must graduate with a bachelors degree and pass social worker exams. All four professionals must complete a certain number of clinical hours with supervision, and maintain relationships for accountability to pass routine ethical check-ins.