Individual Therapy

This is your time and space. So, any topic that feels relevant to you on the day of the session or anything that feels important from your past may come up. As the therapist, I may have clarifying questions, but you get to decide what topics to explore. Your intake forms will also have questions that can help you to decide what is feeling most important right now for you and where you may want to begin. 

No one! One of the most important ways that therapy offers support is that it is a private space just for you. The only reason that anything would be shared from our sessions is if you give me written permission through a release-of-information or release-of-records form to communicate or acknowledge your care with someone else. Sometimes this helps if you have other treating providers who would like to work together and support you as a whole person or if you have someone important to you that you would like to include in your therapy for a specific reason. Importantly, you can always change your permission to share/release information at any time with your therapist. 

As a mental health provider, I am also legally a mandated reporter for the state of Colorado for certain types of information. My role as a mandated reporter does limit my ability to keep certain information about your or someone you talk about confidential in therapy. If these circumstances come up in therapy, I am required to break confidentiality (without your permission or a form) and to disclose this specific information to the proper authority:

1. You share with me that you are an imminent danger to yourself, someone else, or others

2. Child abuse or neglect, elder abuse (70 or older), or abuse of an at-risk adult is evident or suspected

3. A court orders me to share certain information

If your confidentiality needs to be breached for any of these reasons, you will be notified. 

*If you would like to discuss something in your therapy, but are feeling unsure if it meets these criteria and will potentially limit your ability for privacy, please communicate this as soon as possible. Establishing and keeping a trusting space and relationship with you is a top priority.

Not. I am an out-of-network provider for all insurers at this time, including for Medicaid and Medicare. However, if you would like to find out if your insurance will reimburse you after you' have paid in full for your service(s), you can submit a claim. If you are unsure if your insurer will provide coverage for services you are seeking with a out-of-network provider, you may want to email or call them with a list of questions. You can find a list of questions to ask about individual therapy services here and for psychological assessment services here.

If you have Medicare, please note that I am considered an “opt-out” provider, which means neither you nor I can submit a claim to be reimbursed by Medicare for any services rendered.

I am an in-network behavioral health service provider for work-related injuries that are covered by the Colorado Workman’s Compensation Department of Labor and Employment. Your Authorized Treating Physician (ATP) must refer you and can reach out to me anytime via this website or my email: mariana@holdingbeinghuman.com

Yes. You can still receive mental health services virtually in most states thanks to the PSYPACT APIT agreement that is currently in place between most, but not all states. You can look up if your state of residence participates in PSYPACT using the map below: 

-  https://psypact.gov/page/psypactmap

For anyone living or frequently travelling outside of the US, mental health services can still be made available. Please contact me to inquire further. Importantly, time zones must be considered and a stable internet connection is a requirement.

*Please note that virtual sessions are not appropriate for everyone. There will be an initial screening process in order to determine if this type of therapy can best support your needs and the therapist reserves the right to reassess if virtual care remains appropriate even after therapy has started.

My PSYPACT APIT #17080

When we start this process, we will establish goals that continue to guide the process of therapy. Sometimes goals are met, sometimes they are updated along the way, sometimes they are left behind when something more important is discovered along the way. While we may be able to measure specific symptom changes session to session, how you feel about yourself, your relationships, and your world will tell us if you are making the progress that you need. This is unique for each person.

Therapy may end after a few sessions, a few months, a few years or be something you decide to engage in intermittently throughout your life. We will continue to discuss and check in on your needs with each session which will help inform when you are ready to stop. Importantly, however, there is no end to your development as a human being, so being “done” may just mean you have accomplished working through or with something uniquely challenging for you in this time and place.