How does e-mail consultation work?

When you send an e-mail question or concern,( to the therapist, that therapist will return a response within 24-48 hours. (The only time it may take 48 hours is if our computer is down or I am out of town; if that is the case), we will contact you when we return.) We will offer you suggestions and comments that will help you come up with answers to your situation. You may decide whether or not you want to have an ongoing consultation or just a one-time session. You decide the amount of time you want the therapist to spend (30 or 60 minutes) and then either send a check or submit payment with a credit card through our secure e-mail server. Also, if you prefer, you can submit your credit card number by phoning the (therapist through the confidential secure voice mail at 858-586-1355.)
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What are the advantages of e-mail consulting?

If you have a difficult (schedule) or out of town commitments, you may find this format more convenient. The obvious advantage of e-mail consulting is that you do not need to leave your home or office, or coordinate an appointment with a busy counselor. You may also find that writing (your ) questions out may be helpful in making a problem seem clearer and might facilitate more honest exploration. Also (my) clients that have been using this format, indicate that they appreciate having (my) suggestions available to print out to encourage them months later. (back to top)

How much does e-mail consulting cost?

The charge for e-mail consultation is $1.00 per minute. This includes the time it takes to read your e-mail as well as the time it takes for me to respond.( You can expect to pay for 15, 30, or 60 minutes which translates to $15, $30 or $60. Generally speaking, if your concern is about 2 to 3 pages long printed out, then you might end up with a response about that long, and it will cost about $30 to $40 dollars for that response. Longer more complicated inquires will cost more, and shorter ones will cost less. )

If you are ready to send an inquiry to the counselor, then, simply send in your inquiry through the confidential client form. In the client form provide a description of your situation and your credit card information through the secure e-mail, or send a check to my office, or telephone your credit card number to my confidential voice mail. When sending a check, there will be a wait for the (me) to receive the check, before (I) can respond. As soon as I receive your payment I will respond to your concern. The charge is for the actual time it takes to read and respond to your e-mail. (back to top)

What is "Live Chat" consulting?

"Live Chat" means that we schedule a time to speak to with you, via the computer (keyboard conversation), screen to screen, using a private chat room. This type of consult will allow for a more in-depth discussion regarding your concerns. Also it will allow me to ask you questions and give you feedback instantly. If you prefer a consult using this format please state what day and time would be best for you. (Since I have a busy private practice, I might not be able to accommodate all requests, but I can refer you to someone who might be more available.) (back to top)

What is the charge for "Live Chat"?

For each 50 minute "live" online chat there is a $60.00 fee. Chats can also be scheduled for 30 minutes at $36.00. Send via e-mail your request for a chat, and which days and times you might be available. You will be e-mailed back instructions for chat consulting as well as an acceptance of one of your times, or you will be given alternatives. (back to top)

If I live in San Diego can I see you in person?

I have an office in Pacific Beach, so I can be seen in person . My fees are slightly higher in my private practice than at the Website. However, I can accept most insurances and standard champus at my private practice locations. If you would like to schedule an appointment with me please call 858-586-1355. If you have a question you would like answered, please e-mail your question to me. I would be happy to send you a free reply to any questions regarding my counseling and online services. (back to top)

Is e-mail or "live chat" considered counseling?

Online counseling is considered experimental at this point. Because a therapist cannot see or hear clients in cyberspace, there are many important clues that are missing using this medium. These visual and auditory clues include, facial expression, body language, and the tone of voice. Therefore, the therapist's perceptions are limited by the written information the client supplies. Because of this limitation, online consulting is not a therapy. Therefore people in need of a therapeutic relationship must seek treatment from a licensed professional within their own community. (back to top)

When should I seek traditional Mental health Treatment rather than an Online Consult?

• If you are in an abusive, violent relationship.
• If you have been seriously and deeply depressed.
• If you are having thoughts of hurting yourself (i.e. suicidal thoughts) or someone else (i.e violent thoughts toward others), or psychotic symptoms.
• If you are a minor (under 18 years old).

NOTE: The conditions listed above are not appropriate for online consults. Calling your local crisis hotline or finding a mental health counselor in your area would be right thing to do at this time. For listings in your area call 411 or look in your phone book for mental health listings. (back to top)

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