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Frequently Asked Questions:
About Our Therapists
Our team is made up of consult clinicians, therapists, and care coordinators. Our consult clinicians and therapists are Licensed Clinical Psychologists (PhDs and PsyDs), Licensed Clinical Social Workers (LCSWs), and Licensed Marriage and Family Therapists (LMFTs). You can learn more about them on our clinical team page.
What is the role of a consult clinician?
The primary role of our consult clinicians is to match you with one of our therapists. Consult clinicians meet with you during your first visit—a 45-minute consult appointment. After your consult, they use the data from your Two Chairs profile and the information you shared during your appointment to match you with one of our in-house therapists and services best fit for you. Your consult clinician will serve as an additional resource if you have any questions or concerns about your overall care experience at Two Chairs and can help facilitate a rematch if necessary.
What is the role of a therapist?
Therapists have the clinical training and skills to help you learn to cope more effectively with life issues and mental health needs. Unlike your consult clinician, your therapist will serve as your ongoing care provider and will be your go-to person for questions related to your care, scheduling, and coordinating your care with other health professionals.
What is the role of care coordinators?
Care coordinators are available to answer any questions that you have about payments, insurance, or the matching process at Two Chairs. You can contact them via phone at 415.202.5159 or email at [email protected] if you have any questions about our services. You can also set up time with a Care Coordinator here.
What is a Psychiatrist?
Psychiatrists manage medications related to mental health needs and can work alongside therapists to provide comprehensive mental healthcare. If you are looking for a psychiatrist, your Two Chairs therapist can provide you with a referral to a psychiatrist within our network and will work with them to coordinate your care.
What is therapy?
Therapy is a collaborative process based on a trusting relationship between you and your therapist. This strong therapeutic alliance allows you to talk freely and openly in a supportive, unbiased, and non-judgmental environment. Together, over a series of appointments, you and your therapist will challenge current patterns that keep you feeling stuck as well as identify and work towards fulfilling goals.
Is therapy right for me?
Yes! Therapy is right for everyone. Therapy can help you improve your relationships with your family and friends, help you overcome fears and insecurities, cope with stress, and communicate effectively. You may choose to engage in therapy on a more short-term basis during a time of need or for a longer period of time for support and maintenance. Therapy is about making yourself a priority.
How do I find the right therapist?
Too often searching for a therapist is a daunting task. Especially when you’re feeling hopeless and vulnerable, finding the right therapist can seem impossible. Where do I even start? How quickly will I be seen? What type of therapy is right for me? At Two Chairs, our licensed clinicians work with you to understand your needs, goals, and preferences. Through a rigorous, data-driven approach backed by research and clinical expertise, we match you with the right therapist and type of therapy for your needs.
Why is it so important to find the right therapist?
Research shows that the therapeutic alliance between you and your therapist is the best predictor of successful treatment outcome. Psychologists define the therapeutic alliance as the strength of the therapist and client relationship and how aligned you are on goals. Once you have developed a strong therapeutic alliance with your therapist, studies show that individuals are more productive at work, have more fulfilled relationships, can cope more effectively with daily stressors, and engage in less risky behaviors.
Who can attend therapy at Two Chairs?
Currently, Two Chairs offers in-person psychotherapy services to those over the age of 18. While we don’t currently offer psychiatric or adolescent services, our therapists can help work with outside providers for your care.
Our Consult and Matching Process
What should I expect from my consult appointment?
The 45-minute consult appointment is a conversation with one of our licensed therapists who we refer to as the consult clinician.
During the consult, your consult clinician will work with you to identify your needs and preferences for therapy, and your scheduling availability. This appointment augments the information gathered from your Two Chairs profile and provides an opportunity for you to discuss personal questions or concerns you may have about therapy or receiving care at Two Chairs. Based on your conversation, your consult clinician will recommend the right type of care for you, whether individual therapy or group therapy, or both, and you’ll work together to decide on the next steps for your care.
You can sign up for your consult appointment here.
What should I do before my consult appointment?
Once you schedule an appointment, you will receive a link to complete your Two Chairs profile and questionnaire. Please answer all questions before your consult, as it helps us get to know you so that we can do our best to match you with the right care. Be sure to enter your health insurance information into the profile if you would like us to submit insurance claims on your behalf. The profile should take about 15-20 minutes to complete.
What time should I arrive for my consult appointment? Will there be paperwork for me to complete?
We encourage you to come to our office 10 minutes before the consult to give yourself time to unwind—take a seat and help yourself to some tea or LaCroix. There will not be any paperwork to complete when you arrive, since we aim to get your information digitally before your consult time. Your consult clinician will come greet you in the lobby when it is time for your appointment.
When will I receive my match?
Within 48 hours of your consult, your consult clinician will match you to one of our individual therapists, connect you with our group therapy team, or both, and will send you a link to schedule your first therapy appointment.
Can I do my consult appointment over the phone?
It is important that you attend the consult appointment in-person so our consult clinicians can get to know you better and adequately assess your needs. Once you have received your match and established relationship with your therapist, you can discuss whether teletherapy sessions make sense for you.
Availability and Scheduling
Is Two Chairs accepting new patients?
Yes! At Two Chairs, we believe in providing you with quality care, quickly. To setup a consult appointment, you can call us a call at 415.202.5159 or you can schedule online.
Do you offer evening or weekend appointments?
We know you are busy, that’s why we offer extended office hours in the evenings and on Saturdays. We have appointments from 8am - 6pm Monday through Friday. Currently, consult appointments are only offered Monday through Friday. If you don’t see a time that works for you, call us to see if there is additional availability.
I just had my consult appointment, how do I schedule my first therapy appointment?
You will receive an email from your consult clinician with your therapist within 48 hours of your consult appointment. The email will have a link to your therapist’s bio and a scheduling page for you to make your first appointment.
How do I schedule ongoing appointments?
Once you meet with your therapist, together you can pick a time that works best for you. Your therapist can schedule regular appointments several weeks in advance to ensure that you have that time together.
How do I cancel or reschedule appointments?
If you need to cancel or reschedule an appointment, you can do so by emailing your therapist. If they are out of the office or if you are unable to reach them, please reach out to the care coordination team at [email protected] or by calling us at 415.202.5159.
What is your cancellation policy?
You can cancel your appointment up to 24 hours before your scheduled therapy without a fee. If you cancel less than 24 hours before your appointment, you will be charged for the full cost of your appointment. Effective July 1st, 2019, you can cancel your appointment up to 48 hours before your scheduled therapy without a fee. If you cancel less than 48 hours before your appointment, you will be charged for the full cost of your appointment.
Attendance and Cancellation Policy
I received an e-mail about a new cancellation policy. When does it go into effect?
Our new cancellation policy will go into effect July 1st, 2019. It will not be applicable to appointments that occurred prior to July 1st.
What is your cancellation policy?
Effective July 1st, 2019, you can cancel your appointment up to 48 hours before your scheduled therapy without a fee. If you cancel less than 48 hours before your appointment, you will be charged for the full cost of your appointment. To ensure the continuity needed for high-quality care, you are allowed 4 missed appointments (cancellation or no shows), every 6 months (Jan-Jun, Jul-Dec). Our detailed cancellation policy can be found here.
I have an unpredictable schedule due to work - how should I schedule ongoing therapy appointments with my clinician?
At the start of care, your clinician will discuss your schedule constraints with you and work to find a time slot that works best. If your schedule changes during your course of care, you and your clinician will work together on a new schedule. The more regularly and frequently you attend, the closer you get to accomplishing your treatment goals. If you travel frequently for work, teletherapy (virtual sessions) may be an option once you have an established relationship with your clinician. That is up to your clinician's discretion and depends on the location of your travel so please discuss directly with your clinician.
I had a personal emergency or got sick within 48 hours of my appointment - will I be charged?
We recognize physical illness and emergencies can’t be predicted. If you are not well enough to meet in-person, we strongly encourage you to arrange a teletherapy session with your clinician. As with above, 48-hour notice is greatly appreciated, though rare exceptions will be made on a case-by-case basis for illness or emergencies. Please discuss with your clinician directly at your next therapy appointment.
I told my clinician that I had to cancel before the 48 hour window but was charged - what do I do?
Please reach out to [email protected] and cc your clinician’s e-mail and we would be happy to refund the appointment via the payment method that was charged.
I rescheduled my appointment within the 48 hour window to another slot during the same week - will I still be charged?
If you can’t make your original timeslot, we would be happy to explore rescheduling based on your clinician’s availability. If your clinician is able to reschedule your appointment to a different slot prior to the cancellation window, you will not be charged for your appointment and it will not be counted as a missed appointment.
How do I keep track of how many missed appointments I’ve had?
Your clinician will let you know when you are getting close to your allowed number of missed appointments for the 6 month period (Jan-June, July-Dec) and will be able to tell you how many you have at your request.
What will happen if I have more than the allowed number of missed appointments (cancellations and/or no shows)?
After 4 missed appointments in a 6 month period (Jan-June, July-Dec) your clinician will have a conversation with you to discuss your care and find a timeslot that might work better for you.
I will be missing more than 4 appointments during the time period due to an extended travel. Will I still be able to keep my time slot?
Your clinician will do what they can to keep your timeslot on their panel, but due to other client’s needs we cannot guarantee that your slot is kept if you are unable to meet physically or virtually during that time period. The farther in advance you are able to give notice, the more likely we will be able to schedule around your travel. As soon as you know of your trip, please tell your clinician so you can plan together accordingly.
Individual Therapy at Two Chairs
What should I expect from my first individual therapy session at Two Chairs?
During your therapy appointment, you will meet with the therapist with whom you matched. They will also use the first session to understand your goals for therapy and to start building a collaborative therapeutic relationship. This will also be an opportunity to further discuss what frequency of visits is best for you and what to expect from future visits.
What should I expect from ongoing individual therapy?
During the first few sessions, you and your therapist will work together to determine your goals for therapy, which will serve as a road map for your work together. Throughout your care experience at Two Chairs, our care coordination team will check in with you to monitor your progress, assess what’s working and what can be improved.
How frequently will I have appointments?
Typically, our clinicians recommend coming in for appointments on a weekly basis until you have accomplished your initial goals for therapy. However, this varies from person to person, and you and your therapist will work together to determine the cadence that is optimal for your care.
Does Two Chairs offer couples counseling services?
While we don’t offer couples counseling at this time, our therapists can offer individual therapy to you and your partner to discuss any relationship and communication issues. If you and your partner are interested in therapy at Two Chairs, you may book individual consult appointments and be matched with therapists that match your personal needs and preferences.
Group Therapy at Two Chairs
How should I prepare for group therapy?
Before coming to your first group session, please complete your Two Chairs profile and the group baseline questionnaire. This will help your facilitator get a better understanding of your goals and give us a baseline measurement of your stress, anxiety, and mood so we can track changes and progress over the course of group.
What should I expect during group each week?
Each week there will be a different topic related to stress and living a happier, more fulfilled life. The group format differs each week, but will generally involve learning a new concept or skill, engaging in an exercise, and discussion. There will also be an opportunity to share with the group what is happening for you, get support and feedback, and also provide support to other members. Group will end with a brief mindfulness exercise each week.
How can I be sure that my personal goals will be addressed during the sessions?
Your personal goals for group are very important to us. You'll reflect on and record goals in the group baseline questionnaire, and also have the option to set up an individual pre-group call with the group facilitator to discuss them.
At the midpoint of group, we offer all group members an individual phone check-in with the facilitator to discuss your experience of group, and your progress towards your goals.
Finally, at the end of group you will have another opportunity to have a brief phone check in with the facilitator to discuss your progress in group. You will also receive a personalized data output that shows your progress towards goals over the course of group, and any changes in your stress, anxiety, and mood over the 12 week program.
I’m worried about feeling comfortable enough to share in a group setting.
Don’t worry—that is normal! Most people who join group have some nervousness about what the experience will be like, so you will not be alone. It takes time to build trust and safety in a group. Early on, the group establishes the group’s agreement. These are principles that the group abides by (e.g. using respectful language, not interrupting others, agreeing to privacy and confidentiality, etc) and decides upon together. Part of the facilitator’s role is to make sure members are all acting in accordance with the agreement, and making sure everyone who wishes to share and contribute has the time to do so.
How can I know it’s safe to share my personal thoughts in group?
Creating a safe environment is an essential part of successful therapy. All statements made by the members will be treated with the utmost respect and confidentiality.
Group therapists are ethically and legally mandated to keep all communications confidential within the Two Chairs organization. There are a few exceptions to that rule: when the facilitator believes there is an imminent risk of serious harm to a group member, or to someone outside of the group. In such instances, the facilitator is ethically and legally mandated to break group confidentiality in order to keep members, and the public, safe.
There is a similar expectation from group members around confidentiality. At the beginning of group, members will all agree to maintain confidentiality of the identity of the members, as well as group content. It is the facilitator’s job, in collaboration with the members, to ensure that people are treated with respect.
What is the cost of attending group?
ReGroup includes both in-session content, supporting out of session-materials, and personalized plans based on your data. As such, we ask clients to commit to the full program in advance. The total cost of ReGroup is $600 and your card will be charged $50 each week after your session. You can also pay the full program cost of $600 up front.
What is the groups payment policy?
Because each group offers only a limited number of spots, once a client has submitted the the first payment, they have committed to paying for the full cost of the group. Two Chairs does not offer refunds if a client misses a session or chooses to drop out of a group.
What if I can’t attend all of the sessions?
We encourage group members to attend every session to maximize group cohesion and learning. However, we understand that life happens. If you plan to be out for a session, please inform the group facilitator as soon as possible, so we can share the materials with you.
After each session a summary of what was discussed and additional resources about the topic is sent to each member, so you can stay informed even if you can’t make it. In order to build and protect group cohesion, we kindly ask that you do not miss more than 2 sessions.
What is measurement-based care (MBC)?
Measurement-based care (MBC) is the systematic use of self-reported data to track clients’ progress, to aid clinical decision making, and to better inform and tailor care. MBC has been clinically-proven to improve overall outcomes of therapy by providing consistent, objective insight into your care journey. Experts in the mental health field have advocated for use of MBC to inform treatment for several decades. Yet, today, only a fraction of mental health providers incorporate it into their care. Two Chairs hopes to not only maintain best practices in the field of mental health, but also provide an excellent, tailored experience for our clients.
Why is MBC important?
MBC has been clinically-proven to improve overall outcomes of therapy by providing consistent, objective insight into a client’s care journey. MBC provides insight into treatment progress, empowers transparent conversations between you and your therapist, and provides increased awareness and understanding of what you may be experiencing and why. Here at Two Chairs we believe strongly in evidence-based practice, and MBC is a core component that helps us ensure we are delivering the highest quality care possible.
How does this affect my care at Two Chairs?
Beginning Summer 2019, Two Chairs will be expanding its MBC program. Clients will receive two brief surveys, one before and one after each session, directly in their email inbox. The pre-session wellness survey monitors general well-being. The post-session alliance survey tracks your therapeutic relationship with your clinician and your experience in-session. Your clinician will automatically see your results, so you can review and discuss them in-session to help inform your care. These digital surveys will in some cases replace existing in-session paper surveys, and in other cases supplement existing surveys and other measurement tools. By combining in-person clinical expertise with your client feedback, MBC enables us to better tailor care to you at every step of the way.
Why haven’t I received my surveys?
We will be expanding our MBC program beginning Summer 2019 with all clients taking part by Fall 2019. If you have any questions about your participation, please contact us at [email protected].
Do I have to take part?
At Two Chairs, we believe strongly in care tailored to you. A core pillar of this mission is enabled through measurement-based care. Our MBC approach helps us monitor your progress and tailor care to match your unique needs, goals, and preferences. While MBC has been clinically-proven to improve outcomes of therapy, we realize there are certain situations where an exception should be made. If you have questions or concerns, please do not hesitate to discuss with your clinician at your next session.
How is my data being used?
We take the security and privacy of your personal information very seriously. What you share with your clinician through the pre- and post-session surveys will remain confidential and compliant with all applicable privacy regulations. We follow industry best practices to ensure that your personal health information is kept secure. For questions about the privacy or security of your data, please contact [email protected].
Am I able to access my data?
Currently, there is no direct way for you to view your data outside of session. Your clinician will have access and can review your results and progress with you during each session.
Using Insurance at Two Chairs
Will my insurance company cover my care with Two Chairs?
Two Chairs is an out-of-network provider, meaning that we are not contracted to work with any insurance companies. However, if you have a PPO plan, you may be eligible for reimbursement for a portion of the costs of care once you meet your out-of-network deductible. Our team of care coordinators works with you and our billing partner to make sure that you receive the insurance benefits that you are meant to receive. Contact the care coordination team at [email protected] for more information about your specific plan.
How do I submit claims to my insurance company?
We help submit receipts on your behalf to make sure that if you have PPO plan that your care with Two Chairs counts towards your deductible and that once you meet your deductible, that your insurance benefits kick in. Enter your insurance information in your Two Chairs profile, and we take care of the rest.
If you would like to submit claims on your own, we will gladly provide the necessary paper and help you through the process.
What are PPO and HMO health plans?
A Preferred Provider Organization (PPO) is a plan with few restrictions to see out-of-network providers. PPO plans typically cover a portion of out-of-network costs. This means that if you have a PPO plan, once you meet your out-of-network deductible, you may receive reimbursement for a portion of your costs of care with Two Chairs.
In contrast, an HMO, or a Health Maintenance Organization, is a plan where your primary care provider coordinates your care to in-network providers. HMO plans often do not have any coverage for out-of-network care. This means that if you have an HMO plan, you will probably be responsible for the full cost of your Two Chairs services. We encourage you to call your insurance company to confirm your out-of-network coverage if you are unsure.
How much money will I get back?
This depends on your specific insurance plan, out-of-network deductible, and the type of medical service you received. Our billing partner will work with your insurance company and provider to maximize the amount reimbursed as much as possible. Please reach out to [email protected] if you would like help in understanding your out-of-network benefits.
What is a Deductible?
A deductible is the amount you pay up-front for care until your insurance benefits kicks in. As an out-of-network provider, services at Two Chairs will count toward your out-of-network deductible until you’ve fully met that deductible.
What is Coinsurance?
Coinsurance is the percentage of costs that you pay for a covered health care service after you've met your deductible. The coinsurance percentage is applied to the allowed amount and then you are responsible for the rest (see more in the “What is the Allowed Amount?” section below). As an out-of-network provider, the out-of-network coinsurance will apply toward services received at Two Chairs.
What is the Allowed Amount?
The allowed amount is the maximum amount an insurance plan will cover for a health care service. Insurance companies apply the percent coinsurance to the allowed amount. It may also be referred to as the “eligible expense,” “payment allowance,” or “negotiated rate.” If the Two Chairs appointment cost is above the allowed amount for your insurance provider, you pay the difference plus your coinsurance percentage applied to the allowed amount.
For example, for a $180 Two Chairs appointment, if you have an allowed amount of $160 and a coinsurance of 40%, you are responsible for paying (40% of $160) + ($180-$160) = $84 per appointment after you've met your out-of-network deductible.
How long will it take to get reimbursed?
This depends on your insurance company and the complexity of your claim. It can take anywhere from a few weeks to a few months for claims to be processed. Our billing partner contacts your insurance company to expedite the process as much as possible.
How do I receive reimbursement from my insurance company?
Your insurance company will issue you a check and send it to the mailing address we have on file for you.
What are flexible spending accounts and health savings accounts?
Flexible spending accounts (FSA) and health savings accounts (HSA) are programs that allow you to set aside money (before taxes) for specific health care expenses. If you’re unsure whether or not you have an FSA or HSA, please check with your employer or insurance company.
Can I use my HSA or FSA to pay for Two Chairs appointments?
Yes you can! Two Chairs accepts FSA and HSA dollars as long as your FSA or HSA card is affiliated with a major credit card. If you would like to use your FSA or HSA card to pay for your care, please enter the payment information when you schedule your initial consult appointment or call us at 415.202.5159 and we can help get you set up. We can also provide you with any necessary paperwork to get reimbursed if your FSA or HSA account doesn’t have an associated debit card.
Your Data and Privacy
What do I do if I have questions about data and privacy?
We take the security and confidentiality of your personal information seriously. What you share with your therapist will remain confidential following the rules of the HIPAA. We follow industry best practices to ensure that your personal health information is kept secure. For questions about your data or privacy, please contact [email protected].