FAQ-Read Me!

Common Questions on Mental Health & Consulting Services

  • What methods of payment do you accept?
  • Do you charge by the hour?
  • What are your office hours?
  • Are you accepting new clients?
  • What are your office policies?
  • Do you have any advice for me to be successful in psychotherapy?

You may send cash (which ensures confidentiality), check, or money order by mail to: Gianna Elms, LCSW, LLC, 2700 S. Woodlands Village Blvd., Suite 300-244, Flagstaff, AZ 86001 or pay via ACH or credit card, via Square.

Generally, yes. My hourly rate is $175. Sessions are $250 per hour that start at or after 6:00pm my time. However, my hourly rate is prorated based on the time of day. I use 5-minute intervals with the fee rounded to the next highest $5; there is a minimum fee of $45. (Below is a breakdown of the cost the cost sessions in 15-minute increments, based on the time of day, for your convenience.) There are additional fees for time and travel for some concierge (on-site) services and expert services, including a retainer in some situations.

Note: For clients who are already in treatment, I do not get involved in legal issues.

Sessions that start prior to 6:00pm (my time)

15 Mins. = $45, 30 Mins. = $90, 45 Mins. = $135, 60 Mins. = $175

Sessions that involve concierge (on-site) or start at or after 6:00pm (my time)

15 Mins = $65, 30 Mins. = $125, 45 Mins. = $190, 60 Mins. = $250

Additional fees apply for time spent over the scheduled time and for additional communications between sessions.

Monday-Saturday, by appointment.

Yes. Let’s talk about how I may be able to help you. Schedule a time to BOOK A CALL.

If you are considering starting treatment, I advise you to thoroughly review my Office Policies (Consent to Treatment) prior to contacting me to schedule an appointment.

If you only have a ‘brief’ question for advice, be sure to follow the instructions outlined in my Communications policy.

Please read my Clinical Consultation and Supervision policies or my policy on Forensic services if you are interested in either of those, as well as make a donation to this website prior to contacting me about those services.

Note, all potential clinical supervision begins with a clinical consultation, however the policy that I have posted online is not representative of the complete supervision contract that you will be required to sign prior me agreeing to be your clinical supervisor and it may be revised, as needed, which will be noted for you in the supervision contract.

My forensic services agreement is also subject to change based on the circumstances.

It is your responsibility to read my website, including to check for any relevant updates, prior to contacting me.

Anyone who seeks treatment by committing to do the work and is willing to pay for it, can be treated.

Note, carefully though that this is not about simply asking for help, casually. Many people who enter psychotherapy want the psychotherapist to ‘rescue’ them or to ‘take care’ of them. They don’t understand that effective psychotherapy is hard work, which requires them to take responsibility for their own lives, which is why very few are willing to listen to my advice, and the advice of other psychotherapists who have a genuine interest in their well-being, even if they think they want it.

Why? Because there’s a ‘part’ of them that cannot take it. There’s a ‘part’ of them that doesn’t want to succeed, that doesn’t want to heal, and there’s a ‘part’ of them that knows that others don’t want them to heal either. It’s easier, more comfortable, and less frightening than doing the hard work of psychotherapy, which requires that you be willing to explore your unconscious, recognize that you have emotions and name them, talk about transference and not hide, run away, or bolt when we get to the hard stuff, and that you be willing to replace hate with love.

You are free to talk about your sessions with anyone that you want however much you want about what happens in your sessions. But when you seek out private psychotherapy, there are really only two individuals who know exactly what happens in the sessions. One of the individuals is, of course, you and the other person is the psychotherapist who is treating you. The entire, psychotherapeutic experience, in my opinion, deserves a great deal of respect and reverence. When it is not treated as such, one of the main issues that comes up is ‘triangulation’, which is destructive to the therapeutic process. Still, it is your life, and you are free to tell anyone who will listen to you what you do with your life. You have been given the proper warning.

In other words, it’s important for you to trust the process and understand that perseverance is the final key to success.

If, however, you have a legitimate psychological safety concern, this should be discussed with your psychotherapist. Termination is always an option, and this should take place over a period of one to two sessions, without anger, so that you may return at any time. We can discuss more as part of an initial consultation.

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