Blog Posts & Videos

DBT Skills: Opposite to Emotion

Designated Worry Time

One Simple Trick to Combat Anxious Thoughts

Out-of-Network Insurance Reimbursement & Therapy

Have you ever wanted to see a specific therapist just to find out that they aren’t contracted with your insurance plan? You may actually be able to get reimbursed if you have out of network benefits.

*contact your insurance company to find out whether you have out of network coverage. You will likely pay less for therapy if you choose an in network provider, but if there’s a specific provider who you feel might be a good fit for you who doesn’t accept your plan, it may be worth it to look into out of network reimbursement.

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5 Changes You Might Notice in Yourself if You've Been in an Emotionally Abusive Relationship...

Office Tour


Advice from a licensed therapist on two things you can do to feel better about yourself

Machiavellianism and Trauma Responses

Anxiety as a Flight Response

Navigating Out-of-Network Insurance Reimbursement in Therapy

Seeking therapy is an investment in one's mental well-being, and for those with out-of-network insurance coverage, understanding the reimbursement process is essential. While out-of-network services don't have the direct billing convenience of in-network options, they offer flexibility and choice. Here's a brief overview of how out-of-network insurance reimbursement works in therapy:

Selecting a Therapist:

Payment at the Time of Service:

Issuing an Invoice:

Submitting to Insurance:

Reimbursement Amount:

Timeline and Process:

Out-of-Pocket Costs:

Communication with the Therapist:

While navigating out-of-network insurance reimbursement might require more effort on the client's part, the ability to choose the therapist who aligns with their needs can outweigh the administrative aspects. It's advisable to contact the insurance company to understand their specific reimbursement procedures and coverage details.

As individuals prioritize their mental health, understanding the ins and outs of out-of-network insurance reimbursement empowers them to make informed decisions about therapy and financial matters.




The Transformative Power of Trauma-Informed Counseling After Sexual Assault

The aftermath of sexual assault leaves survivors grappling with profound emotional and psychological challenges. During this critical period, seeking professional support becomes paramount for healing and recovery. Trauma-informed counseling plays a pivotal role in providing survivors with the tailored care and understanding they need to navigate the path to healing and resilience.

Understanding Trauma-Informed Counseling:

Trauma-informed counseling is a specialized therapeutic approach that acknowledges the deep impact of trauma on survivors' well-being. Its primary focus is to create a secure, empowering, and empathetic space where survivors can share their experiences, process their emotions, and work through the complexities that follow sexual assault. Each survivor's journey is unique, and trauma-informed counseling recognizes this diversity, offering personalized guidance on the path to healing.

Key Elements of Trauma-Informed Counseling:

Benefits of Trauma-Informed Counseling:

Healing after sexual assault is a profound and challenging journey. Trauma-informed counseling provides survivors with the specialized care they need to rebuild their lives and move forward. By creating a safe, empowering, and respectful environment, trauma-informed counselors facilitate the process of healing, offering survivors the tools to reclaim their lives and rewrite their narratives. If you or someone you know is a survivor of sexual assault, seeking trauma-informed counseling can be a crucial step towards regaining a sense of well-being and empowerment.



Anxious-Preoccupied Attachment

Repetition Compulsions

Complex Trauma Book Recommendation

Emotional Abuse in Romantic Relationships


When most of us think of abuse, our minds gravitate towards physical domestic violence.  We think of a physically dominant abuser (usually a man, but not always) towering over a terrified woman and assailing her with his raised fists.  We think of a person so unable to control his anger that the most trivial perceived slight unleashes an onslaught of physical fury.  There is another less obvious form of abuse that can be equally as damaging though - emotional abuse.  Emotional abuse tends to be insidious in nature.  Unlike physical abuse, emotional abuse operates in subtle ways, making it difficult for victims to identify.  Unfortunately, this often leads to invalidation from friends and family members who lack knowledge about the dynamics of emotionally abusive relationships. 


Nearly half of all people will experience some form of emotional abuse in a romantic relationship at some point in their lives.  Psychological abuse is a very strong predictor of PTSD-like symptoms in women.  Approximately 70% of women who endure emotional abuse in a romantic relationship subsequently develop symptoms of PTSD.  


Emotional/psychological abuse comes in many different forms.  Here are a few of them.



If you or someone you know are experiencing emotional abuse, help is available.  Working with a counselor knowledgeable about abuse, dark triad traits, and trauma recovery can help you to heal from abuse and move forward.  If you are in immediate danger, you can reach out 24/7 to the following resources:


First Step - Wayne County, MI


Haven - Oakland County Michigan


National Domestic Violence Hotline


*The use of male or female pronouns in this article is not meant to stigmatize a certain group or over-generalize.  It is simply for the sake of simplicity since women are the victims in 85-95% of reported cases of domestic violence.  Men and non-binary individuals can also be victims of abuse.  Abusers, likewise, can be male, female, or non-binary.  



Written by: Jessica Payne, MA, LPC, CCTP 

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