18593 Business 13
Branson West, MO 65737
Although I have retired from in-person private practice, I have some availability for telehealth services (video, phone, text, and email). Keep in mind that not all situations are best treated through telehealth. I will review your situation with you prior to scheduling your first appointment and determine whether the services I provide are appropriate for you. The following is some information regarding treatment.
Telehealth services are limited to my specialty area of anxiety and stress-related disorders. I use the model of brief, intermittent therapy. This is different from traditional therapy in that after an evaluation I develop a treatment plan that you pursue with my direction and review as needed. What that means is that therapy is scheduled based on the amount of assistance you need to follow the plan.
The form of telehealth may include video conferencing, phone calls, texting, or emailing depending on the goals of therapy and the assistance you need. The brief, intermittent model of therapy can be more effective with less professional contact because sessions are scheduled based on need instead of a routine schedule. Using this model with the CBT methods means that you should expect a great deal of homework so be prepared to spend the necessary time on treatment.
If you are interested in receiving services, you must meet the criteria described in the following questions. Once you have met the criteria, complete the Initial Contact Form.
The purpose of meeting the criteria is that many people will not need personalized services if they use the resources provided by Excel At Life. However, it can be difficult to know which methods and resources are best for a given situation. So, if you find that you need assistance with the resources, I can help by developing a plan, reviewing your progress, and making adjustments as needed.
I provide mindfulness-based cognitive-behavioral therapy (MCBT). Prior to therapy I encourage you to use the apps and audios I provide on this website. Therapy itself will address what methods you have tried, what helped and what didn't, and how to personalize the approach for your situation.
With the anxiety disorders I will design a treatment plan to help confront and manage the anxiety. Using the breathing, guided imagery, and mindfulness methods prior to treatment will allow therapy to be more time-limited and to focus on the aspects of treatment that need more support (such as cognitive restructuring and exposure therapy).
Frequency of sessions is based upon individual need and can vary throughout the course of therapy. In addition, sessions can include email or texts according to what best meets your needs.
Therapy will include:
Over the years of my practice I have become disillusioned with the demand for diagnoses in our society. In mental health, most diagnoses are just a description of symptoms and behavior and not true, specific illnesses. Due to the demand to have a diagnosis by the insurance industry, psychiatric diagnostic criteria have expanded to such a degree that nearly 50% of people can be diagnosed with a mental illness sometime in their lifetime. As a result the medical model of treating people has become predominant which requires thinking of a person as "ill" or "abnormal" rather than as a person who needs assistance with resolving a problem.
Although I recognize the importance of obtaining a diagnosis to receive treatments such as medication, I no longer wish to participate in labeling people. I will focus therapy on behaviors and symptoms that prevent you from pursuing a satisfying life. If this doesn't work for you, I will recommend that you see a more appropriate mental health professional.
As a result, there are several services I don't provide. If you require any of these services it is best to contact a different provider:
$240 per hour spent in direct contact or indirect services (text, email, meetings with other professionals, etc). Instead of the traditional 50-minute hour, my services are provided based upon need. Sometimes 30 minutes may be sufficient or an email follow-up to help with motivation or a brief phone call to provide direction. Time is tracked based on 5-minute increments.
I do not accept insurance. This provides you with several benefits:
Recently several states have formed an agreement to allow licensed psychologists to provide services across state lines (PSYPACT). I am certified through PSYPACT to provide services in the following states.
Other states are in the process of enacting legislation to join this agreement. You may check back here to see if your state has joined or check PSYPACT Map for the current status of legislation in your state.
In addition, I may be able to provide limited services to residents of other states not on the list above based on their licensing laws. Contact me to check your state's requirements: Excel At Life Contact Form
Kindle Books by
Dr. Monica Frank