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Coaching versus Psychotherapy

So, what are the differences between coaching & psychotherapy services at Together + Through?

  1. ​Our approach to psychotherapy tends to be exploratory in nature; it incorporates information from your past & your present while being future-oriented. We encourage self-reflection, discussing one’s health history in depth, learning about how this history interacts with your current functioning, and engaging in collaborative treatment planning that furthers one’s healing. The focus is on supporting your emotional well being by utilizing a range of health resources as interventions. In some cases, this involves receiving a mental health diagnosis for symptoms & experiences you may be having, and utilizing clinical modalities to address those concerns (e.g., acceptance and commitment therapy, cognitive behavioral therapy, dialectical behavioral therapy, interpersonal psychotherapy). The benefits of psychotherapy are often experienced within the individual(s) and their immediate relationships. Psychotherapy services are only offered by licensed mental health providers or those under the supervision of licensed mental health providers.

  2. Our approach to coaching is present-focused and supports change at the individual, community, and organizational levels; we see the benefits of coaching in how clients make aligned & sustainable changes through demonstrated & observable actions. We do not diagnose or treat mental health concerns through coaching services. We acknowledge & integrate how your history informs your thoughts, feelings, and actions while moving toward your stated goals. If there are experiences that may interrupt progress toward your coaching goals, we recommend an individualized resource plan that encourages externally resourced root/depth work that is complementary to the work we do in coaching. 

  3. While we have a wealth of knowledge & experience as educators & healthcare providers, when we enter a professional relationship as your Coach, we explicitly name that we are not your licensed health provider. To ensure we maintain those clear boundaries, we do not accept the same client for concurrent psychotherapy & coaching services.

  4. Regardless of service, we value & protect our clients' right to privacy. However, only psychotherapy clients have a right to confidentiality based on state & federal legal protections. Even though the Coach-Client relationship is not considered a legally confidential one, we maintain various safeguards to protect our clients’ information.

Things To Know - Coaching & Consulting

How do I get in touch about your coaching & consulting services? 

Send us a message via our contact form. Feel free to share as many details as you wish about how we can support you and/or your organization.

 

What happens after I submit the form?

You will receive an email from a team member to schedule a free 20-minute video consultation. During the consultation, you will be asked additional information about your coaching & consulting needs, as well as your availability & desired timeline for ongoing versus time-limited support needs (e.g., coaching versus climate assessment, respectively).  We encourage folx to ask about our coaching & consulting philosophy to get a sense of what working with us can be like.

What kinds of individuals & organizations do you work with?

We work with folx seeking further alignment with themselves and in balance with their communities. Our experiences range from 1:1 work to groups of 300+, and have included partnering with early, mid, & late career professionals & creatives, small business owners, local & national arts organizations, hospitals, immigration rights firms, media platforms, mental health group practices, non-profit organizations, student-led organizations, & universities.

How do I know if I am or my organization is ready for consulting?

You are ready for consulting when you have identified an organizational need that demands or would benefit from an external resource. Our consultants provide insight through observation, and strategies informed by professional expertise and lived experience. 

How do I know if I am ready for coaching

You are ready for coaching when you have a desire to dream, strategize, or evolve personally or professionally. In an organizational context, you demonstrate readiness when you feel overwhelmed or lack direction from a supervisor, manager, or Board of Directors and this impedes your progress. Coaching with T+T may be a beneficial resource to help you recalibrate, experience thought partnership, and develop strategy. 

How long do you work with coaching clients?

We work on 6 and 12-month engagement agreements. We recommend new clients establish a 6-month engagement agreement as this amount of time allows us to get to know each other, learn about your work environment (if applicable), and establish & begin to work towards your goals. Within 6 months, we are confident you will experience the benefits of our work together. Once we near the end of our engagement agreement, we will reassess our relationship and determine if a continuation of support is needed.

What are your fees?

Our rates are listed on our coaching & consulting service pages.

Things To Know - Psychotherapy

I think I'm ready to talk to someone about therapy. 

Send us a message via our contact form. Feel free to share as many details as you wish about how we can support you.

What happens after I submit the form?

 

You will receive an email from a team member to schedule a free 20-minute video consultation. During the consultation, you will be asked for additional information, such as who would be involved in the therapy process, what recent experiences guided you to seek psychotherapy support and your ongoing availability. During the consultation, it is important you ask questions that would provide you with what you need to make an informed decision about setting up an initial clinical assessment appointment. 

 

What should I expect in the first few sessions?

 

The initial sessions are structured as a conversation about who you are, the lived experiences that shape you, and about your reasons for seeking care; we ask questions about your life from birth up until the moment we meet. We also ask questions about how you have been feeling and functioning recently and then, we design your care pathway - also known as a treatment plan - to guide our work. It is really important that during those first sessions, you ask us questions because you are making sense of who we are & determining if we are a good match. 

If we are a good match for working together, we continue meeting weekly or biweekly until the care goals have been met. This is one of the few spaces to practice radical honesty so no topic is off the table.

What questions should I ask my insurance provider about psychotherapy coverage?

  1. What are my out-of-network mental/behavioral health benefits (especially if your insurance isn't one we accept)?

  2. Is there pre-authorization required? If so, what information do I need for this? Is there a specific form that needs to be completed?

  3. What amount will I be reimbursed for the following services?

    1. CPT Code 90791 (Initial session)

    2. CPT Code 90834 (45-minute session)

    3. CPT Code 90837 (60-minute session)

    4. CPT Code 90847 (Couple or family session)

  4. What is the deductible I need to meet each year before I am reimbursed?

  5. Is there a session limit per year?

  6. What is my copay/coinsurance amount?

  7. What are my Telehealth benefits?

For clients utilizing their out of network benefits, we will provide statements that you could submit to your insurance provider for reimbursement. Our rates & in-network insurance partnerships are listed on our individual psychotherapy, relationship/couple psychotherapy, and gender embodiment education & support service pages.

Can I be seen in-person for therapy?

At this time, we are only offering Telehealth services via a secure, HIPAA-compliant platform (Simple Practice).

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