Question 1

How do you handle confidentiality?

Accepted Answer

Everything we discuss in our sessions is confidential. I won't share any information about you without your written permission, except if there's a risk of serious harm. If I work with your child, their confidentiality is also respected. I'll encourage them to share important information with you or ask their permission to do so myself. I'll keep you updated on their progress and provide helpful advice.

Question 2

What should I do in case of an emergency?

Accepted Answer

In case of an emergency, please contact your local emergency services immediately. Here are some resources in Tokyo: English-speaking police officer (Mon – Fri, 8:30 AM to 5:15 PM): 03-3501-0110 Emergency medical interpretation (weekday evenings and all day Sat-Sun): 03-5285-8185 Drug overdose/poisoning U.S. Air Force Hospital in Yokota at (0425) 52-2511, ext. 57740 Tokyo English Life Line (daily, 9 AM – 11 PM): 03-5774-0992 I do my best to return calls and emails quickly, but I cannot guarantee immediate responses. We can also create a plan for handling emergencies during your treatment.

Question 3

Do you charge for late cancellations or missed appointments?

Accepted Answer

Yes, I do. My general rule is that appointments must be canceled 24 hours in advance or you will be charged the full session fee.

I understand that life can be unpredictable and I am willing to be flexible for special circumstances and unforeseen crises. If you have a question about this, please don’t hesitate to bring it up.

You should know that most insurance plans and Employee Assistance Programs will not reimburse you when paying for late cancellations or missed sessions.

Question 4

Do you accept insurance?

Accepted Answer

I don't participate directly in any private insurance plans, but if you are an expat with an international health insurance policy you may be eligible for reimbursement (I am a Licensed Clinical Social Worker in the U.S. state of California). I’m happy to provide you with receipts or help you complete any required insurance forms.

Japanese National Health Insurance generally does not cover psychotherapy or counseling because these are not considered to be "medical treatments."

Question 5

What are your therapy fees?

Accepted Answer

My standard rate is 200 AUD per 50-minute online session (around 20,000 JPY or 140 USD). You can pay via credit card or bank transfer at the end of each session.

Question 6

What is the duration of each therapy session?

Accepted Answer

Each therapy session lasts for 50 minutes.

Question 7

Can I book extended therapy sessions or weekend intensives?

Accepted Answer

I don't offer extended sessions or weekend intensives. I find that 50 minutes per week is effective for both my clients and me.

Scott Smith LCSW
Tokyo Psychotherapy

Scott Smith Psychotherapy

Scott Smith LCSW Tokyo Psychotherapy

Scott Smith Psychotherapy

Scott Smith LCSW
Tokyo Psychotherapy