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Get answers to some frequently asked questions about counseling and mental health.
Frequently Asked Questions
How do you handle confidentiality?
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.
What should I do in case of an emergency?
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.
What if I need to cancel or miss a session?
I ask that you cancel at least 24 hours in advance. If you cancel later or miss the session, the full fee is usually charged. I do understand that real life happens, so I can be flexible in special circumstances or urgent situations. If anything comes up, just let me know as soon as you can.
Can you help with private insurance reimbursement?
I don’t bill private insurance directly. If you have international health insurance, you may still be able to claim reimbursement, and I can provide receipts or help you complete any forms you need. I’m a Licensed Clinical Social Worker in California. (Japanese National Health Insurance usually doesn’t cover psychotherapy or counseling, because they are not considered "medical treatments.")
What does a 50-minute online session cost?
My standard fee is 200 AUD for a 50-minute online psychotherapy session. You can pay by credit card or bank transfer at the end of each session or at the end of each month. If you’re unsure whether the fee fits your situation, I’m happy to talk it through with you before we begin.
Can I book extended therapy sessions or weekend intensives?
I don't offer extended sessions or weekend intensives. I find that 50 minutes per week is effective for both my clients and me.
Do you work with individuals, couples, families, and adolescents?
Yes, I work with adolescents and adults, and I also offer couples counselling and family therapy. If you’re not sure whether your situation is a good fit, just reach out and we can talk it through together.
Do you offer clinical supervision for mental health professionals?
Yes, I do. I provide clinical supervision for therapists and other mental health professionals who want support with casework, clinical development, and the realities of working with clients. If you’re looking for supervision, I’m happy to discuss what you need and whether we’d be a good match.
How does online therapy work?
We meet by secure video, so you can join from a private place that feels comfortable to you. All you need is a reliable internet connection, a quiet space, and a device with a camera. I aim to make the process feel as close to a real conversation as possible, just with a bit more flexibility for expat life.
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