Intake Forms & Resources

 

 

 

Help For New Clients

If you’re a new client, please complete the following forms and bring them to your first therapy session.

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

 

Helpful Resources

The following links are listed to provide you with additional online mental health care information and counseling resources.

Note: Not responsible for the content, claims or representations of the listed sites.  

Addiction and Recovery
Alcoholics Anonymous
Center for On-Line Addiction
SAMHSA’s Substance Abuse/Addiction
SAMHSA’s Treatment and Recovery
Web of Addictions

Anxiety Disorders
Answers to Your Questions About Panic Disorder
National Center for PTSD
Obsessive-compulsive disorder (OCD), Mayo Clinic
International OCD Foundation
Calm Clinic

Associations & Institutes
American Academy of Child & Adolescent Psychiatry
American Association for Marriage and Family Therapy
American Counseling Association
American Psychiatric Association
American Psychological Association
Association for Psychological Science
Canadian Mental Health Association
Center for Mental Health Services
National Institute of Mental Health
Mental Health America
Substance Abuse and Mental Health Services Administration

Attention-Deficit Hyperactivity Disorder
ADDA – Attention Deficit Disorder Association
Attention-Deficit Hyperactivity Disorder, NIMH
Born to Explore: The Other Side of ADD/ADHD

Child Abuse and Domestic Violence
Childhelp USA®
SAMHSA’s Children and Families
SAMHSA’s Protection and Advocacy
Questions and Answers about Memories of Childhood Abuse
The National Domestic Violence Hotline Website

Chronic Fatigue
Chronic Fatigue Syndrome

Depression
Bipolar Disorder News – Pendulum.org
Depression and How Therapy Can Help
Depression Screening
Depression Test, Symptoms of Depression, Signs of Depression

Developmental Disorders
Asperger’s Disorder
NeuroWeb
Yale Autism Program

Diagnosis
DSM-IV-TR: Diagnoses and Criteria

Dissociation and Traumatic Stress
Sidran Traumatic Stress Institute

Eating Disorders
Academy of Nutrition and Dietetics
Something Fishy

Suicide Awareness and Hotlines
SAMHSA’s Suicide Prevention
Suicide Awareness Voices of Education
Suicide: Read This First

Journals & Magazines
ADHD Report
Anxiety, Stress and Coping
Autism
Childhood
Contemporary Hypnosis
Dementia
Depression and Anxiety
Drug and Alcohol Review
Dyslexia
Early Child Development and Care
Eating Disorders
Educational Assessment
Journal of Gambling Studies
Journal of Happiness Studies
Journal of Mental Health and Aging
Journal of Sex & Marital Therapy
Journal of Sport and Exercise Psychology
Journal of Substance Abuse Treatment
Language and Cognitive Processes
Loss, Grief & Care
Mental Retardation and Developmental Disabilities
Metaphor and Symbol
Neuropsychological Rehabilitation
Parenting
Personal Relationships
Personality and Individual Differences
Psychiatric Bulletin
Psychology of Men & Masculinity
Psychology Today
Stress and Health
Studies in Gender and Sexuality
Substance Abuse
Trauma, Violence & Abuse

Medications and Health Supplements
Drug Interactions, Drugs.com
Drug Interactions, DIRECT
Medical Dictionary
Medications, FDA
Medication, Internet Mental Health
Medications, PDR
Medline, Comparison
Multivitamins

Mental Health Care General Links
CounsellingResource.com
Internet Mental Health
Let’s Talk Facts, APA
Mental Health Counselor Resources, About.com
Mental Help Net
PsychCentral.com
University of Michigan Health Library
Web Sites You Can Trust, Medical Library Association

Personality Disorders
Mental Help Net – Personality Disorders
Personality Disorders – Focus Adolescent Counselor Services

Additional Mental Health Care & Counseling Resources
Disaster/Trauma
HIV/AIDS
Interpretation of Dreams
Keirsey (Myers-Briggs) Temperament Sorter
Signs of Menopause, Symptoms of Menopause

 

Privacy Policy

Confidentiality & Privacy Policy

The law protects the relationship between a client and a psychotherapist, and information cannot be disclosed without written permission.

Exceptions include:

  • Suspected child abuse or dependent adult or elder abuse, for which I am required by law to report this to the appropriate authorities immediately.
  • If a client is threatening serious bodily harm to another person/s, I must notify the police and inform the intended victim.
  • If a client intends to harm himself or herself, I will make every effort to enlist their cooperation in ensuring their safety. If they do not cooperate, I will take further measures without their permission that are provided to me by law in order to ensure their safety.

 

Getting Started is Easy

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Free 20 Min Chat

Schedule a free chat with me to see how I can support you best.

Book Appointment

After our free chat, if you feel I can help, schedule an appointment with me for a 1-hr consultation.

1st Session!

We’ll meet in my office where your comfort and privacy are my priority.

Frequently Asked Questions

How can therapy help me?

A number of benefits are available from participating in therapy. Therapists can provide support, problem-solving skills, and enhanced coping strategies for issues such as depression, anxiety, relationship troubles, unresolved childhood issues, grief, stress management, body image issues and creative blocks. Many people also find that counselors can be a tremendous asset to managing personal growth, interpersonal relationships, family concerns, marriage issues, and the hassles of daily life. Therapists can provide a fresh perspective on a difficult problem or point you in the direction of a solution. The benefits you obtain from therapy depend on how well you use the process and put into practice what you learn. Some of the benefits available from therapy include:

 

  • Attaining a better understanding of yourself, your goals and values
  • Developing skills for improving your relationships
  • Finding resolution to the issues or concerns that led you to seek therapy
  • Learning new ways to cope with stress and anxiety
  • Managing anger, grief, depression, and other emotional pressures
  • Improving communications and listening skills
  • Changing old behavior patterns and developing new ones
  • Discovering new ways to solve problems in your family or marriage
  • Improving your self-esteem and boosting self-confidence

Do I really need therapy? I can usually handle my problems.

Everyone goes through challenging situations in life, and while you may have successfully navigated through other difficulties you’ve faced, there’s nothing wrong with seeking out extra support when you need it. In fact, therapy is for people who have enough self-awareness to realize they need a helping hand, and that is something to be admired. You are taking responsibility by accepting where you’re at in life and making a commitment to change the situation by seeking therapy. Therapy provides long-lasting benefits and support, giving you the tools you need to avoid triggers, re-direct damaging patterns, and overcome whatever challenges you face.

Why do people go to therapy and how do I know if it is right for me?

People have many different motivations for coming to psychotherapy. Some may be going through a major life transition (unemployment, divorce, new job, etc.), or are not handling stressful circumstances well. Some people need assistance managing a range of other issues such as low self-esteem, depression, anxiety, addictions, relationship problems, spiritual conflicts and creative blocks. Therapy can help provide some much needed encouragement and help with skills to get them through these periods. Others may be at a point where they are ready to learn more about themselves or want to be more effective with their goals in life. In short, people seeking psychotherapy are ready to meet the challenges in their lives and ready to make changes in their lives. 

What is therapy like?

Because each person has different issues and goals for therapy, therapy will be different depending on the individual. In general, you can expect to discuss the current events happening in your life, your personal history relevant to your issue, and report progress (or any new insights gained) from the previous therapy session. Depending on your specific needs, therapy can be short-term, for a specific issue, or longer-term, to deal with more difficult patterns or your desire for more personal development. Either way, it is most common to schedule regular sessions with your therapist (usually weekly).

It is important to understand that you will get more results from therapy if you actively participate in the process. The ultimate purpose of therapy is to help you bring what you learn in session back into your life. Therefore, beyond the work you do in therapy sessions, your therapist may suggest some things you can do outside of therapy to support your process – such as reading a pertinent book, journaling on specific topics, noting particular behaviors or taking action on your goals. People seeking psychotherapy are ready to make positive changes in their lives, are open to new perspectives and take responsibility for their lives.

What about medication vs. psychotherapy?

It is well established that the long-term solution to mental and emotional problems and the pain they cause cannot be solved solely by medication. Instead of just treating the symptom, therapy addresses the cause of our distress and the behavior patterns that curb our progress. You can best achieve sustainable growth and a greater sense of well-being with an integrative approach to wellness. Working with your medical doctor you can determine what’s best for you, and in some cases a combination of medication and therapy is the right course of action.

Do you take insurance, and how does that work?

To determine if you have mental health coverage through your insurance carrier, the first thing you should do is call them. Check your coverage carefully and make sure you understand their answers. Some helpful questions you can ask them:

  • What are my mental health benefits?
  • What is the coverage amount per therapy session?
  • How many therapy sessions does my plan cover?
  • How much does my insurance pay for an out-of-network provider?
  • Is approval required from my primary care physician?

What are your rates?

Rates
$140 – $180 per 50 minute session

Insurance
I am currently only accepting PPO and out of network provider.

Reduced Fee
Reduced fee services are available on a limited basis.

Payment
Cash, check and all major credit cards accepted for payment.

Cancellation Policy
If you do not show up for your scheduled therapy appointment, and you have not notified us at least 24 hours in advance, you will be required to pay the full cost of the session.

Does what we talk about in therapy remain confidential?

Confidentiality is one of the most important components between a client and psychotherapist. Successful therapy requires a high degree of trust with highly sensitive subject matter that is usually not discussed anywhere but the therapist’s office. Every therapist should provide a written copy of their confidential disclosure agreement, and you can expect that what you discuss in session will not be shared with anyone. This is called “Informed Consent”. Sometimes, however, you may want your therapist to share information or give an update to someone on your healthcare team (your Physician, Naturopath, Attorney), but by law your therapist cannot release this information without obtaining your written permission.

However, state law and professional ethics require therapists to maintain confidentiality except for the following situations:

* Suspected past or present abuse or neglect of children, adults, and elders to the authorities, including Child Protection and law enforcement, based on information provided by the client or collateral sources.
* If the therapist has reason to suspect the client is seriously in danger of harming him/herself or has threated to harm another person.

Contact Me

Ask a question or book an appointment below.

(310) 704-6854

Debbie G. Ramirez, LCSW

8055 W Manchester Ave
Suite 450
Playa Del Rey, CA 90293
United States

debbiegramirez.lcsw@gmail.com