FAQ

How do I set up an initial appointment?
How do I set up an initial appointment?

Give me a call at (323) 819-0747 or email me at patrick@patricktullytherapy.com. You are entitled to a free 15-minute consultation before the appointment, so contact me to schedule that – or we can chat via email and schedule the appointment then.

Where is your office located?

11500 W Olympic Blvd. Suite 400 Los Angeles, CA 90064

Metered Street Parking as well as Parking in Building

What do you mean by Evidence-Based Practice?
What do you mean by Evidence-Based Practice?

While focused on the person, I emphasize Evidence-Based Practice as defined by APA’s Division 12 website: https://www.div12.org/psychological-treatments/

This means I keep up-to-date on modalities that have been shown to work in empirically-based studies in an effort to help you get the most out of our work together.

If you visit the website, you’ll see how treatments are added based on studies and not every form of treatment is viewed as Evidence-Based. I do encourage you to reach out to me if you have further questions as there is a lot of confusion as to what this means. The first important step in any therapeutic journey is the therapist-client connection and when supplemented with evidence-based modalities, treatment has been found to be extremely beneficial for many people.

Can I use video therapy in lieu of visiting you in the office, or in addition to office visits?
Many clients have found that online video therapy by itself is extremely helpful. It’s common to use it in conjunction to in-person therapy: when you might not be feeling well, when you might be overwhelmed by the week, or maybe when you’re out of town.

Video therapy is secure and encrypted, and I encourage you to visit the dedicated online therapy page to learn more! Of course, feel free to ask me questions!

This service is billed the same as a traditional therapy session, making the experience a seamless one!

What is your rate? Do you accept insurance?
I offer both out-of-pocket/private pay and insurance options.

My private pay rate is $180 per fifty-minute session for Individuals and Couples.

I sometimes have sliding scale available, so please inquire.

Credit card, debit card, cash, check as well as HSA/FSA/HRA benefits are all accepted.

I am in network with certain insurance companies (listed below). I can also submit insurance reimbursement towards out-of-network benefits if you have a PPO. Certain POS plans also allow me to be a provider even if not directly contracted. Please submit your insurance information by emailing your name, date of birth, and the front and back of your insurance card to: patrick@patricktullytherapy.com.

I’m in-network with:

Aetna

Anthem Blue Cross HMO / PPO / EPO (I participate in the “National BlueCard” program as well).

UnitedHealthcare / Oscar / Oxford / Optum

Cigna

Humana / ChoiceCare (except Medicare)

I participate with the following Employee Assistance Programs (EAPs):

Modern Health
Humana
LifeWorks by Morneau Shepell
ESI Employee Assistance Group
Mutual of Omaha
Health Advocate
Optum EAP

Please reach out to your Employee Assistance Program if they do not list me as a provider. I offer certain specialties and have not contracted with every EAP that might be advantageous. Letting the EAP companies know this is very helpful.

If you're out-of-network with my insurance, can I still obtain reimbursement from insurance?
Yes! If you have insurance that I don’t accept, and the plan is a PPO or POS (Point-of-Service) plan, then I can submit claims on your behalf upon request. I can also supply Insurance Reimbursement Forms to you if you want to submit these to your insurance, but I’m more than happy to do this work for you!

Please inquire on the phone, through message, or during session as to how this works and I’ll be happy to assist!

I recommend you call your insurance company (there should be a Customer Service number on the back of your card) to ask about out-of-network benefits for LMFTs:

1) What is my out-of-network deductible?
2) What is the Allowed Amount for each session with an out-of-network Marriage and Family Therapist?
3) How much reimbursement will I get for each visit after meeting my deductible?

These are some questions you can ask your insurance company. I can also help you with figuring this out as well.

Are you available evenings or weekends?
Yes! I am happily able to have many evening as well as weekend hours, subject to availability. Please inquire.

I also offer online therapy for greater flexibility – either as a standalone modality for your therapy or as an adjunct to in-person sessions. So, if there’s a day I’m not offering a time to meet together in the office, I can potentially be available virtually.

How does therapy work?
My way of doing therapy is designed to alleviate your troubles. I do therapy in a collaborative and safe setting where you can share and ask me questions, knowing confidentiality is upheld in the highest regard.

My approach to helping you will be based on your goals and the organic process in the room. I work collaboratively and empathically to understand your strengths and concerns. Sharing this information with me is a process, so you can feel relief in a safe setting.

I will check in with you as part of my responsibility to respect what you want out of therapy. Sessions are tailored to you, meaning I see and respect you for who you are. True compassion and caring in a safe and confidential space are among my top priorities!

How long is each session?
Typically, sessions are 45 – 50 minutes long and occur once a week.

If you wish to have longer sessions, this can be discussed either at the start of seeing each other or in the process of our work together.

I have learned that sticking to a consistent timeframe is important for the therapeutic alliance, but that sometimes a longer session, or more frequent sessions, can be helpful.

The most common format is once a week. I see many clients twice a week, especially in the beginning of therapy, as this can help build therapeutic trust and jump-start the process. I also can accommodate every other week as well – but this is not as beneficial as weekly.

Therapy is designed to be flexible just like the human experience and develop boundaries for a healthier self and satisfaction in relationships.

How long does therapy take?
The timeframe of therapy varies for each person. In my approach, I seek to help you find deeper meaning beyond the issues you bring in so that you can attain deeper insight on a variety of issues.

I work with you for as long as the therapy is beneficial. What you need is going to be different than what another person desires.

During our sessions, I will continue to ask you how you feel about our work together, and at any time you can bring up questions and curiosities. You are the expert of your own life. I will never tell you to be in therapy longer than you desire.

Is your office ADA-compliant? I have physical challenges.
Yes! My Olympic office is ADA-compliant. So if you have any physical challenges (eg. vestibular issues, walking, use a wheelchair), I will be able to accommodate you. It’s important to me to have an accessible office so people feel welcomed and supported. Having had my own vestibular and other challenges, I understand the difficulty.

In addition, if there is ever a day where you feel unable to commute to my office due to an issue suddenly acting up, I am able to set up secure HIPAA-compliant visits without advance notice. Of course, video therapy is always available to you as part of my offering. I encourage you to request video therapy even if you don’t feel your best. I have found that therapy still benefits clients in these situations.

I have designed my practice around making you feel comfortable even with physical challenges. If you notice something I have missed, please let me know.

Are you Deaf and know sign language (ASL)?

I’m not a member of the Deaf community, and I don’t know ASL. I’m hard-of-hearing, wear hearing devices, and speak English. If you’re searching for therapists fluent in ASL, I’m happy to provide you referrals to well-regarded agencies that have the ability to best assist you.

Isn't therapy just for people who have serious problems?
The belief that therapy benefits only people who have serious issues is a misconception. Often, when we are experiencing any issues we often feel as if the issue is indicative of something that is wrong with us. In reality, many of us can benefit from having someone who is impartial and also held to strict standards of confidentiality, such as a Licensed Marriage and Family Therapist (which I am). Many of my clients enjoy being able to have a safe space to check in and share about their week. There isn’t always a pressing issue. I tailor therapy to your needs. We will work together and figure out if there’s a specific focus or if you’d like to organically allow that to happen during our work together.
I don't know if my issue is primarily "emotional" rather than situational and focused on figuring out my goals. Should I go and see you?
Absolutely yes! I offer a free phone or email consultation for a chance for you to inquire about anything before coming in.

Some people want to first work on their emotions and how the way they’ve been living their life, or life obstacles, get in their way. Other people have specific goals that are not necessarily rooted in emotion.

We are emotional beings, so decisions and life changes often do come with their share of overwhelm and desire for change. So, with my license, I can help all of that and create clarity for you and your future. The intake process is key as it allows you to write down anything you want to discuss during our first appointment.

Therapy for the Modern Age isn’t only for your moments of anxiety, but also for those times you need to figure out the direction of your life! Give me a call or email me and learn more!

Are Marriage and Family Therapists only trained to see families or couples?
No. Being a Licensed Marriage and Family Therapist (LMFT) means we have received additional training to treat couples, families, and see things in a relational context in addition to individual or society-level views. But the education we receive, as well as the training we obtain towards our 3000 hours (required for licensing), includes extensive work with individuals, couples, families, and covers a vast array of issues. We are trained in many different areas and happen to receive specialized training in relational issues.

But there are many therapists who specialize in only individuals, couples, or families, so LMFT therapists are able to be very diverse.

I’m happy to answer any questions to clarify this further.

Will you hold my time slot?
I aim to keep your time slot, but can only promise that a time slot can be held if you are coming in weekly due to changes in schedules that occur with all my clients. I aim to be as flexible as possible. I find that consistent days and times simplifies scheduling for clients. Your time is valuable.

We can figure out scheduling week-by-week, as well, as naturally our schedules can change sometimes. But my suggestion is to think of a regular time that works best, so I can hopefully accommodate convenient times for you!

How often should I come in for therapy sessions?
Therapy works best when there are regularly scheduled sessions once or twice a week. Trust with a therapist is of utmost importance when in therapy in order for us to begin to examine ourselves.

Best practices for therapy call for us to develop a therapeutic bond that assists you in multiple areas of your life and addresses surprises that come out of your unconscious (what you’re not aware of yet). Insight, continued growth, and other factors continue outside of therapy, and weekly appointments allow us to check in to what is happening.

Our society does not prioritize mental health treatment the way it should. Mental well-being often translates to physical well-being. In addition, the insights you gain are made stronger every single week. Not every session is obviously cathartic or deep. The intent is to allow for a comfortable pace for you to open up freely to a therapist you trust. I hope I have the opportunity to provide this experience to you for your own clarity and overall well-being.

Therapy is the continuation of deeper exploration into yourself and weekly or twice weekly visits allow for emotions that come up throughout the growth process to be identified and addressed so you are able to cope better with yourself. People sometimes are worried about the cost of therapy, but similar to how other physical treatments require consistency, therapy benefits those who come in with consistency.

The therapeutic experience continues between sessions: think about it, the session is the time where “processing” takes place and between sessions, our mind doesn’t stop thinking, and we don’t stop feeling. Having an impartial observer, such as a therapist, assist with processing is very helpful. You deserve to have this time and commitment.

Even when sessions don’t evoke strong emotions, when we meet regularly we are able to work together to increase insight and unpack your experiences. This all has been found to be true through research and my personal experience. Commitment to therapy is important and you deserve it.

Will you go into psychological babble that I can’t understand?
While I was in school for a long period of time where I was exposed to psychological terms, I have spent enormous time in my training to humanize theories. This helped me understand what I was saying, as well as you!

Reigning in theory is an essential component of good therapy, as it allows us both to respond as two human beings working to help you. While you may get a phrase from Freud or a phrase from a movie I’ve seen, it should make sense.

You’re always free to ask questions, and I’m a great reader of body language.

Do you work with certain ages?
I work with most ages, teenagers all the way to elderly adults.
Will I be asked to do homework?
I may have suggestions for stuff to do, but I don’t like to mandate anything. It’s your decision if you want to do an activity… but not every activity that makes sense to me will make sense to you. So, if I suggest something, look it over and see if it helps.
What does therapy look like?
Therapy is an adventure where you’ll be sharing your lived experience. Together, we’ll link that with patterns which you have. Therapy is real life, and, therefore, the relationship between you and me is real.

When walking in, you’ll be met with a gentle demeanor that is curious about your day and wondering about how you’re feeling or what you’re thinking about.

What modalities do you use in therapy?
My method targets specific techniques to the concern or challenge being addressed. I base this on collaboration with you, my knowledge of how therapies have been shown to work in research and with other clients, and other factors.

I have brief descriptions below of various modalities. We can discuss them at any time. I see you as a person and think of theories as they pop in my head and bring them up as they seem relevant. Therapy is a COLLABORATION and more creative than the names of techniques!

I use multiple modalities and apply each as it seems appropriate for YOU.

These include:

CBT/DBT – Cognitive behavioral therapy/ dialectical behavior therapy: Patterns of thought can influence behaviors. Variations of CBT exist to target different conditions and challenges (DBT has a mindfulness component, for example, the steps for CBT vary for different challenges, too.)

Narrative: You choose your voice; the restrictive “medical model” language does not silence you. You get to decide the language and terms to define you.

EMDR: Eye Movement Desensitization and Reprocessing is a technique that targets memories and connected processes in the brain and experiences as they are processed in the brain and has the goal of reprocessing the beliefs and symptoms to alleviate the distress associated with them. Your body can “hold” information (yes, research supports that it’s not only the “thinking” brain that holds information). We can access another layer of information by including EMDR in therapy. My EMDR page has more information.

Mindfulness: How we take care of ourselves in our daily lives, not only in isolated activities can influence well-being.

Narrative Therapy: Language is a powerful tool that influences how we think about conditions. Generic, pathological language can be either helpful or harmful. Since such language has been based on what professionals deemed to be helpful for certain people they saw, it may not help everyone or be true for everyone. Thus, it’s time to be creative!

Psychodynamic: Useful for starting therapy and throughout therapy as it often weaves components together and is fluid. Psychodynamic is often focused on how the past has influenced present behaviors. Other therapies can be a useful adjunct, or they may take precedence depending on the individual.

Humanistic: You are a human being, not a pathology. You are a collaborator in this process as only you are the expert of your own life. I have theories in mind, but I consider you to already be a holder of your power. The journey is to rediscover the locked away power, so you can be empowered. We are equals in the room.

My modalities integrate with human-centered approaches, so the experience is truly about seeing YOU first and instinctively building upon that as part of the rapport between us.

Do you charge extra if I use too many tissues?
No. All my tissues are free of charge. If you need to use all of them, you don’t need to worry about receiving any additional bill. The session is about what you need, and sometimes we need a lot of tissues!
Do you just sit there and not say anything?
While I may take the time to listen or appreciate silence, I’ll be active in the process. I feel a therapist should respond to their clients. If I’m not saying something, I may be taking a moment to encourage you to appreciate how silence can lead to answers. Yes, silence is difficult, even for me sometimes, but be rest assured, we will be communicating as two human beings.