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FAQ

How soon can I get an appointment?
How much does it cost?
How long are the sessions and how frequently will I be seen for therapy?
Will you take my insurance?
How experienced are your therapists?
Do you offer Marital or Couples Therapy?
Do you offer Pre-Marital Counseling?
Do you see people who have had affairs?
Do you offer counseling for people who are gay?
Do you see kids who are having trouble in school?
Do you do ADHD testing?
Do you offer medication for ADHD in children?
Do you offer medication for Bi Polar Disorder?
Do you see teenagers with eating disorders (Anorexia, Bulimia)?
Do you offer Pastoral Counseling?

How soon can I get an appointment?

Most new appointments can be scheduled within 24 hours. Just call the Center 410 992 9149 during office hours to speak with our administrative staff.
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How much does it cost?

We offer significant discounts for most insurance plans. Insurance will often cover 50 to 80 percent of a discounted fee.Co-payments for patients are often as low as $10.00 to $20.00 per visit. Patients with double coverage may have no out-of-pocket expense. Charges for diagnostic testing vary, depending on the test protocol.
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How long are the sessions and how frequently will I be seen for therapy?

Therapy sessions are usually 50 minutes. Patients are seen on a weekly basis in the initial course of therapy. The frequency of visits may be increased or decreased depending on the needs of the patient. Medication management patients are seen for an initial visit with follow-up visits on a bi-monthly basis,with less frequent visits once an effective balance is established.
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Will you take my insurance?

The Center accepts most major insurance plans. It is best to check with the Center as you schedule your initial appointment. Insurance plans often cover 50% to 80% of our fees. Insurance plans include: CareFirst Blue Cross,United Health Care, Kaiser, APS, Optimum Choice,Value Options,Medicare, and others.
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How experienced are your therapists?

Our therapists and doctors are all licensed board certified professionals,with specialty training in their areas of expertise.. They have fullfilled requirements for advanced graduate and post graduate degrees, internships, residencies,State and National examinations. In addition, they have many years of clinical experience.
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Do you offer Marital or Couples Therapy?

Relationship issues are a primary focus of treatment at the Center. Therapeutic approaches improve communication, stability, and enhance the quality of the relationship.
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Do you offer Pre-Marital Counseling?

The Center is known for assisting those couples who are considering marriage. Pre-Marital Counseling involves exploring various aspects of the relationship with respect to multiple dimensions of compatibility such as: communication styles, intimacy, family planning, division of responsibility with chores and finances,
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Do you see people who have had affairs?

The Center is known for assisting couples who present with a variety of issues including problems with honesty, trust, fidelity, intimacy and maintaining appropriate boundaries within their relationship. Counseling involves helping couples to strengthen their relationships with respect to committment and fidelity.
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Do you offer counseling for people who are gay?

Counseling services are available for people who are involved in gay relationships to resolve the complexities often experienced in these types of relationships.
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Do you see kids who are having trouble in school?

The Center’s Child Psychologists provide services including psychological testing to assess and evaluate a child’s academic and intellectual functioning to determine whether they may have Attention Deficits, learning difficulties, and other academic or behavioral adjustment problems. Treatment is provided to assist the child in developing coping strategies and acquire special accommodations for the classroom setting (IEP’s)
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Do you do ADHD testing?

Psychological evaluation with computerized testing to accurately diagnose ADHD is provided by psychologists who can make recommendations for treatment strategies to assist your child in achieving the best performance.
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Do you offer medication for ADHD in children?

Medication evaluation and management is provided by the psychiatric staff who carefully and conservatively can evaluate the need for medication for children with ADHD.
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Do you offer medication for Bi Polar Disorder?

Patients who have been diagnosed properly with a BiPolar Disorder benefit from medication to stabilize mood and promote a healthy balance in their lives. Patients on medication are carefully monitored for changes that may occur in their moods.
Therapeutic and pharmacologic intervention are often recommended concomitantly to achieve the most enduring and effective treatment.
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Do you see teenagers with eating disorders (Anorexia, Bulimia)?

Eating disorders are often seen particularly in female adolescents including restrictive eating patterns with compulsive exercise, purging, Bulimia, bingeing, use of laxatives. These are serious issues which require comprehensive care from psychiatrists and psychologists to develop and promote healthy eating habits while assisting the teenager to understand the issues involved in unhealthy self destructive patterns.
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Do you offer Pastoral Counseling?

There are counselors at the Center who have specialty training in Pastoral Counseling to explore and integrate spirituality with therapeutic issues in the patient’s life.
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Previous Articles

An experienced couples therapist once told me that “good communication and persistence would cure most problems.” (more…)

Some people suffer from symptoms of depression during the winter months, with symptoms subsiding during the spring and summer months.  This may be a sign of Seasonal Affective Disorder (SAD). (more…)

Emotional distress comes in many forms and shapes. There are no x-rays or blood tests to explain what is going on or what is wrong, just your verbal description. The two most common mental health problems are anxiety and depression. (more…)

Offering to help someone who is in need of assistance just seems like the right thing to do. We’ve all had the opportunity to lend a helping hand, or go out of our way for a friend, relative or even a total stranger. The scene, more than twenty-five years ago, of that fireman diving into the freezing waters of the Potomac River to save victims of a passenger jet that crashed while taking off from National Airport during an ice storm lingers in my mind. We praise the heroic actions of first responders who risk everything to save total strangers. So, when someone who is familiar to you asks for help would you rush to assist them and do whatever is required? We’ve heard it said: ‘A friend is a friend – no matter what!” What if that “friend” is engaged in a behavior that violates the law or, your moral judgment. What if their behavior is, in some way, pathological? In those cases, helping that individual might wind up jeopardizing you. Your intentions were honorable but you wound up in trouble or having a major problem!

The complexities of our interactions became the focus of a theoretic formulation known as Transactional Analysis. TA is a method of analyzing and understanding communications and interactions ( transactions) between individuals. The goal of TA is to eliminate dysfunctional behaviors and develop effective coping strategies in our relationships. Clients learn to identify disruptive interactions and replace them with direct, Adult – Adult, communications.

Eric Berne developed the concepts of TA after extensive study and training in traditional therapy and the practice of psychiatry and psychology. He suggested that we develop “life scripts” early in our development that influence how each individual chooses to live and behave. The role of therapeutic intervention would be to “re-write” destructive and self-limiting script messages.

As a result of problematic script messages and learned styles of interacting, Berne noted that we develop dysfunctional patterns – called Games – in which we intend to gain positive “strokes” but actually reinforce negative feelings. Further, Games can be a way of interacting while avoiding intimacy (intimacy here defined as revealing the “real self” to others). Take, for example, the game of “Psychiatry.” You meet someone at a party. He is quite engaging and asks many questions about you. He seems interested in you and appears to be a good listener. However, when the conversation ends, you realize that he has revealed nohting of himself – thus avoiding intimacy. A second example is a game called “General Motors.” Same party: a bunch of guys stand around talking about the virtues and limits of Camaros and Corvettes. In the end, after a discussion of camshafts, transmissions and engine displacement, they part knowing nothing about each other. They interacted, but easily and skillfully avoided any personal knowledge of one another.

You may have heard the saying: “No good turn goes unpunished.” If we offer to help someone who has not requested it, we force them into the role of a “Victim.” They can easily turn and become hostile toward us, shifting from “Victim” to “Persecutor.” Claude Steiner points out that we are encouraged to be selfless, generous and cooperative with people, even if they are deceitful, selfish, stingy and uncooperative with us. Engaging in this type of interaction is guaranteed to take us from the position of “Rescuer” to the “Victim” position while the so-called “Victim” becomes the “Persecutor.”

In the game of “Rescue,” the Rescuer (that’s you) views that problematic, needy person as the “Victim” and thinks: I’ll save you!” As the paradigm progresses, the “Rescuer” becomes the “Victim” and the “Victim” becomes the “Persecutor.” Let’s look at a real life example.
rescue triangle

Archie (not his real name), a recovering alcoholic, was planning to go out on New Years’ Eve. He had tickets to a fancy gala and had rented a tuxedo. His date lived some distance away and he had planned to leave his house no later than six o’clock. Early in the afternoon, he received a call from Edith(not her real name) whom he had met at a meeting of Alcoholics Anonymous. She was “in a jam” and asked if she could borrow his car for a brief errand. Archie quickly agreed (boosting his own ego and self esteem) and told her to return the vehicle by 4 o’clock . “No problem,” she replied, as Archie watched his watched his washed and freshly waxed car roll out of the driveway. Of course, 4 o’clock came and went with no sign of Edith. By 5 o’clock Archie, agitated and concerned, started calling some of Edith’s favorite haunts (bars). He located her at a neighborhood pub and asked her to bring the car back immediately – she (now drunk) hung up on him. Furious, he called the police and reported the car stolen. He told them where the vehicle could be found and the police went to the bar to confront Edith. When they arrived, Edith told them that Archie had assaulted her and she had “fled for her life!” She filed assault charges against Archie and the police arrested him! Archie spent the evening at the police station, in his tuxedo. By the time he had arranged bail and was released, it was too late to go out- Happy New Year, Archie! The “Rescuer” had become the “Victim” and the “Victim” had become the “Persecutor.”

There are countless examples of this paradigm: the house guest who never left; the loan that was never repaid. However, the key to avoiding the game of Rescue is to carefully analyze whether the alleged “Victim” is really a victim; or have they created their own problem. After all, we are each responsible for our own behaviors. What is the “payoff” for you as the “Rescuer?” If you can understand your own motivation and can take an objective look at the so-called victim, you may discover your own co-dependency or realize that you are “enabling” the pathology of the other person.