What can I expect from the first therapy session with Dr. Eli Penela?
Before your first appointment, we will have a brief, courtesy phone consultation about your main concerns (schedule this initial free phone consultation here). Then, I will send intake paperwork via the patient portal, which includes questionnaires and consent forms. Having this done beforeour first session, allows us to dive into the details of the challenges that you’re facing during our first appointment.
During our first appointment, we’ll talk about what has and hasn’t been helpful in the past to work on your ongoing challenges. And, we will discuss what is most important to you on a day-to-day basis, and what you hope to get out of therapy. Toward the end of our appointment, I will share feedback about whether a clinical diagnosis is appropriate, and most importantly we’ll discuss details about your treatment plan.
My goal is that at the end of our first appointment, you will have a good understanding of the kind of work we’ll be doing together in therapy, and that you will feel hopeful and empowered about reaching your goals.
How frequently do we meet for therapy sessions?
We will typically meet on a weekly basis (we’ll choose a consistent day and time; for example, Wednesdays at 9am). On a case-by-case basis, if your challenges are causing very significant interference in daily functioning (e.g., having trouble getting to school or work consistently), we will consider whether twice weekly therapy would be beneficial for a brief period of time. If more than twice weekly therapy is needed, I will recommend a higher level of care, such as Intensive Outpatient Programs (IOP) or residential care.
As you begin to feel more confident about using the coping tools learned in therapy, we will begin to cut back on the frequency of our sessions and meet every two weeks (rather than weekly) for a period of time. Of course the goal is to wrap up our work together once you meet your therapy goals, and at this point – you basically become your own therapist! As needed, I’m always open to consulting or restarting our sessions in the future.
How long should I expect to be in therapy?
After meeting on a weekly basis for a period of 8 to 12 weeks, many people notice that they are feeling better about the challenges we’ve been working on in therapy. Your progress in therapy depends on many factors, such as:
Practicing the tools outside of session
Regularly attending sessions and putting in consistent effort each week
Support from others as you begin to make changes in your everyday life
Sometimes new, unexpected challenges may come up during our work together (e.g., a traumatic loss or event, big changes in your family and/or school/employment) and these situations can lead to a longer timeline for our sessions. It’s impossible to predict exactly how many sessions are needed to meet your therapy goals. But in general, if you are consistently practicing the coping tools we’re reviewing in session, many children and adults are prepared to wrap up therapy after about 3 to 5 months of weekly therapy sessions.
What are your fees?
Our first appointment is the Initial Intake Consultation (1 hour and 15 minutes) and this appointment is $375. Check out the first FAQ to learn more about what to expect at this appointment. Follow-up therapy appointments (50 minutes) are $275. Payment is due at the time that services are provided. I am not an in-network insurance provider (more on that in the next question).
Do you take insurance?
As is the case with most specialized psychologists, I am not an in-network provider with any specific insurance companies. Upon request, I can provide a superbill, which is a document that has all of the necessary information (e.g., diagnostic codes, service codes) in order for you to be able to receive out-of-network benefits from your insurance company. However, payment is due at the time that services are rendered, and it is at your discretion whether you would like to pursue the possibility of reimbursement from your insurance company. In the past, some patients have had success with using services such as Reimbursify for support in getting out-of-network benefits. I have no affiliation with either of these companies.
Do you prescribe medication?
As a licensed psychologist, I do not prescribe medications (psychologists are not legally authorized to do so). Medical doctors (MDs) are authorized to prescribe medications and psychiatrists have specialized training in prescribing medication for mental health conditions. If you are currently working with a psychiatrist, I always encourage collaboration and consultation in order to best serve your treatment needs. If you are not currently working with a psychiatrist, but would like to consider taking medication, I have many psychiatrists whom I have collaborate with that I can recommend upon request.
With what age ranges do you typically work with? Who is involved in therapy?
I work with patients across a wide age range, including children, teens, and adults. In order for children and adults to experience success in treatment, I believe it is important to consider others who can provide support throughout the therapy process.
When working with adults, we will discuss whether it would be helpful provide feedback and tips to a spouse, family member, or friend with about how they can best support you in your treatment. When working with children, I encourage parents to be involved in therapy so that they can understand the tools that we are learning in session. That way, they can support their children as they implement newly learned strategies throughout each week. Parent involvement is an important part of both CBT treatment for anxiety and ERP treatment for OCD in children and teens. When working with young children (as young as 3 years old) who may be struggling with social anxiety, selective mutism, or other challenges related to anxiety that are typically seen in the early years, the work done in therapy is typically mostly with parents. You can read more about this kind of parent-focused therapy work here.
What are Dr. Penela’s areas of specialty?
I specialize in working with children, teens, and adults who are struggling with anxiety, OCD, and related issues. I primarily rely on Cognitive Behavior Therapy (CBT) and Exposure and Response Prevention (ERP) tools, which are therapy approaches that research has shown are effective in helping children and adults feel better quickly. I also have an area of specialty in working with parents of children and adults who struggle with anxiety and OCD. You can learn more about my areas of specialty here.
How do I book an appointment?
In order to make sure we are a good fit in therapy, the first step is to book a brief phone consultation call. You can schedule this call here. During this call, we’ll briefly discuss your main concerns, and I will provide feedback about my recommended therapy approach. If we both feel we are a good fit, we can then schedule our first appointment.
What are Dr. Penela’s hours?
I see patients mostly during morning anddaytime hours (before 2pm). One afternoon per week (Tuesdays) I hold afternoon and evening sessions - there is often a waitlist for these afternoon slots. I do not meet for therapy sessions during the weekend. If you are a parent seeking an after school appointment for your child (and the afternoon/evening slots are booked), you might consider parent sessions to help your child or teen cope with anxiety and OCD. Research shows that this treatment approach can often be just as effective as a therapist working directly with your child. Learn more here.
Have more questions for Dr. Penela? Do not hesitate to get in touch!