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Air Quality Impacting the West Coast

9/13/2020

 
It is with a deep sense of grief that I write this update for all of you. At the time of this post, California, Oregon and Washington are experiencing devastating wildfires that have been minimally contained and are contributing to terrible air quality across the West Coast.

People are losing their homes, their livelihoods, many are experiencing acute symptoms of smoke inhalation and are unable to evacuate.

Despite these circumstances, Portland Sex Therapy will be operating normally to the greatest extent possible (as all clients are being seen online). However, I understand that online accessibility is only one component to being able to engage with me.

If you are a current client being impacted by the fires, or you fear you will soon be impacted by the fires, please let me know. I am waiving all cancellation fees for clients at this time and would be happy to work out a reduced rate for clients who want to continue to see me but no longer have financial stability.

Above all, your safety and security is my number one concern. 

Wishing everyone safety in these trying and scary times.

- Alana

PST is Moving - Location Closures

5/26/2020

 
Dear Readers,

As you can imagine, the COVID-19 crisis has impacted many in-person businesses and many people's ability to maintain physical office space; sadly PST is no exception. In a rather sudden and bittersweet turn of events, PST will be closing both of its current locations and moving to one new space on July 1st, 2020.  Unfortunately, the leases at both the North and West Portland locations are expiring and continuing in either office was untenable under the circumstances.

So what does this mean? 

PST will continue as is well into June. Those of you who have requested to see me in person with the appropriate social distancing precautions will be able to do so at the N Williams office until I move. I will continue seeing clients online at present, during the move, and indefinitely once I am in the new space.

On July 1st, PST will be located at:

1017 SW Morrison St.
Suite 301
Portland, OR 97205

At that time I will begin developing and implementing policies based on the recommendations from the CDC and the Oregon Health Authority regarding seeing people in person. I am in the process of determining the conditions under which I will begin seeing clients in-person again and will inform you of all the required precautions as we move forward. If you are a current client who cannot see me in-person at this new location nor do you wish to see me via telehealth, please let me know so we can make a plan for your continued care and growth.

Please let me know if you have any questions or concerns. I look forward to continuing my work with all of you in the safest and most effective way possible.

Wishing you all good health and security in these uncertain times,

- Alana

COVID-19 and PST's Response

3/20/2020

 
In light of the severity of the coronavirus pandemic, I am announcing some changes PST is making to better support everyone's health at this time. Know that I will provide updates here and via email to current clients as they arise.

For Current Clients:

Telehealth Appointments:
  • I am happy to switch your in-person appointment with me to a telehealth appointment for any reason. If you would like to do telehealth with me, the client portal will send you a link to the platform for your telehealth appointment where we will be able to connect securely. You will need a strong internet connection and a private space free from distractions for our appointment. For my couples and relationship groups know that you can connect from multiple locations using the same link should you need to. You are also able to request telehealth appointments through the client portal. It will be listed as "Video Office" under your location options.
Changes to My Cancellation Policy:
  • If you are ill or believe it would be best to cancel your appointment because you have been exposed, please let me know as soon as possible so that I can cancel your appointment. 
  • During this time I will be waiving the late cancellation fee in the event of illness, regardless of when you cancel. If you believe you have been exposed but are not ill, our first option would be to switch to telehealth over cancelling. If you have been exposed, are not ill, and would still like to cancel please know that my late cancellation policy will remain in effect - please cancel your appointment through the client portal or provide me with 24 hours notice. Any cancellations within 24 hours of your appointment that are not due to illness will be charged the full amount, per my policy.
As always, you will not be charged for any sick days taken or cancellations made by me.

​Some Further Precautions:
  • Both of my in-person offices have soap for handwashing in the restroom and I have hand sanitizer upon request.
  • I will be sitting further away from you while we are in the office to practice social distancing
  • I will also be wiping down frequently touched surfaces in my office between clients and all surfaces at the end of the day.
  • Remember to cover your mouth when you cough or sneeze to avoid transmission of germs! A tissue that you then throw away is preferred, the inside of your elbow is your next best option.
Please let me know if you have any questions or concerns about our sessions or the above changes.

For Prospective Clients:

Yes, I am still open at this time and I am both adding new folks to my wait list and letting people know when I have a spot open in my practice.

Due to the CDC's recommendation that we practice social distancing, I would prefer to see potential new clients via video. When a spot opens up in my practice I will provide you with instructions on how we can access the video platform that we will use to connect. I understand that for some this is not the ideal situation and meeting a therapist over video may feel strange, but these are strange times.

​I would much prefer to see if I can be the right therapist for you, while protecting our community from the exponential spread of the coronavirus, than to contribute to the pandemic or to not see you at all!

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I aim to continue seeing everyone as responsibly as I can in this difficult time. Please take care of yourselves, take care of each other, and remember that while we may not be able to be close to one another, you and we are not alone.

- Alana

Can I Use My Insurance for Therapy?

3/2/2018

 
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When a client comes to see me for a free consultation, inevitably the question gets asked:
Do you take my insurance?
I understand why I get asked the question, only paying a co-pay and having your insurance foot the rest of the bill sounds like an amazing deal, like it's too good to be true!

The truth is, ​sometimes it is too good to be true and there are a couple of reasons why my answer to the question is "no."

Diagnosis Disasters


​Many people don't realize that in order to use your mental health insurance benefits you have to be diagnosed with an illness. Insurance companies call this "medical necessity" and if you and I can't prove to the insurance company that you need the treatment you are seeking, they can deny your request to use your insurance.

Even if you made it past the initial request, I would have to consistently prove to your insurance company that it was important for me to continue to see you, otherwise they may deny you further sessions.

​Beyond that, all diagnoses go on your medical record and could be considered pre-existing conditions in the years to come.

Pre-existing conditions can have a significant impact on your ability to secure any health insurance coverage in the future. And even if you are able to obtain insurance with a diagnosis on your record, your insurance premiums, deductibles, and co-pays are likely to be much higher, as protections for pre-existing conditions have been, to say the least, scaled back.

​I don't want to take that kind of risk with your well-being.

Say Goodbye to Privacy


​Did you know the average insurance claim passes through fourteen people on its way to being approved?

Fourteen people...

Now remember, in order to use your insurance, I have to diagnose you with a condition relevant to the treatment you would receive from me. That means upwards of fourteen people could find out that you're suffering from a sexual dysfunction, are struggling with a sexual concern, or have a problem in your marriage or partnership.

It's embarrassing enough to have to reach out and talk to someone about your concerns, and the last thing I want is for everyone at your insurance company to know your problems and be the judge of when you should stop seeing me.

And ultimately, if I take your insurance directly, that's what we would do.

​Talk about a lack of control over your own situation.

Couples Consequences


​More often than not, couples and relationship counseling is not covered when you use your insurance.

I know a lot of insurance companies say they cover couples or relationship therapy, but there is no such thing as a couple's therapy code for insurance claims, nor is there a diagnosis I could give a couple that would qualify for mental health treatment.

What insurance companies really mean is the person who gets a diagnosis for an individual mental health concern can have their partner present in session while we work on their diagnosis.

But sometimes, even if you meet all the criteria to have your partner present while we work on your depression, low libido, or erectile dysfunction, having your partner in session may not be considered "medically necessary" and so your claim for couples therapy would be denied.

Alana, You Are Killing Me...

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​I get that you're frustrated, and until I feel that the insurance companies I might contract with are safeguarding your mental health and allowing us to do the work we need to do, I won't be taking your insurance directly.

But let's look at the positives! Not a lot of people realize that, because I don't take insurance right now, I can do a lot of amazing things like:
  • Respond to clients within a couple of hours of their email or phone call
  • Give every one of my clients personalized attention
  • Offer 90-minute sessions (seriously, your insurance would never cover that)
  • Go to cool trainings to become a better and more experienced therapist
And it's all because I don't have to spend my off hours talking to insurance companies and seeing people who aren't committed to doing the hard work of therapy.

Ok, So What Are My Options For Seeing You?


​Right now, I do not take insurance plans directly, but you have options if you want to see me and possibly use your insurance benefits:

I take cash, cards and checks for all services.

I am able to take Flexible Spending Account cards and Health Savings Account cards.
  • I will provide you with documentation of services for your records after each session if you choose to use your FSA or HSA to cover my services. I can send this documentation to you via email (which is not considered secure) or provide a copy to you in session. Sometimes 90-minute sessions are not covered on your insurance plan, be sure to check on this with your plan if that length of time for sessions is something you are interested in.
​
​While being an out-of-network provider for all insurance plans means I do not file with your insurance directly, I can provide you with what is called a superbill, which you can submit to your insurance for potential out-of-network reimbursement.
But be warned that:
  • Most of the time couples therapy is not eligible for reimbursement
  • HMO plans do not provide out-of-network coverage
  • And if you have a high deductible, your deductible will need to be met before you are eligible to receive reimbursement.

If you want to try to use some of your insurance benefits for my services, the best thing you can do is call your health insurance company and ask about reimbursement for outpatient mental health services with out-of-network therapists.

I hope that spending some time explaining why I do not take insurance right now was helpful and informative. If you have any questions about it, please feel free to email or call me with further questions. I would also recommend checking out my Fees & Insurance page for my current rates.

If you think you may be ready to take the leap into therapy with me, head on over to my Contact page.
I would love to hear from you!

     - Alana

4 Things Happy Couples Do to Keep The Spark!

11/16/2017

 
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What are the secrets to a long-term relationship, not only lasting but, being exciting and fulfilling?

Sadly, I don’t think it’s magic, which means there is some work involved, but there are things that people in relationships do to keep their relationship going strong for many years.

Here are four habits/ attitudes I’ve found in my clinical work that help to keep relationships running like a well-oiled machine:

Do things together

Having shared interests, values and experiences with your partner creates a solid foundation for your relationship.

Doing things together like taking walks to get coffee in your neighborhood, waking up and discussing your plans for the day or attending a class together expands your intimacy.

​Couples who have been together for a long time know the importance of having these experiences in their everyday life.

Do things apart

While doing things together is good for building intimacy and showing investment in your partner, you have to balance that out with doing your own thing.

This is because seeing your partner as someone separate and independent from you often injects mystery into your relationship; that mystery breeds curiosity and being curious about your partner is what keeps you going back for more.

When you both consistently do things for yourself, it creates opportunities to get to know your partner all over again.

For many people, the trick to staying together happily is getting to see their partner with fresh eyes from time to time.

Stay flexible

It's tempting to think that when you get married or pass a certain milestone in your relationship that all the work is over.

But relationships will change over time, because people change over time.

Practicing flexibility around what comes next for your and your S.O. is another way that long-term couples keep their relationship going strong.

It also makes it easier to be excited about a job opportunity your partner gets that could take you someplace new, or to spice up your sex life in a way you never thought you would have with your partner because your interests changed.

Stay close

Couples that are excited to be around one another feel a certain sense of closeness.

That kind of closeness only comes when you are consistently connecting with your partner, showing your vulnerability to them, and recognizing their vulnerability when they show it to you.

I know it's strange to think of honesty, trust and safety as things that you do, but
the truth is that these larger concepts in relationships are only maintained through small actions every day.

Couples that are still in love, years later, know how important it is to be open and show that you're still there for your significant other in small moments over time.

If you want to show yourself and your partner that you’re in it for the long haul, investing some time and energy into these principles is absolutely worth it. And if you find that some of these areas are hard for you (because something is blocking you mentally, you and your partner have different ways of thinking, etc.), couple’s therapy might be worth considering!

Until next time,

          - Alana

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    Alana R. Ogilvie

    Relationship Counselor
    Certified Sex Therapist
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  • Home
  • About
  • What is Sex Therapy?
  • Work with Me
    • Relationship & Individual Therapy
    • Premarital & Pre-Commitment Counseling
    • Fees & Insurance
    • FAQ
  • Learn With Me
    • Let's Have the Talk Podcast
    • The PST Blog
  • Contact