Rainbow

FAQ

What is it like to be in therapy?

The experience of psychological therapy varies greatly depending on numerous factors such as the theoretical orientation, personality, education, training and individual style of the therapist. It also depends on the personality, insight, readiness, and willingness to change on the part of the client. Also important is the therapeutic relationship, or fit, between client and therapist. The types of therapy that I utilize tend to be present-focused, solution focused, directive, and collaborative. While therapy can be a place to talk and get support, you will develop a working treatment plan with specific, achievable behavioral goals while learning and practicing new skills. Professional boundaries are essential to the therapeutic relationship and these boundaries will be discussed and maintained within a supportive, comfortable, and respectful environment.

Do you accept my insurance? What are your rates?

This practice do not accept insurance at this time. However, I am an out-of-network provider and can provide you with a monthly statement that you may be able to submit to your insurance for some reimbursement through your out-of-network benefits. Unless some type of prior arrangement has been made, payments are expected in full at the time of service. Sessions are typically 50-60 minutes in length. My rate is $200 per session. Methods of payment I accept are cash, check, and major credit cards. Cancellations require 24 business hours advance notice to avoid being billed for the full price of the session. Because I train and supervise advanced practicum students, I am able to offer high quality, specialized therapy services at a reduced rate. For Liya Rakhkovskaya, M.A., her rates are $40 for the initial assessment and $25 for follow-up sessions.   Please call to learn more about our rates and schedule. Special arrangements may be made due to financial hardship.

Currently our Dialectical Behavior Therapy skills group is $75 per session (each session is an hour and forty-five minutes and includes phone coaching).

What does it mean to work with an advanced practicum student?

Advanced practicum students have typically completed 3-5 years of  the UNLV clinical psychology Ph.D. program, have completed their Master’s Degree,  and have at least one prior year of direct clinical service experience. They participate in weekly supervision where all cases are reviewed thoroughly and student therapy skills are broadened and sharpened. The advanced practicum students that I supervise are all interested in a career that involves working with clients with eating disorders.

How long will I be in therapy?

Well, it is ultimately up to you. As an adult, you can discontinue treatment at any time. As an adolescent, your parent(s)/guardian ultimately provide informed consent and so duration of therapy ultimately depends on them. That said, most of our clients look forward to their sessions. Most evidence based treatment approaches for eating disorder are designed for 12-24 weeks minimum. That said, many people report relief and symptom improvement in the first several sessions. We may decide to have sessions weekly, every other week, or monthly. Then we may have booster sessions every 3-4 months. Typically when you have accomplished the goals you set out to accomplish in therapy, we are nearing termination.