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Psychotherapist + Consultant

Kim Seelbrede, LCSW Psychotherapist, Depth-Oriented Coaching, Well + Being Blog
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Training 

New York University - Graduate Level

NYUSSW- Post-Master's Certificate Programs - Psychodynamic Psychotherapy, Advanced Cognitive Behavioral Therapy, Advanced Clinical Practice, Clinical Approaches To The Addictions, Clinical Practice With Adolescents, Spirituality And Social Work, Executive Coaching

William Alanson White Institute of Psychiatry, Psychoanalysis & Psychology - Eating Disorders, Compulsions & Addictions EDCAS:  A course of study that integrates the concepts of Interpersonal Psychoanalysis with those of other treatment modalities and provides a concentrated, practice-oriented educational experience to mental health professionals who work in these areas.

Institute for Life Coach Training - The Institute for Life Coach specializes in training therapists to translate their therapeutic expertise into coaching skills.

EMDR - Advanced level I & II Transforming Trauma with EMDR Comprehensive Training, EMDRIA approved and supervised  -  Training with Lauren Parnell, PhD, internationally respected EMDR trainer and master therapist.  Participated in 80 hour didactic training and 20 hour mandatory supervision with an EMDRIA-approved consultant. This training was approved by the EMDR International Association (EMDRIA).

Brainspotting - Applications for this technique with children, adolescents and adults include trauma, PTSD, complex PTSD, dissociation, attachment disorders, ADHD, somatic conditions, performance and creative blocks, sports psychology, and most DSM diagnoses.

DBT - Dialectical Behavior Therapy Training - Behavioral Tech, LLC

Bridging the Couple Chasm - Gottman Couples Therapy: A Research-Based Approach - The Gottman Institute

Phoenix Rising Yoga Therapy - (PRYT)

Urban Zen Integrative Therapy Training Program (UZIT), RYT 500-Yoga Alliance)- Donna Karan's groundbreaking initiative with Rodney Yee, Colleen Saidman Yee, Richard Freeman, Richard Rosen, Geoffrey Roniger, Pamela Miles, Tracy Griffiths, Lena Falth, Koshin Paley Ellison, Robert Chodo Campbell and Roshi Joan Halifax. The UZIT program includes training in yoga therapy, essential oil therapy with Young Living Oils, Reiki, nutrition, and contemplative end-of-life care.  The 12-month curriculum, now in partnership with Yoga Works,  included clinical rotations conducted at Beth Israel Medical Center. 

About Kimberly

KIM SEELBREDE, LCSW is a licensed Psychotherapist, a generalist with extensive post-graduate training in many treatment modalities and psychological traditions. She approaches psychotherapy as a holistic, collaborative process and works with couples, adults and adolescents in her Manhattan-based private practice. A practicing yogi and student of psychology for decades, Kimberly has a deep respect for the connection between mind, body and spirit. As such, she utilizes a variety of techniques in her private practice to build awareness of thoughts, feelings, body sensations, and emotions in an effort to help her clients fully heal.

Kimberly completed her graduate training at New York University and has worked with both inpatient and outpatient mental health facilities. She received advanced post-graduate training in Psychodynamic Psychotherapy and CBT from New York University, specialized eating disorder, addictions and compulsions training from the William Alanson White Institute of Psychoanalysis as well as advanced EMDRIA-approved EMDR training, Brainspotting, DBT skills training, Life Coach training, Mindfulness and specialized Couples Therapy training from The Gottman Institute. In 2009, she participated in Donna Karan's Urban Zen Foundation yoga therapist training. She has received integrative yoga therapy training at the 200 + 500 hour levels. Kim regularly attends conferences in neuroscience, complementary medicine, EMDR, yoga, meditation, and other trainings in the field of psychology and spirituality in an effort to stay current on the advances made in mind-body medicine. 

While studying pre-med in undergraduate school, she developed a love of psychology and the interplay of the mind and body connection. As an adolescent, Kim trained in ballet, and was an athlete competing in gymnastics, track, swimming and diving. Her mother entered her in a beauty pageant during her first year of college which she reluctantly followed through with and won the title of Miss Ohio and Miss USA. She then moved to Manhattan where she placed as a runner up in the Miss Universe Pageant held in New York City. Never a fan of beauty pageants, she considers herself an "accidental beauty queen."  She met her future husband at the Miss Universe Pageant, where his family business Candie's shoes was an official sponsor. The couple married and have two grown sons. Kimberly appeared in television commercials, was the Sony Betamax girl, made a few soap opera appearances and finished her undergraduate degree while raising her young children. She completed her Master's degree at New York University in 2002. In the wake of a difficult divorce, the loss of her brother, dad and later her mother, Kimberly discontinued studies as a Ph.D candidate in clinical psychology and sought healing in her yoga practice. Inspired by the health benefits of meditation, yoga and complementary and alternative medicine, she continued working in the mental health field and also embarked on various healing and training adventures. 

Kimberly Seelbrede has a special interest in helping clients manage chronic health and pain conditions as a result of her own struggles following a diagnosis of the autoimmune disorder Hashimoto's Thyroiditis over a decade ago. She is delighted to assist clients as a health consultant and coach, empowering those managing thyroid, endocrine and hormonal conditions, autoimmune disorders and other chronic health problems such as Diabetes, MS, Lupus, RA, Chronic Fatigue Syndrome and Fibromyalgia. Subsequently, because of her own research and practices, she is able to support and teach clients self-care and holistic practices for mind and body that support optimal wellbeing. As a registered yoga therapist (200 + 500 RYT), Kim Seelbrede trained with the groundbreaking Urban Zen Foundation Integrative Therapy Program - UZIT, where she learned restorative yoga therapy, breathing techniques, essential oils, Reiki, contemplative care and nutrition from such exerts as Rodney Yee, Colleen Saidman Yee, Richard Freeman, Richard Rosen, Pamela Miles, Mark Hyman, MD and Roshi Joan Halifax. As an emotional health expert, she works with women and issues unique to them including life balance, hormone issues and care-taking concerns. When she is not working, Kimberly enjoys photography, yoga, biking, nature, technology, workshops, the beach, food, volunteer work, fashion and collecting vintage and flea market finds.


Kind Words

Education + Post-Graduate Training

New York University - Graduate Level

NYUSSW- Post-Master's Certificate Programs - Psychodynamic Psychotherapy, Advanced Cognitive Behavioral Therapy, Advanced Clinical Practice, Clinical Approaches To The Addictions, Clinical Practice With Adolescents, Spirituality And Social Work, Executive Coaching

William Alanson White Institute of Psychiatry, Psychoanalysis & Psychology - Eating Disorders, Compulsions & Addictions EDCAS:  A course of study that integrates the concepts of Interpersonal Psychoanalysis with those of other treatment modalities and provides a concentrated, practice-oriented educational experience to mental health professionals who work in these areas.

Institute for Life Coach Training - The Institute for Life Coach specializes in training therapists to translate their therapeutic expertise into coaching skills.

EMDR - Advanced level I & II Transforming Trauma with EMDR Comprehensive Training, EMDRIA approved and supervised  -  Training with Lauren Parnell, PhD, internationally respected EMDR trainer and master therapist.  Participated in 80 hour didactic training and 20 hour mandatory supervision with an EMDRIA-approved consultant. This training was approved by the EMDR International Association (EMDRIA).

Brainspotting Applications for this technique with children, adolescents and adults include trauma, PTSD, complex PTSD, dissociation, attachment disorders, ADHD, somatic conditions, performance and creative blocks, sports psychology, and most DSM diagnoses.

DBT - Dialectical Behavior Therapy Training - Behavioral Tech, LLC

Bridging the Couple Chasm - Gottman Couples Therapy: A Research-Based Approach - The Gottman Institute

Phoenix Rising Yoga Therapy - (PRYT)

Urban Zen Integrative Therapy Training Program (UZIT), RYT 500-Yoga Alliance)- Donna Karan's groundbreaking initiative with Rodney Yee, Colleen Saidman Yee, Richard Freeman, Richard Rosen, Geoffrey Roniger, Pamela Miles, Tracy Griffiths, Lena Falth, Koshin Paley Ellison, Robert Chodo Campbell and Roshi Joan Halifax. The UZIT program includes training in yoga therapy, essential oil therapy with Young Living Oils, Reiki, nutrition, and contemplative end-of-life care.  The 12-month curriculum, now in partnership with Yoga Works,  included clinical rotations conducted at Beth Israel Medical Center. 


    Helpful Healing Resources

    Organizations, Campaigns & Foundations

    Wellness Inspiration

    Holistic Medical Resources

    Holistic MD's Who Publish

    Nutrition

    Wisdom

    Meditation Resources

    Products and Lifestyle

    Meditation Apps

    Wellness Centers

     Yoga Resources

    Mental Health Resources and Online Links

    Medications

    Associations

    Addiction Resources

    Adolescent Resources

    Anxiety Disorders

    Attention Deficit Hyperactivity Disorder

    Body Image

    Borderline Personality Disorder

    Child Abuse and Domestic Violence

    Chronic Fatigue

    Compulsive Behaviors

    Depression

    Developmental Disorders

    Diagnosis

    Dissociation and Trauma

    Eating Disorders

    EMDR Resources

    • EMDR Therapist Network - Find an EMDR therapist in New York City
    • EMDRIA - Eye Movement Desensitization and Reprocessing (EMDR) International Association
    • EMDR Institute - Eye Movement Desensitization and Reprocessing (EMDR) support and resources

    Family Therapy

    Hypnosis

    Psychotherapy Agencies and Clinics 

    Medications

    Hormone Support (PMS, PMDD, Post Partum Depression, Menopause)

    Relationships

    • Divorce Source - A Legal resource for divorce, custody, alimony and support.
    • Equality in Marriage - Educating Men and Women about the Importance of Equality in Marriage and Divorce.
    • Millennium Divorce - Developed by divorce lawyers and divorce attorneys, this website provides information and services on a wide variety of issues related to separation, divorce and child custody throughout all 50 states.
    • SelfGrowth.com - SelfGrowth.com is the definitive guide to personal growth, self-improvement, and self-help. It also has extensive links related to divorce.

    Personality Disorders

    Self Harm/Self Injurious Behaviors

    Sexuality

    Somatic Experiencing

    Suicide Awareness

    Thyroid/Adrenal Resources

    Trauma

    Journals and Magazines

    Research and Press

    Blogroll

    Interesting Blogs about therapy, psychotherapy, psychology, neurobiology and more

    Mental Health Links 

    Addiction and Recovery 

    Alcoholics Anonymous 

    Center for On-Line Addiction
    SAMHSA's Substance Abuse/Addiction 

    SAMHSA's Treatment and Recovery 

    Web of Addictions

    Anxiety Disorders 

    Answers to Your Questions About Panic Disorder

    National Center for PTSD 

    Obsessive-compulsive disorder (OCD), Mayo Clinic 

    Calm Clinic

    Associations & Institutes 

    American Academy of Child & Adolescent Psychiatry 

    American Association for Marriage and Family Therapy 

    American Counseling Association 

    American Psychiatric Association 

    American Psychological Association 

    Association for Psychological Science 

    Canadian Mental Health Association 

    Center for Mental Health Services 

    National Institute of Mental Health 

    Mental Health America 

    Substance Abuse and Mental Health Services Administration

    Attention-Deficit Hyperactivity Disorder 

    ADDA - Attention Deficit Disorder Association 

    Attention-Deficit Hyperactivity Disorder, NIMH 

    Born to Explore: The Other Side of ADD/ADHD

    Child Abuse and Domestic Violence 

    Childhelp USA® 

    SAMHSA's Children and Families 

    SAMHSA's Protection and Advocacy 

    Questions and Answers about Memories of Childhood Abuse 

    The National Domestic Violence Hotline Website

    Chronic Fatigue 

    Chronic Fatigue Syndrome

    Depression 

    Bipolar Disorder News - Pendulum.org 

    Depression and How Therapy Can Help 

    Depression Screening 

    Depression Test, Symptoms of Depression, Signs of Depression

    Developmental Disorders 

    Asperger's Disorder 

    NeuroWeb 

    Yale Autism Program

    Diagnosis 

    DSM-IV-TR: Diagnoses and Criteria

    Dissociation and Traumatic Stress 

    Sidran Traumatic Stress Institute

    Eating Disorders 

    Academy of Nutrition and Dietetics 

    Something Fishy

    Journals & Magazines 

    ADHD Report 

    Anxiety, Stress and Coping 

    Autism 

    Childhood 

    Contemporary Hypnosis 

    Dementia 

    Depression and Anxiety 

    Drug and Alcohol Review 

    Dyslexia 

    Early Child Development and Care 

    Eating Disorders 

    Educational Assessment 

    Journal of Gambling Studies 

    Journal of Happiness Studies 

    Journal of Mental Health and Aging 

    Journal of Sex & Marital Therapy 

    Journal of Sport and Exercise Psychology 

    Journal of Substance Abuse Treatment 

    Language and Cognitive Processes 

    Loss, Grief & Care 

    Mental Retardation and Developmental Disabilities

    Metaphor and Symbol 

    Neuropsychological Rehabilitation 

    Parenting 

    Personal Relationships 

    Personality and Individual Differences 

    Psychiatric Bulletin 

    Psychology of Men & Masculinity 

    Psychology Today 

    Stress and Health 

    Studies in Gender and Sexuality 

    Substance Abuse 

    Trauma, Violence & Abuse

    Medications and Health Supplements 

    Drug Interactions, Drugs.com 

    Drug Interactions, DIRECT 

    Medical Dictionary 

    Medications, FDA 

    Medication, Internet Mental Health 

    Medications, PDR 

    Medline, Comparison 

    Multivitamins

    Mental Health Care General Links 

    CounsellingResource.com 

    Internet Mental Health 

    Let’s Talk Facts, APA 

    Mental Health Counselor Resources, About.com 

    Mental Help Net 

    PsychCentral.com 

    University of Michigan Health Library 

    Web Sites You Can Trust, Medical Library Association

    Personality Disorders 

    Mental Help Net - Personality Disorders 

    Personality Disorders - Focus Adolescent Counselor Services 

    Suicide Awareness and Hotlines 

    SAMHSA's Suicide Prevention 

    Suicide Awareness Voices of Education 

    Suicide: Read This First

    Additional Mental Health Care & Counseling Resources 

    Disaster/Trauma 

    HIV/AIDS 

    Interpretation of Dreams 

    Keirsey (Myers-Briggs) Temperament Sorter 

    Signs of Menopause, Symptoms of Menopause

    Recommended Reading

    Psychotherapy, Psychoanalysis and General Psychology Books:

    The Interpersonal World of the Infant: A View from Psychoanalysis and Developmental Psychology - Daniel N. Stern

    An Elementary Textbook of Psychoanalysis - Charles Brenner

    Psychoanalytic Diagnosis: Understanding Personality in Structure in the Clinical Process - Nancy McWilliams PhD.

    Relational Concepts in Psychoanalysis:  An Integration - Stephen A. Mitchell

    Object Relations Theory and Clinical Psychoanalysis - Otto F. Kernberg

    Self Help:

    Why Is It Always About You: The Seven Deadly sins of Narcissism - Sandy Hotchkiss & James F Masterson

    The Drama of the Gifted Child:  The Search for the True Self - Alice Miller

    The Worry Cure:  Seven Steps to Stop Worry from Stopping You - Robert L. Leahy.   The Worry Cure is his new, comprehensive approach to help you identify, challenge, and overcome all types of worry, using the most recent research and his more than two decades of experience in treating patients.

    Freeing Yourself from the Narcissist in Your Life - Linda Martinez-Lewi. In Freeing Yourself from the Narcissist in Your Life, psychotherapist Linda Martinez-Lewi presents an in-depth and supportive plan for identifying, understanding, and dealing with high level narcissistic behavior in those close to you.

    Unchained Memories:  True Stories of Traumatic Memories Lost and Found - Lenore Terr

    Touched with Fire:  Manic-Depressive Illness and the Artistic Temperament - Kay Redfield Jamison

    Trapped in the Mirror - Elan Golomb.  The difficulties experienced by adult children of narcissists can manifest themselves in many ways: for examples, physical self-loathing that takes form of overeating, anorexia, or bulimia; a self-destructive streak that causes poor job performance and rocky personal relationships; or a struggle with the self that is perpetuated in the adult’s interaction with his or her own children.

    Loves Executioner - Irvin D. Yalom.  The collection of ten absorbing tales by master psychotherapist Irvin D. Yalom uncovers the mysteries, frustrations, pathos, and humor at the heart of the therapeutic encounter. In recounting his patients’ dilemmas, the author provides a glimpse into their personal desires and motivations and his own struggles to reconcile his all-too human responses with his sensibility as a psychiatrist.

    Trauma and Recovery:  The Aftermath of Violence — from Domestic Abuse to Political Terror - Judith Herman

    Thoughts Without a Thinker:  Psychotherapy From A Buddhist Perspective - Mark Epstein.  Thoughts Without a Thinker is a major contribution to today’s exploding discussion of how Eastern spirituality can enhance Western psychology. In it, Mark Epstein argues that the contemplative traditions of the East can be extremely beneficial to patients, not just in helping them recognize their problems, but by giving them the strength to heal.

     

    Kim Seelbrede, LCSW Psychotherapist + Coach

    Practice Information + PROFESSIONAL SERVICES

    Individual Therapy, Group Therapy, Relationship Counseling, Consulation, Supervision, EMDR + Adjunctive EMDR Therapy + Online Counseling Sessions

    As an integrative psychotherapist, I'm delighted to offer a unique approach to emotional health and healing. My goal is to blend contemporary psychological practices, intuitive guidance and the wisdom of the ancient healing arts. The heart and soul of my approach is to help clients develop insight, self-awareness, self-acceptance, authenticity, self integration, respect for one's body, embodiment, healthy boundaries and self-care practices. 

    Psychotherapy For Adolescents + Adults

    Individual adolescent and adult therapy is provided in my Manhattan office, and depending on client concerns, online using Skype or a HIPPA compliant platform. An initial consultation is the best way to determine if your particular needs and goals can be addressed using short-term or long-term psychotherapy. I have advanced post-graduate training in a variety of helpful techniques such as: EMDR Therapy, Cognitive Behavioral Therapy or CBT, Dialectical Behavior Therapy or DBT, Psychoanalytic Psychotherapy, Interpersonal Psychotherapy, Solution-Focused Therapy, Focusing, Gottman, Emotionally Focused Therapy or
    EFT and Mindfulness. After an initial assessment, I will give you my opinion, and together, we can discuss your needs and create a treatment plan. We will also consider the duration of treatment and the approach or combination that will serve your goals. I have expertise in anxiety and mood disorders, addictions, compulsions, eating disorders, relationship problems, sexuality, identity concerns, self-defeating patterns and self-sabbotage, lack of purpose, goal setting, spirituality, family of origin issues, trauma/PTSD, attachment issues, self-esteem, transitions, loss, wellness coaching and an integrative therapy approach that addresses chronic pain and medical challenges. 

    Coaching, Strategizing + Mentoring

    Coaching is not therapy. Coaching clients are goal-oriented individuals who seek results in their lives. Hiring a coach who is skilled to uncover obstacles, as well as guide and support your "best self," is a powerful resource. Having support and guidance as you practice new behaviors can be incredibly helpful. Some individuals seek an expert "strategist" to guide efforts towards growth and change. Coaching unearths the stubborn and often hidden, negative self-concepts that keep people anchored in their present reality. Identifying these unhelpful concepts helps clients move forward. Often, a positive and renewed sense of energy will emerge as soon as one begins the coaching process. Partnering with a life coach can be supportive, encouraging and empowering, and can help clients navigate change, restoring or creating balance and fulfillment. Whether it’s taking control of one's health, losing weight, career issues, focusing on goal-attainment, repairing a relationship, getting "unstuck" or transitioning to a new chapter in life, coaching can provide the needed inspiration and support one desires. Working with a licensed trained psychotherapist can yield exceptional results. Therapists have the necessary skills and tools that can be used when longstanding and resistant patterns interfere with progress. I regularly offer EMDR for blocks and peak-performance enhancement, mindfulness, meditation techniques, solution-focused strategies or cognitive and behavior techniques to my clients, combined with coaching strategies to help "stuck" clients move forward.

    Relationship Counseling + Couples Therapy

    I've successfully worked with many couples who desire a healthier and more satisfying relationship. I work with many high-functioning couples who would like to enhance their relationship and reestablish intimacy and connection. I also work with individuals at various stages of relationships including: newly-formed relationships, couples seeking pre-marital counseling and guidance, new parents seeking support, those considering separation or divorce and the newly single and ready to date. I draw from attachment-based theory, helping couples understand their own attachment style as well as that of their partner. Clients can learn to communicate their needs and "hear" the needs of their partner, as well as develop a shared vision or goals, learn acceptance and compassion for self and the other, heal from infidelity and develop new skills. Clients also are guided to identify and de-escalate triggers, address sex and intimacy concerns and understand how the past and family of origin issues may be impacting the relationship in the present. I use my training from The Gottman Institute, as well as Emotionally Focused Therapy or EFT and Non-Violent Communication or NVC to support my work with couples.

    EMDR Therapy + Brainspotting

    As an EMDRIA-approved, level I + II trained EMDR therapist, I have enjoyed great success with clients using EMDR therapy for a variety of chronic, longstanding difficulties as well as recent traumatic incidents. EMDR psychotherapy can be a stand-alone treatment or integrated into ongoing talk therapy sessions to speed the healing process. As a New York City-based EMDR specialist, I provide trauma resolution for PTSD symptoms, and healing for attachment deficits, developmental traumas, medical trauma and chronic physical and emotional abuse. Additionally, EMDR is an effective therapy for anxiety, obsessions, phobias, compulsions, panic attacks, depression, self-esteem, eating disorders, addictions and more. For individuals with anxiety, emotion regulation problems and in addiction recovery, elements of EMDR therapy can help clients develop and strengthen self-soothing inner resources. A combination of EMDR and coaching is an effective treatment combination for sports and peak performance enhancement and creative and performance blocks. Brainspotting, another technique developed by David Grand, PhD, combined with EMDR psychotherapy is a technique I use to address attachment issues, unresolved trauma, pre-verbal trauma and performance problems. 

    Consultations + Referrals

    I provide consultation sessions that are time-limited and problem or goal-focused. Some individuals and families consult with a mental health professional for educational purposes, a clinical assessment or diagnosis, a second opinion, help with a personal or life challenge, support for a difficult transition or crisis and to obtain resources to other collateral support such as psychiatrists or treatment facilities such as rehabs for addictions and eating disorders. Clinical consultations allow a client, parent or family member to explore concerns, probem-solve with a professional and make decisions or changes in their lives that move them forward when they feel unsupported or "stuck." I am delighted to share my trusted resources to complementary, alternative and conventional medical referrals in New York City and beyond. Consultations are not psychotherapy and can be done long distance using an online service such as Skype, Google, FaceTime or via telephone sessions. 

    Integrative Therapy, Coaching, Mindfulness, Stress Reduction + Self-Care Practices

    My interest in mind-body techniques and complementary medicine has allowed me to journey to some amazing places including workshops and training opportunities. Using my training with the Urban Zen Foundation and my yoga therapy training (RYT 200 + 500 hours), I help clients address anxiety insomnia, stress, trauma and chronic illness using a combination of guided imagery, breathing techniques, body scans, meditation and mindfulness. I've studied aromatherapy and Reiki and still enjoy both, including self-Reiki and Reiki with clients, friends and family. Using the brilliance of neuroplasticity, western psychological theory, and the power of cutting-edge nutrition, yoga therapy, chakra work and other somatic psychotherapies, I truly enjoy helping clients who are open to these techniques heal on many levels. Together we can decide what would work best for your particular needs. Some examples of integrative therapy include: mindfulness training, lifestyle recommendations (nutrition, meditation, exercise, yoga and sleep), boundary work, creative play, journaling, somatic therapy and more. 

    Supervision + Private Practice Development

    I enjoy helping new practitioners such as social workers, marriage and family therapists, licensed professional counselors, licensed mental health counselors and psychologists develop and build their private practices. I am happy to provide clinical supervision for cases, and I especially enjoy helping interested therapists blend mind-body medicine and complementary techniques into their existing psychotherapy practices.

    Psychotherapy, Coaching + Consultation Services

    • Depression and mood disorders
    • Anxiety and compulsive disorders
    • Eating disorders, emotional eating and body image issues
    • Borderline Personality Disorder BPD
    • Adolescents problems (behavioral, emotional, family, academic challenges)
    • Marriage, couples, relationship problems
    • Celebrity, gifted and talented individuals
    • Grief, loss, bereavement, life transitions
    • Attention Deficit Disorder (ADD), Attention Deficit Hyperactive Disorder (ADHD)
    • Addictions, drug addiction, process addictions, substance abuse, behavioral disorders, alcoholism
    • Sexual addiction
    • Adult survivors of abuse
    • Adult children of alcoholics (ACOA)
    • Dissociation, complex PTSD, emotion regulation difficulties
    • Childhood, developmental trauma, traumatic events, accidents, medical trauma
    • Self-harm, Self-sabatage, self-defeating behaviors
    • Self-esteem issues, negative self-concept
    • Performance blocks using EMDR therapy
    • Surviving and managing relationships with borderline or narcissistic individuals or partners
    • Men’s issues, career concerns, sexual difficulties, work/life balance
    • Women’s issues, career concerns, transitions, parenting, caretaking, hormone imbalance
    • Environmental stressors, crisis management
    • Phase of life issues, aging
    • Sexual and relationship issues for individuals and couples
    • LGBT concerns, alternative lifestyles
    • Work, creativity and career issues
    • Life purpose, existential, spiritual concerns

    Professional Services 

    • Individual, couples, marital, family, group therapy
    • Weekend intensive workshops for couples
    • Coordination of services with school, medical practitioners, legal counsel, etc
    • Consultation and evaluation for potential in-patient residential treatment
    • Parent and new parent education, coaching
    • Addiction evaluations, assessments, referrals to medical and allied professionals in New York City and beyond
    • Executive coaching
    • Peak performance coaching
    • Clinical supervision, private practice building business, consulting
    • Presentations, workshops
    • Mindfulness, meditation instruction, stress management
    • Recovery support for individuals including their families
    • Self-care, well-being, burnout support and coaching

    Therapy Approaches

    • Psychodynamic, relational, interpersonal psychotherapy
    • Mindfulness, meditation support
    • EMDR therapy
    • Focusing techniques
    • Brainspotting 
    • Crisis counseling
    • Short-term, goal-oriented therapy
    • CBT
    • DBT skills

    Modalities Offered

    • Individual
    • Marriage and relationships
    • Family
    • Group
    • Consultation
    • Coaching
    • Clinical supervision
    • Online via telephone, Skype, FaceTime or a HIPPA compliant service

    Helpful information About An Integrative Psychotherapy Practice 

    Psychodynamic Psychotherapy

    Psychodynamic psychotherapy is an evidence-based and active therapy that has a long history and tradition used in both short and long-term treatment. Psychodynamic sessions include the process of increasing self-awareness, encouraging self-expression, understanding conflicts, developing insight into the behaviors of self and other, unearthing unconscious content that can interfere with functioning and understanding patterns and dynamics that may have origins in the past but are played out in the "here and now." This form of therapy uses the relationship between patient and therapist to heal. The interpersonal relationship tends to be the focus of sessions as an active example of other relationships in the patient's life, so that patterns and distress can be "worked through" and not repeated outside of treatment.

    CBT or Cognitive Behavioral Therapy

    Cognitive Behavioral Therapy focuses on examining and changing maladaptive thoughts and behaviors. CBT tends to be a short-term approach that is highly-effective for many with empirically-tested techniques supporting an increase in skills and a change in behaviors. CBT is an effective solution for a variety of concerns including anxiety, depression and addictions/substance abuse.

    DBT or Dialectical Behavior Therapy

    DBT was originally developed for the treatment of Borderline Personality Disorder. With time, DBT skills and techniques have been found to be helpful for individuals who struggle in many areas of life including substance abuse, addictions. DBT treatment combines ideas of awareness, acceptance and change from mindfulness with a range of psychological theories. Because DBT skills are practical and can be generalized into many areas of life, DBT can be successfully integrated into treatment plans and used in a variety of treatment settings. DBT uses mindfulness and other skills to help increase emotion regulation, distress tolerance and interpersonal effectiveness with the goal of helping patient's cope, de-escalate, and self-regulate. 

    Focusing-Oriented Therapy

    Developed in the 1970s by psychologist Dr. Eugene Gendlin at the University of Chicago, Focusing-Oriented Therapy has been taught to hundreds of thousands of people in countries around the world and is considered a humanistic, experiential and person-centered approach to healing. Focusing is non-directive as the therapist guides the client to connect to the "felt sense" which then allows the client to explore troubling emotions and feelings helping them find the answers needed to heal. Focusing can help clients access their own inner wisdom and strengths by inviting the non-judgmental attention to body sensations, inner "knowing," thoughts, feelings and imagery which may come in the form of words or pre-verbal and non-verbal experiences. Experiences and traumas reside in the body and long for attention even when they have not been consciously thought or verbalized. Focusing-Oriented Therapy can support one's own natural healing while increasing insight and awareness, helping clients gain a broader perspective of current and historical circumstances that have created pain, suffering and blockages. The process of focusing also invites individuals to receive a deep sense of knowledge and freedom so that creativity can emerge and generalize to many aspects of one's life. This powerful technique can reduce anxiety and depression, resolve individual and collective traumas, heal feelings of loss and neglect, increase performance skills, improve emotional regulation, increase relaxation, support immune function, support clients with medical and pain issues, support decision-making and more. It is this locating of the felt sense and its shift that causes true psychological change, empowerment, the restoration of self and enhanced well-being.

    Acceptance and Commitment Therapy

    Acceptance and Commitment Therapy (ACT) gets it name from one of its core messages which is to accept what is out of your personal control, while committing to action that will improve the quality of life. The goal of ACT is to help people create a full and meaningful life even and especially when the stress and pain of life is a challenge. ACT teaches the psychological skills to manage painful feelings and thoughts in an effort to reduce the impact of suffering. Another aim is to help individuals clarify what is important and meaningful, using that awareness to guide, motivate and inspire them to make important changes that will lead to a better life. ACT supports cognitive flexibility in addition to encouraging individuals to observe and allow difficult thoughts feelings, emotions and experiences to simply occur. ACT also helps patients identify concrete short and long-term goals.

    Mindfulness

    Mindfulness is the practice of moment-to-moment awareness of feelings, thoughts and bodily sensations as well as an awareness of the environment and one's surroundings. Mindfulness, as a philosophy, has more recently become a widely-used and helpful practice in the fields of psychology and psychotherapy. Additionally, mindfulness is an empirically-validated practice with data that supports its efficacy and application in a range of clinical and non-clinical settings.  A mindfulness practice includes the observation of feelings, emotions and sensations, a non-judgmental presence and the awareness of the present moment. 

    EMDR Therapy 

    EMDR is an evidence-based treatment that targets many symptoms and conditions including trauma, negative memories, phobias, fears, anxiety, addictions, compulsions and performance difficulties. Originally used to treat Veterans, EMDR therapy is now one of the most efficient and effective trauma/symptom treatment methods that allows clients to fully heal from their psychological wounds. EMDR can successfully be integrated into psychotherapy sessions. Many clients find EMDR to be more effective than other forms of therapy including CBT and traditional “talk therapy.”

    Psychotherapy for Depression

    Clinical depression is a complicated condition that can be treated with interpersonal psychotherapy, medication and a collaborative approach to identify the biological and psychosocial factors that may have contributed to a patient's depressive symptoms. Depression can be mild and show up with seasonal changes and it can be debilitating and interfere with activities of daily living, life skills, relationships, employment, hope and may also include the desire to end one’s life. Depression treatment is generally supportive in nature, and may require help with daily structure and coping skills and often requires working with other mental health professionals. Interpersonal psychotherapy, CBT and EMDR therapy can be effective treatments for depressed patients as can antidepressant use, light therapy, vitamin D and supplements. 

    Psychotherapy for Anxiety

    Anxiety symptoms bring many into therapy for the first time. Not all clients experience anxiety in the same way. For some, anxiety is a distress that presents in a specific situation such as performance, public speaking or test-taking. For others, anxiety may be experienced as chronic and ranging from mild to debilitating, including uncomfortable physical symptoms. Anxiety sufferers are best helped by understanding emotional conflicts, environmental and genetic factors with treatment that may include talk therapy, CBT, stress reduction techniques, Somatic Experiencing (SE) and EMDR Therapy to target early trauma, memories and present-day distress.

    Trauma Treatment and PTSD

    Early trauma and chronic developmental traumas that have impacted a patient's development and attachment relationships are the most difficult to heal. Psychotherapy can help validate the patient's experience, work through any feelings of shame and confusion that may have been internalized, process the traumatic experience or event and help them understand how their current life is impacted by traumatic experiences. Psychotherapy can help individuals identify triggers in daily experiences that create symptoms and contribute to familiar self-defeating patterns and dynamics. While talk therapy can be a good place to begin for some trauma patients, EMDR is the treatment of choice to provide symptomatic relief and truly heal from trauma.

    Loss and Bereavement

    Losing something or someone is difficult and complicated for many reasons. Loss can include a loved-one, pet, health,  job, lifestyle, home, identity, status, and more. Loss, especially when significant to the individual, requires mourning and grieving that loss, experiencing the associated feelings, and eventually, moving forward. Psychotherapy can give the individual a safe place to grieve and feel the sadness. The healing process is different for everyone as is the length of time required to heal.

    What happens in therapy?

    A number of benefits are available when you engage in the therapy process. Therapy helps people gain relief from unpleasant feelings and thoughts, create more fulfilling and meaningful relationships, and gain more pleasure and control in their lives. Psychotherapy helps clients get to the root of their difficulties and learn ways to become more self-aware, cope with difficult emotions, improve mood, gain control, feel connected to others, develop the skills to handle future problems, and live more fulfilling and satisfying lives. Therapists can provide support, practical problem-solving skills, and enhanced coping strategies for issues such as: troubling patterns and behaviors. a crisis,  managing difficult people, internal conflicts, neurosis, life transitions, anxiety, depression, sadness, loneliness self-esteem, relationship problems, unresolved childhood issues, trauma/abuse, grief, stress management, body image issues, eating disorders, feeling lost or stuck, sexuality or identity concerns, addictive behaviors and creative blocks. Many people also find that counselors or psychotherapists can be a tremendous asset to career concerns, managing personal growth, professional relationships, family concerns, marriage issues, parenting challenges, developing healthier habits, connecting to the body, understanding thoughts, feelings and emotions, balancing the stress of daily life and goal-setting. High-achieving, successful individuals often experience emptiness, unhappiness, disappointment, loneliness, stress, anxiety and interpersonal problems which may lead to less than desirable coping solutions such as addictions, alcohol and drug abuse, eating problems and sleep deficits. Therapists can provide a fresh perspective on a difficult problem or help their clients discover helpful solutions. Many lasting benefits can be obtained from personal, couples or group therapy. You can learn more about therapy from the American Psychological Association or APA Learn more here

    Therapy and counseling can help clients with the following issues:

    • Reframe current life circumstances and gain a different perspective
    • Learn to manage difficult work and personal transitions and changes such as marriage, new baby, mid-life problems and aging
    • Gain the support needed to get through difficult times such as loss and change
    • Learn to feel and live a more authentic life, accept feelings of being “different”
    • Develop healthy self-esteem and resolve persistent negative self-states
    • Develop healthier coping skills, habits and boundaries 
    • Have healthier personal and work relationships 
    • Develop awareness of any repetitive patterns that interfere with success and happiness by understanding how past dynamics interfere with the present
    • Manage difficult people personally and professionally 
    • Develop a path of purpose and life fulfillment
    • Heal from past trauma and abuse and process traumatic memories and dissociation
    • Increase insight and self-awareness and identify innate strengths
    • Improve communication, learn conflict resolution, develop better listening and self-assertion skills 
    • Address depression, sadness, feelings of despair and isolation
    • Learn helpful coping skills for stress, anxiety, phobias and panic attacks
    • Relieve stress and insomnia and learn relaxation response
    • Manage destructive patterns that include drinking, eating, drugs, addictions and self-harm
    • Understand negative and habitual patterns of thinking and behaving
    • Resolve writing, creative and other performance blocks
    • Mourn losses such as separation, divorce, miscarriage, infertility or the death of a loved-one
    • Develop effective parenting skills
    • Address problems related to chronic pain, fibromyalgia, autoimmune disorders, medical procedures and diagnoses
    • Heal from sexual abuse, emotional/psychological abuse, domestic violence and natural disasters
    • Resolve sexual and identity concerns
    • Manage feelings of overwhelm, feel more embodied and develop an awareness connection between mind and body, feel more

    KIMBERLY SEELBREDE, LCSW, PLLC   NPI #1306092903  NYS License #079234
    PRACTICE POLICIES
    INITIAL CONSULTATION
    This office now requests that all new clients pre-pay to reserve their time for initial evaluation.
    PSYCHOTHERAPY AND THE DURATION OF TREATMENT
    Therapy begins with an evaluation of your needs. After your initial consultation, I will offer my impression of what our work together should include and a treatment plan to follow, should you decide to begin therapy. If we decide to work together, we will schedule once or twice weekly 45-minute sessions or longer for EMDR and couples sessions. As needed (and with your consent), I will consult with your primary care physician, psychopharmacologist and other providers to ensure coordinated treatment. If you are considering medication, I work closely with a number of caring psychiatrists who can assist with that part of your treatment.
    APPOINTMENTS AND CANCELLATIONS
    Therapy works best when scheduled appointments are regular and consistent. Your time is reserved for you and cannot be used by someone else. A 48 hour cancellation policy applies. If less than 48 hours notice is given (72 hours for Monday appointments), I will still make every attempt to reschedule you within the same week at a time that works for both of us and a phone/video session will be offered. If we cannot find a time, you will be charged for the cancellation. I may waive the session charge at my discretion such as serious illness. In the case of hazardous weather conditions, you may cancel without penalty and a telephone or video conference session may be conducted. You will be charged for conflicts related to time management (e.g. homework, forgetfulness), work conflict, etc. To accommodate such situations, I am happy to offer you a phone session at the time of your scheduled appointment. Unfortunately, missed and cancelled sessions will not receive a code on your statement and are not reimbursed by insurance. Please try to be on time for your sessions as every effort is made to end all sessions on time so as not to cause unnecessary delays for others who have appointments. If you are late, it it likely that extended time may not be possible due to other clients scheduled that day.
    INSURANCE
    I do not work directly with insurance companies, but if you have a PPO or another plan that allows you to select an out-of-network provider, you may be eligible for reimbursement. Policies vary significantly and I recommend checking with your insurance company to determine the extent of your out-of-network mental health (or “behavioral health”) benefits, including your annual deductible, the number of sessions covered per calendar year, and whether or not your sessions need to be pre-authorized. While you would be responsible for payment at the end of each session, this makes the reimbursement process as smooth as possible.
    FEES
    Fees represent payment for my professional knowledge, training and experience. They also support outside work and between-session consultations needed to support the therapeutic relationship. In addition to regularly scheduled sessions, I charge for other professional services that may be required to support your care. These services may include: telephone conversations lasting longer than 15 minutes, consultations with other professionals involved in your treatment (hospitals, schools, etc.), legal services, preparation of records and treatment summaries or any other professional service that you may request of me. This will be billed as administrative services, and unfortunately are not reimbursed by insurance. Payment is due at the end of your regularly scheduled session unless we make a different arrangement. This office requires that a credit card be kept on file securely stored by a HIPPA compliant practice management system for the purposes of session payment or in the case of non-payment. You will be asked to provide this information during your initial session. Session fees will be deducted via Stripe, PayPal, Venmo or another service that I may use the day of or after each session until your formally terminate. Additionally, you agree to allow Kimberly Seelbrede to charge for sessions attended and sessions not cancelled within 48 hours. You also agree to provide another form of payment, cash, check or credit card if your previous card has been replaced.  If your account has not been paid for more than 60 days and we have not agreed upon a payment arrangement, I may use legal means to secure payment. If this is required, additional costs will be included in the claim.

    My fees, unless we agree on a reduced fee are as follows: 

    • INITIAL CONSULTATION (ONLINE/IN-PERSON) (1 hour @ $250.00)
    • COACHING (NEW CLIENT/EXISTING (1 hour @ $350.00)
    • PSYCHOTHERAPY/EMDR (EXISTING CLIENT) (1 hour @ $250.00)
    • PSYCHOTHERAPY (EXISTING CLIENT) (45 minutes @ $200)
    • COUPLES (INITIAL CONSULTATION/EXISTING (50 minutes @ $300.00)
    • COUPLES (INITIAL/EXISTING) (1 hour 15 minutes @ $350.00)

    PROFESSIONAL RECORDS
    I maintain treatment records as required by the laws of my profession. You are entitled to receive a copy of your records, or if preferred, I can prepare a summary of your treatment. Sometimes these professional records can be upsetting or misinterpreted by the untrained reader. It is best that we review your records together in my office.
    TELEPHONE ACCESSIBILITY
    While I may try to return messages in a timely manner, I cannot guarantee immediate response and request that you do not use these methods of communication to discuss therapeutic content and/or request assistance for emergencies. If you need to contact me between sessions, please leave a message on my confidential voice mail. I am often not immediately available; however, I make every attempt to return your call as soon as possible. The exception to this is weekends and holidays, when I am traveling or have a personal circumstances that prevent me from being available. If you are difficult to reach, please specify when you will be available. If you are unable to reach me and need immediate care, please contact your physician or go to the nearest emergency room and request a clinical social worker/psychologist/psychiatrist on call. Please note that face-to-face sessions are highly preferable to phone sessions. However, in the event that you are out of town, sick or need additional support, phone sessions are available. I ask that you not transmit sensitive clinical information via text or email as I do not always have access to either, and your confidentiality cannot be ensured.
    MINORS
    If you are a minor, your parents may be legally entitled to some information about your therapy. I will discuss with you and your parents what information is appropriate for them to receive and which issues are more appropriately kept confidential and between us.
    SOCIAL MEDIA
    Due to the importance of your confidentiality and the importance of minimizing dual relationships, I do not accept friend or contact requests from current or former clients on any social networking site (Facebook, LinkedIn, etc). I believe that adding clients as friends or contacts on these sites can compromise confidentiality and our respective privacy. It may also blur the boundaries of our therapeutic relationship.
    ELECTRONIC COMMUNICATION AND TELECOMMUNICATION
    I cannot ensure the confidentiality of any form of communication through electronic media, including text messages. If you prefer to communicate via email or text messaging for issues regarding scheduling or cancellations, I will do so. While I may try to return messages in a timely manner, I cannot guarantee immediate response and request that you do not use these methods of communication to discuss therapeutic content and/or request assistance for emergencies. Please be aware that any email communications will become part of your medical records. If we agree to text or communicate via email, or you reach out to me initially in this way, I will assume that you have made an informed decision regarding this matter.
    TERMINATION
    Ending relationships can be difficult. Therefore, it is important to have a termination process in order to achieve some closure. The appropriate length of the termination depends on the length and intensity of the treatment. I have the right to terminate treatment with you and I will explain why this is necessary (e.g. psychotherapy is not being used effectively, your needs have changed or you may require a higher level of care, outbursts of rage or other threatening behaviors, persistent drug or substance use/abuse, attending sessions under the influence, engaging in illegal acts, default on payment). I will also terminate with you if you are seeing another therapist, unless we agree that I am providing adjunct treatment such as EMDR therapy or meditation support. If therapy is terminated for any reason or you request another therapist, I will provide you with a list of psychotherapists to treat you. You also also have the right to choose someone on your own or from another referral source. Should you fail to schedule an appointment for three consecutive weeks, unless other arrangements have been made in advance, for legal and ethical reasons, I must consider the professional relationship discontinued.
    ABOUT KIMBERLY SEELBREDE, LCSW
    I have received graduate training as well as advanced post-graduate training in a variety of traditional as well as evidence-based and cutting-edge treatment modalities. It is my practice to integrate these therapeutic techniques as needed to provide you with the individualized treatment that will best serve your needs and goals. We will discuss this together during your initial evaluation and create a treatment plan that may include the following: Couples Therapy, Family Therapy, Group Therapy, Psychodynamic Psychotherapy, CBT, DBT skills, EMDR Therapy, ACT, Mindfulness and Meditation practices. I am also a trained yoga therapist (200 + 500 hour RYT) and am able to use some of these practices when appropriate and if desired by you for stress reduction and management.
    INFORMED CONSENT FOR PSYCHOTHERAPY
    GENERAL INFORMATION
    The therapeutic relationship is unique in that it is a highly personal and at the same time, a contractual agreement. Given this, it is important for us to reach a clear understanding about how our relationship will work, and what each of us can expect. This consent will provide a clear framework for our work together. Feel free to discuss any of this with me. Please read and indicate that you have reviewed this information and agree to it by filling in the checkbox at the end of this document.
    THE THERAPEUTIC PROCESS
    You have taken a very positive step by deciding to seek therapy. The outcome of your treatment depends largely on your motivation and willingness to engage in this process, which may, at times, result in considerable discomfort. Should you choose to proceed, a positive outcome then becomes our mutual responsibility. This begins with your trust in and commitment to the treatment process, and my commitment to address your questions and concerns as they come up during session. It also involves my commitment to you as your therapist, helping you to find healing and wholeness in your thoughts, feelings, behaviors, personal values, general well-being, while you discover more rewarding ways of relating to yourself and others. I can promise to support you and do my very best to understand you and repeating patterns, as well as to help you clarify what it is that you want for yourself. One important aspect of successful therapy involves attending your sessions regularly. Treatment is more effective when it is consistent. Together, we will determine what kind of session frequency would best suit your needs.
    RISKS ASSOCIATED WITH PSYCHOTHERAPY
    Like many things in life, psychotherapy has inherent risks. Some of these risks to you are:
        •    disruptions in your daily life that can occur because of therapeutic changes
        •    emotional pain due to exploring personal issues and family history
        •    experiencing emotional pain within your current relationships
        •    although therapy begins with the hope that your life and relationship(s) improve, there is no guarantee that this will occur.
    THERAPY APPROACH
    My clinical orientation is Psychodynamic and Relational, as such, the healing nature of the therapeutic relationship is the primary focus. As an integrative, eclectic psychotherapist, my therapy style combines genuine care, empathy, and a non-judgmental approach, coupled with evidence-based strategies such as CBT, DBT skills and Mindfulness, in addition to Psychoanalytic Psychotherapy (insight-oriented therapy). I also integrate EMDR therapy and elements of Focusing and Somatic Experiencing into sessions with clients. Work with couples may include Emotionally Focused Therapy and EMDR. The duration of treatment is highly variable and depends on many factors, including your goals, motivation, your experience with therapy and the challenges to be addressed in the course of treatment.
    CONFIDENTIALITY
    The session content and all relevant materials to the client’s treatment will be held confidential unless the client requests in writing to have all or portions of such content released to a specifically named person/persons. Limitations of such client held privilege of confidentiality exist and are itemized below:
        1.    If a client threatens or attempts to commit suicide or otherwise conducts him/her self in a manner in which there is a substantial risk of incurring serious bodily harm.
        2.    If a client threatens grave bodily harm or death to another person.
        3.    If the therapist has a reasonable suspicion that a client or other named victim is the perpetrator, observer of, or actual victim of physical, emotional or sexual abuse of children under the age of 18 years.
        4.    Suspicions as stated above in the case of an elderly person who may be subjected to these abuses.
        5.    Suspected neglect of the parties named in items #3 and # 4.
        6.    If a court of law issues a legitimate subpoena for information stated on the subpoena.
        7.    If a client is in therapy or being treated by order of a court of law, or if information is obtained for the purpose of rendering an expert’s report to an attorney.
    Occasionally I may need to consult with other professionals in their areas of expertise in order to provide the best treatment for you. Information about you may be shared in this context without using your name.

    NOTICE OF PRIVACY PRACTICES
    THIS NOTICE DESCRIBES HOW HEALTH INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. I AM REQUIRED BY LAW TO GIVE YOU THE FOLLOWING INFORMATION.
    I. MY PLEDGE REGARDING HEALTH INFORMATION: I understand that health information about you and your health care is personal. I am committed to protecting health information about you. I create a record of the care and services you receive from me. I need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by this mental health care practice. This notice will tell you about the ways in which I may use and disclose health information about you. I also describe your rights to the health information I keep about you, and describe certain obligations I have regarding the use and disclosure of your health information. I am required by law to:
    • Make sure that protected health information (“PHI”) that identifies you is kept private.
    • Give you this notice of my legal duties and privacy practices with respect to health information.
    • Follow the terms of the notice that is currently in effect.
    • I can change the terms of this Notice, and such changes will apply to all information I have about you. The new Notice will be available upon request, in my office, and may be on my website.
    II. HOW I MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU: The following categories describe different ways that I use and disclose health information. For each category of uses or disclosures I will explain what I mean and try to give some examples. Not every use or disclosure in a category will be listed. However, all of the ways I am permitted to use and disclose information will fall within one of the categories.
    For Treatment Payment, or Health Care Operations: Federal privacy rules (regulations) allow health care providers who have direct treatment relationship with the patient/client to use or disclose the patient/client’s personal health information without the patient’s written authorization, to carry out the health care provider’s own treatment, payment or health care operations. I may also disclose your protected health information for the treatment activities of any health care provider. This too can be done without your written authorization. For example, if a clinician were to consult with another licensed health care provider about your condition, we would be permitted to use and disclose your person health information, which is otherwise confidential, in order to assist the clinician in diagnosis and treatment of your mental health condition. However, it is my practice to request that you sign a consent to obtain and release information form. It will be added to your file.
    Disclosures for treatment purposes are not limited to the minimum necessary standard. Because therapists and other health care providers need access to the full record and/or full and complete information in order to provide quality care. The word “treatment” includes, among other things, the coordination and management of health care providers with a third party, consultations between health care providers and referrals of a patient for health care from one health care provider to another.
    Lawsuits and Disputes: If you are involved in a lawsuit, I may disclose health information in response to a court or administrative order. I may also disclose health information about your child in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.
    III. CERTAIN USES AND DISCLOSURES REQUIRE YOUR AUTHORIZATION:
        1.    Psychotherapy Notes. I do keep “psychotherapy notes” as that term is defined in 45 CFR § 164.501, and any use or disclosure of such notes requires your Authorization unless the use or disclosure is: a. For my use in treating you. b. For my use in training or supervising mental health practitioners to help them improve their skills in group, joint, family, or individual counseling or therapy. c. For my use in defending myself in legal proceedings instituted by you. d. For use by the Secretary of Health and Human Services to investigate my compliance with HIPAA. e. Required by law and the use or disclosure is limited to the requirements of such law. f. Required by law for certain health oversight activities pertaining to the originator of the psychotherapy notes. g. Required by a coroner who is performing duties authorized by law. h. Required to help avert a serious threat to the health and safety of others.
        2.    Marketing Purposes. As a psychotherapist, I will not use or disclose your PHI for marketing purposes.
        3.    Sale of PHI. As a psychotherapist, I will not sell your PHI in the regular course of my business.
    IV. CERTAIN USES AND DISCLOSURES DO NOT REQUIRE YOUR AURTHORIZATION. Subject to certain limitations in the law, I can use and disclose your PHI without your Authorization for the following reasons:
        1.    When disclosure is required by state or federal law, and the use or disclosure complies with and is limited to the relevant requirements of such law.
        2.    For public health activities, including reporting suspected child, elder, or dependent adult abuse, or preventing or reducing a serious threat to anyone’s health or safety.
        3.    For health oversight activities, including audits and investigations.
        4.    For judicial and administrative proceedings, including responding to a court or administrative order, although my preference is to obtain an Authorization from you before doing so.
        5.    For law enforcement purposes, including reporting crimes occurring on my premises.
        6.    To coroners or medical examiners, when such individuals are performing duties authorized by law.
        7.    For research purposes, including studying and comparing the mental health of patients who received one form of therapy versus those who received another form of therapy for the same condition.
        8.    Specialized government functions, including, ensuring the proper execution of military missions; protecting the President of the United States; conducting intelligence or counter-intelligence operations; or, helping to ensure the safety of those working within or housed in correctional institutions.
        9.    For workers' compensation purposes. Although my preference is to obtain an Authorization from you, I may provide your PHI in order to comply with workers' compensation laws.
        10.    Appointment reminders and health related benefits or services. I may use and disclose your PHI to contact you to remind you that you have an appointment with me. I may also use and disclose your PHI to tell you about treatment alternatives, or other health care services or benefits that I offer.
    V. CERTAIN USES AND DISCLOSURES REQUIRE YOU TO HAVE THE OPPORTUNITY TO OBJECT:
        1.    Disclosures to family, friends, or others. I may provide your PHI to a family member, friend, or other person that you indicate is involved in your care or the payment for your health care, unless you object in whole or in part. The opportunity to consent may be obtained retroactively in emergency situations.
    VI. YOU HAVE THE FOLLOWING RIGHTS WITH RESPECT TO YOUR PHI:
        1.    The Right to Request Limits on Uses and Disclosures of Your PHI. You have the right to ask me not to use or disclose certain PHI for treatment, payment, or health care operations purposes. I am not required to agree to your request, and I may say “no” if I believe it would affect your health care.
        2.    The Right to Request Restrictions for Out-of-Pocket Expenses Paid for In Full. You have the right to request restrictions on disclosures of your PHI to health plans for payment or health care operations purposes if the PHI pertains solely to a health care item or a health care service that you have paid for out-of-pocket in full.
        3.    The Right to Choose How I Send PHI to You. You have the right to ask me to contact you in a specific way (for example, home or office phone) or to send mail to a different address, and I will agree to all reasonable requests.
        4.    The Right to See and Get Copies of Your PHI. Other than “psychotherapy notes,” you have the right to get an electronic or paper copy of your medical record and other information that I have about you. I will provide you with a copy of your record, or a summary of it, if you agree to receive a summary, within 30 days of receiving your written request, and I may charge a cost based fee for doing so.
        5.    The Right to Get a List of the Disclosures I Have Made. You have the right to request a list of instances in which I have disclosed your PHI for purposes other than treatment, payment, or health care operations, or for which you provided me with an Authorization. I will respond to your request for an accounting of disclosures within 60 days of receiving your request. The list I will give you will include disclosures made in the last six years unless you request a shorter time. I will provide the list to you at no charge, but if you make more than one request in the same year, I will charge you a cost based fee for each additional request.
        6.    The Right to Correct or Update Your PHI. If you believe that there is a mistake in your PHI, or that a piece of important information is missing from your PHI, you have the right to request that I correct the existing information or add the missing information. I may say “no” to your request, but I will tell you why in writing within 60 days of receiving your request.
        7.    The Right to Get a Paper or Electronic Copy of this Notice. You have the right get a paper copy of this Notice, and you have the right to get a copy of this notice by e-mail. And, even if you have agreed to receive this Notice via e-mail, you also have the right to request a paper copy of it.
    EFFECTIVE DATE OF THIS NOTICE
    This notice went into effect on September 20, 2013
    Acknowledgement of Receipt of Privacy Notice
    Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), you have certain rights regarding the use and disclosure of your protected health information. By checking the box below, you are acknowledging that you have received a copy of HIPPA Notice of Privacy Practices.

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