Reid Vanderburgh - Client Information

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General Information
I usually see clients between noon and 7:00 p.m., weekdays, though I will make every attempt to accommodate you if these hours don't fit your schedule at all. If you work a daytime job, please don't ask about seeing me before you go to work I am not a morning person and would be of no use to you in the early morning hours. I will see clients on weekends, if you are coming a long distance for an appointment. While I usually schedule 50-minute sessions for individuals, I often schedule longer appointments (two back-to-back 50 minute sessions, generally) for those coming from out of town, to maximize the benefit of the trip. I do not do e-mail sessions, but occasionally will do phone sessions with clients, if we already have an established therapeutic relationship. While not ideal, a phone session is better than none at all. (To read more about why I don't do e-mail therapy, click here.)

I have a sliding scale, $60-90 per 50-minute individual session and $90-110 per 90-minute couples/family session. Occasionally, I can go lower than that for clients, if these fees are absolutely prohibitive. When I do a double individual session, the fee is double what it would be for a 50-minute session. I don't determine what any client pays me I leave it to the client to determine what is affordable within my sliding scale, given their family budget.

I have decided, after much deliberation and input from other therapists, not to accept insurance. My primary reason for this stance is that I can't guarantee confidentiality if an insurance company is paying for sessions. Not only do they (often) assume the right to determine how many sessions a client can have with their therapist, they also have the right to demand to see a therapist's notes about clients if they are paying that client's bill. I feel strongly enough about this that I would rather work out some other arrangement than have an insurance company in on the therapeutic process. Some insurance companies have raised their co-pays so high, it exceeds the lowest fees I negotiate with clients, further reducing any incentive on my part to accept insurance reimbursement.

There are few drawbacks to my office, but one is that it does not have a waiting room. There is very little "people traffic" in the building, and it's fine to sit on the steps near the elevator, either in the lobby or on the seventh floor, where my office is located. There are also coffee shops and various small restaurants in the vicinity. As is common in many urban office buildings, the bathrooms are locked. If there is a sign on my door that says "In Session," you will find a bathroom key on the back of the sign. Feel free to use it, and return it as you found it when you're done. The key will unlock either of the bathrooms on my floor.

If you have other questions about my practice, please visit my FAQ page. If your question is not addressed, feel free to call (503-341-7001) or e-mail me.

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Therapeutic Philosophy
My job is to facilitate a process of self-knowledge, as my clients figure out who they are and who they want to become during the course of their life transformative process. I am a witness to process, and an occasional guide along the way. It is my job to help clients along their path, without determining for them what direction the journey may take. The question I help clients answer is, "How do I want to live my life?"

When a client's path includes transition from one gender role/bodily sex to another, I also offer occasional observations from my own experience of transition, and what I've noticed witnessing many other transition processes. While I may make occasional observations to clients, there isn't a "one size fits all" transition path, no right or wrong way to actualize core identity. Thus, if a client tells me something completely different from anything I've experienced or heard before, my reaction is not to judge them wrong, but to thank them for teaching me something new. To read more about my philosophy of the therapist's role in transition, see Thoughts on the Standards of Care, Post-Transition Therapy, A Therapist's Manifesto, and How to Choose a Therapist.

In working with all my clients, I follow these guidelines: Only my clients know who they are; only my clients can answer the question, "How do I want to live my life?"; and only my clients are qualified to decide what path is right for them, and how quickly or slowly they move along their path. I provide guidance in making decisions, answer questions as best I can, and help clients learn to trust their own intuition and self-knowledge.

My therapeutic approach is holistic in nature. Many people are familiar with the concept of holistic therapy within the context of non-western medical approaches such as acupuncture. What does 'holistic psychotherapy' mean? For more information, read About Holistic Psychotherapy.

If you would like to set up an appointment, send me an e-mail or give me a call.

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