Frequently Asked Questions

  • How long is a typical online therapy session?

    Therapy sessions are typically 50-55 minutes long. I find this timeframe allows us to engage in meaningful therapeutic work without feeling rushed, ensuring you have the space to process and integrate insights from our conversation.

    Do you offer in-person appointments, or is all counseling conducted via telehealth?

    To provide consistent, flexible care to residents across both states, all sessions are conducted via secure video therapy (telehealth). This allows you to receive online counseling in California or online therapy in Oregon from the comfort and convenience of your chosen private space.

    How often do most clients schedule their sessions?

    For most clients, especially when addressing significant issues like trauma or anxiety, I recommend starting with a regular once-per-week session time. This consistency is essential for building momentum and achieving the best long-term outcomes. We will discuss your specific goals and ideal frequency during your initial consultation.

    Note for Couples: We begin with a joint intake session, followed by one individual session with each partner, before returning to regular sessions together.

  • I am looking for a therapist in Oregon or California. Can I work with you?

    Yes! I am a Licensed Clinical Social Worker (LCSW) licensed to provide virtual counseling to residents throughout the entire state of Oregon (LCSW L11516) and the entire state of California (LCSW 124545).

    What is the process for new clients to schedule an initial consultation?

    The initial step is to reach out! The process differs slightly based on your location:

    • For Oregon Clients: Please contact the scheduling team at Positive Inner Self by phone at (503) 461-3910 or email at intake@positiveinnerself.com. They will coordinate the initial steps, including insurance verification (if applicable).

    • For California Clients: Please email my direct intake line at intake@padnickcounseling.com.

    Once contact is made, the steps involve discussing fees/insurance, confirming a consistent meeting time that works for us both, and completing simple intake paperwork before our initial appointment.

  • What are your main areas of specialization?

    My practice is focused on empowering adults to navigate modern pressures. My main specializations include:

    • Trauma Recovery and PTSD (using EMDR)

    • Anxiety Treatment and Stress Management

    • Relationship Issues and Couples Counseling (using EFT)

    • Women’s Issues (self-acceptance, high-demand career stress, redefining success)

     What specific issues do you treat?

    I have extensive experience in working with individuals dealing with:

    • Low Self-Esteem and self-criticism

    • Coping Skills for managing daily stress

    • Dual Diagnosis (co-occurring substance use and mental health challenges)

    • Sex-Positive and inclusive relationship dynamics

    If your specific issue is not listed, please reach out during your consultation. If I feel your needs are outside my scope of expertise, I will provide you with trusted referrals.

    What type of evidence-based therapy do you practice, and how will it help me?

    I utilize an integrative approach centered on evidence-based therapies to ensure effective, lasting results. This helps me tailor our work precisely to your goals:

    • EMDR (Eye Movement Desensitization and Reprocessing): Highly effective for resolving past trauma and distress.

    • ACT (Acceptance and Commitment Therapy): Helps you clarify your core values to guide your behavior, reducing internal struggle and fostering a meaningful life.

    • EFT (Emotionally-Focused Therapy): Helps couples and families identify and break negative interaction cycles to build secure, lasting emotional bonds.

    • CBT (Cognitive Behavioral Therapy): Practical tools to identify and modify unhelpful thought patterns common in anxiety and depression.

  • What are your therapy rates?

    My rates are set to reflect my specialized training and experience:

    • Individual Therapy Session: $200

    • Couples Therapy Session: $225

    Do you accept health insurance?

    Yes, I work with several health plans, but this coverage is currently only available for clients residing in Oregon:

    • Oregon Clients: I am an in-network provider with many insurance companies. Please contact the intake team at Positive Inner Self (intake@positiveinnerself.com) for a verification of your specific benefits and coverage details.

    • California Clients: I am considered an out-of-network therapist in California. If you have a PPO plan, you may be eligible for reimbursement, and I can provide you with the necessary billing statements (superbills) to submit to your insurance company.

      It is your responsibility to contact your insurance company to understand your specific out-of-network benefits, including your deductible, reimbursement rates, and any specific procedures for submitting claims.