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    • Home
    • About
    • Meet Karen Liivoja, RP
    • Areas of Focus
    • Grief Therapy
    • Appointment Booking
    • Resources
    • Blog
    • Thinking About Therapy?

  • Home
  • About
  • Meet Karen Liivoja, RP
  • Areas of Focus
  • Grief Therapy
  • Appointment Booking
  • Resources
  • Blog
  • Thinking About Therapy?

Thinking About Therapy but Have Questions?

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Do I Need to be in Crisis to Benefit from Therapy?

Not at all. People come to therapy for many different reasons. You might be navigating grief, anxiety, relationship challenges, a significant life transition, or simply feeling that something isn't quite right. You don't need to wait until things feel overwhelming before reaching out.

What happens during the first session?

Our first session is an opportunity to get to know one another. We'll talk about what brought you to therapy, what you're hoping for, and any questions or concerns you may have. There's no pressure to tell your entire story during the first appointment—we simply begin where you are.

What if I'm nervous about starting therapy?

Feeling nervous is completely normal. For many people, reaching out is the hardest part. You might wonder what to say, whether therapy is the right choice, or if your concerns are "serious enough." You don't need to have everything figured out before your first appointment. We'll simply begin where you are, and we'll take things one conversation at a time.

What if I don't know what to say?

That's more common than you might think. Many people worry they'll say the "wrong" thing or won't know where to begin. You don't need to prepare for therapy or have everything figured out beforehand. We'll take things one conversation at a time. All at your speed and with your consent.

Will you tell me what to do?

Rather than giving advice, my role is to help you better understand your experiences, explore different perspectives, and support you in making choices that align with your values and goals. Therapy is a collaborative process.

How long will I need therapy?

Every person's journey is different. Some people come for support around a specific concern, while others appreciate ongoing therapy as they navigate different stages of life. We'll regularly check in about your goals and ensure therapy continues to meet your needs. 

Is everything I share confidential?

In most situations, yes. Protecting your privacy is an important part of therapy. I'll explain confidentiality, as well as the legal and ethical limits to confidentiality, during our first session so you know exactly what to expect.

Do you accept insurance?

Many extended health benefit plans cover services provided by a Registered Psychotherapist. Because every plan is different, I recommend checking directly with your insurance provider to confirm your coverage.

How do I know if we're a good fit?

Finding the right therapist matters. That's why I offer a free 20-minute consultation. It's an opportunity to ask questions, learn about my approach, and decide whether working together feels right for you.

What if therapy feels uncomfortable?

Sometimes therapy involves talking about experiences or emotions that are difficult. While this can feel uncomfortable at times, you won't be expected to discuss anything before you're ready. Therapy moves at a pace that feels appropriate for you, and we'll work together to create a space where you feel supported throughout the process.

What if I can't make my appointment?

I understand that life is unpredictable, and sometimes unexpected situations arise. If you need to cancel or reschedule your appointment, I ask that you provide at least 24 hours' notice whenever possible. This allows me the opportunity to offer that appointment time to another client who may be waiting for support.

Appointments cancelled with less than 24 hours' notice, or missed appointments, may be subject to the full session fee. Exceptions may be made in the event of an emergency or unforeseen circumstances.

If something unexpected happens, please reach out as soon as you're able. We'll work together to determine the most appropriate next step.

What if we aren't the right fit?

The relationship you have with your therapist is an important part of the therapy process. It's okay if, after meeting, you decide that I'm not the best fit for your needs or preferences. During our free 20-minute consultation—and throughout therapy—you're welcome to ask questions about my approach. If it becomes clear that another therapist or service would better support your goals, I'll do my best to help guide you toward an appropriate resource.

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