​​​ Are you accepting new clients, and what is your availability?

I am currently taking a limited number of new clients who are able to and willing to do Telehealth due to the current COVID-19 outbreak. We can do the appts virtually either through video conferencing/online counseling or by telephone. I am currently NOT accepting new kids clients for Telehealth due to the difficulty providing services to children over the phone or online. All the paperwork needs to be completed and emailed back to me before the intake appt. Currently, the wait time for new patient intake appts is about 4-6 weeks. Please call the office at (425)228-5336 to check my current availability and schedule the intake assessment appt. 

How long is a typical session and how often do we meet?
Although we will determine how often we schedule appointments, I will reserve 45-55 minutes for each therapy session. Most clients are seen once a week in the beginning to maximize the treatment results, then, as time goes on, less frequently. The number of sessions depends on what your current needs are.

How long will I be in therapy?
The length of time a client is in therapy depends on the nature of the problem and the goals agreed upon by the client and therapist. Some clients have a very specific problem that can be worked through in a set course of therapy. For others, counseling is an on-going learning process and they choose to receive counseling for a longer period.

Do you take insurance, and how does that work?
I am currently an in-network provider for Premera, Lifewise, Uniform, UMR, GEHA, Regence, Aetna, Anthem, Cigna, BlueCross BlueShield, Bridgespan, First Choice, Optum, Moda Health, Lifewise, Providence Health Plans, Kaiser PPO, and Beacon Health Options. If you do not have insurance or do not wish to use your existing insurance, please contact my office to learn about rates. To determine if you have mental health coverage through your insurance carrier, the first thing you should do is call them. Check your coverage carefully and make sure you understand their answers. Some helpful questions to ask them:

      • What are my mental health benefits?
      • What is the coverage amount per therapy session?
      • How many therapy sessions does my plan cover?
      • What is my mental health co-pay?
      • How much does my insurance pay for an out-of-network provider? 
      • What is my annual deductible & how much have I already met so far this year?
      • Is approval required from my primary care physician?

What should I expect at my first visit?
The initial appointment is scheduled for 60 to 90 minutes. In general, our initial visit is considered a time for your therapist to assess your past history, current problems or stressors and goals for treatment. I will also ask you to complete some questionnaires/measures so that I can get accurate ideas about your challenges and develop a good treatment plan. You will have an opportunity to ask any questions that you may have about the paperwork, or the therapeutic process in general. We will then take time to more fully discuss pertinent history, your presenting problem or need for treatment, and goals that you have for treatment. Based on your particular situation, this assessment and treatment planning may take up to a few sessions. My style is warm, non-judgmental, and supportive. My approach to psychotherapy is collaborative and relationship-based. I want to make sure that we take adequate time to build a trusting therapeutic relationship that will ensure we are meeting your particular needs and goals. You are welcome to ask questions at any point along the way. We will end the initial visit by discussing frequency of sessions and scheduling your next visit, if we both decide to move forward working with one another.

How can therapy help me?
A number of benefits are available from participating in psychotherapy. Therapists can provide support, problem-solving skills, and enhanced coping strategies for issues such as depression, anxiety, relationship troubles, unresolved childhood issues, grief, and stress management. Many people also find that counselors can be a tremendous asset to managing personal growth, interpersonal relationships, family concerns, marriage issues, and the hassles of daily life. Therapists can provide a fresh perspective on a difficult problem or point you in the direction of a solution. The benefits you obtain from therapy depend on how well you use the process and put into practice what you learn. Some of the benefits available from therapy include:

              • Attaining a better understanding of yourself, your goals and values
              • Developing skills for improving your relationships
              • Finding resolution to the issues or concerns that led you to seek therapy
              • Learning new ways to cope with stress and anxiety
              • Managing anger, grief, depression, and other emotional pressures
              • Improving communications and listening skills
              • Changing old behavior patterns and developing new ones
              • Discovering new ways to solve problems in your family or marriage
              • Improving your self-esteem and boosting self-confidence 

Do you prescribe medications?
No. As a Licensed Mental Health Counselor, I am licensed to practice psychotherapy in the state of Washington, and do not prescribe medications. If you are interested in psychiatric medications, we can certainly talk about it and I can refer you to the prescribers at my group practice. If you are currently on medication, I am happy to work with you and coordinate care with your prescriber if you desire, with your written permission.

Is therapy completely confidential?
Information that you share with me will be handled with great care. It is your legal right and my responsibility to make certain that our sessions are kept confidential. In most instances, I will need your written permission before I can disclose any information regarding our work together; however, there are exceptions to confidentiality: (1) when a person is in immediate danger to themselves and others; (2) in case of suspected abuse or neglect of children or vulnerable adults; and (3) when the records are subpoenaed by a court of law. In addition, I may need to exchange information with your medical providers as necessary for treatment and for reimbursement by third party payers (such as insurance companies if you are using your health insurance to help pay for the cost of my services).

Common Questions

“If you don’t like something, change it. If you can't change it, change your attitude.”

      Maya Angelou

   Therapy for Children, Adults, & Families
    Mimi Ogasawara, MA, LMHC, IMH-E® (III)    Therapist in Renton, WA