Frequently Asked Questions

There are no dumb questions, especially in therapy

Frequently Asked Questions

Here are the most frequently asked questions I hear as a
family therapist in Gilbert, Arizona

Yes! Currently, I accept Aetna, Cigna, United Healthcare, UMR, and most Blue Cross Blue Shield plans. Every insurance plan is different. When you fill out your initial paperwork, you will submit a copy of your insurance card so I can contact your insurance company and verify eligibility of benefits. I will then contact you (via email) and provide you a benefit summary. Some plans require a co-pay while others require you meet an annual deductible before benefits commence. I strongly encourage you to contact your benefits provider to verify eligibility before commencing services.

Prior to your first appointment, there will be a number of forms you must fill out online. The first session can last between 50 and 60 minutes. I will will review the completed forms with you and will answer any questions you may have. We will talk about your concerns and what you hope to accomplish through therapy. If you are brining in your teen for therapy, the parents may be invited to join the session for the last 5-10 minutes at which time we will discuss if you both think I’m a good fit for your teen and family.

In general, the law protects the confidentiality of all communications between a client and a mental health clinician. No information is disclosed without prior written permission from the client. You should be aware, however, that if you use insurance benefits to pay for all or part of your therapy, some information about your treatment will need to be reported to your insurer.

In addition, there are some special circumstances in which the law requires therapists to break confidentiality. These exceptions include:

1. If you present a danger to yourself, to others, to property, or are unable to care for yourself.
2. If there is suspected past or present child, dependent, or elder abuse or neglect.
3. If the court orders a release of information as part of a legal proceeding, or as otherwise required by the law.

Therapy sessions are typically 45-50 minutes, while groups run longer per session. You will typically meet on a weekly or bi-weekly basis depending on your needs. Typically, most clients meet with their therapist 6-10 sessions, however, together we will decide the best course of treatment.

I recommend that you tell your teen that he is required to come to one session, but that after that session, he/she can determine whether or not he/she would like to return. This is often very effective because by the end of the session, teens typically feels heard and understood and many of the misconceptions they may have had about therapy are dispelled. In most cases, your teen chooses to return to therapy. This is also very effective because it allows the teen to participate in therapy by choice and not because the parents are requiring it. The teen is then more committed to therapy and to the change process.

I will always tell the parents, as is required by law, if we believe the teen is a danger to himself or others. For therapy to be successful, the teen must have the ability to talk freely, without feeling like the therapist will share confidential information with their parents. Therefore, if we see a teen for individual therapy, I will not disclose information to the parents without the teen’s consent unless I believe that the teen is a danger to himself or others. I always encourage the parents to call us with any questions or concerns throughout the course of treatment.

As mental health therapists (or counselors) the scope of treatment is talk-therapy. A therapist must be working toward or have their masters degree, and participate in yearly continuing education. Therapists can be a Licensed Professional Counselor (LPC), Licensed Social Worker (LSW), Licensed Associate Counselor (LAC) or a Marriage and Family Therapist (LMFT). In addition to talk therapy, psychologists also provide psychological testing for schools, courts and other entities. Psychiatrist has attended medical school and tend to focus their treatment on understanding the diagnosis for the purpose of managing a psychological condition with medication. If your therapist feels that you may benefit from medication, she or he will provide you with a referral to a prescriber. A psychiatrist is a medical doctor that specialists in behavior. If medication is necessary, typically in these clients, medication and talk therapy are used together. Medication therapy is not a replacement for talk therapy.

Counseling is not a quick cure for your problems. The counselor is there to help you explore your feelings, thoughts, and concerns; to examine your options; and to assist you in achieving the goals you have set. Therapy, like life, is a process. I strive to help you learn to trust this.

As a Family Therapist in Gilbert, Arizona I can help clients in Gilbert, Chandler, Queen Creek & San Tan. 

I prefer to meet in person, but am available virtually for special situations

How Does it Work?

There’s no one-size-fits-all solution when it comes to therpay.

Gilbert Marriage and Family Therapist Tino Silva

About Tino Silva

I am a licensed Family Therapist in Gilbert, Arizona. With years of experience and helping others, I can tell you that therapy will help if you’re having trouble.