Working with Nina and Lyra Health
Working Vibe
You can expect for Nina to be interactive and engaged. She will share information with you about the brain, body and how they impact well-being. She likes to ask of clients: patterns of behavior, noticing physical sensations, and at times to take it slow. How we grow up can be quite impactful so we will likely talk about that too.
Tracking how things are going is really important. It helps to keep us organized and focused on what matters most to you right now so we will talk about the primary areas of change you'd like to address throughout our time working together.
Licensure by State
CA, MA, NV, PA, TX and WA
States require that therapists are licensed in the state where the client is physically located for that session.
If you are not located in one of these states for our session, then we will reschedule. Late cancelation will apply if it's less than 24 hours.
It is required to ask you for your physical address at the time of session to confirm location and in cases of emergencies.
Tracking Progress
You will receive occasional emails from Lyra Health asking you to complete questionnaires and surveys. These are meant to capture how therapy is going for you and provides insightful information on your experience. It is not a requirement to fill these out but they are quite helpful.
Appointment Scheduling
Appointments are scheduled for 50 minutes.
We continuously discuss how often to schedule sessions and when to end treatment.
I will hold a regular time and day for you.
Should you elect to not have a dedicated time and day then we will be flexible in scheduling and there won't be a guaranteed slot.
For your privacy, we do not accept friend requests nor do we “like” or “follow” clients on social media.
We have some public internet sites, which serve to share resources and helpful information about therapy.
It is discouraged to interact in both a therapy and social media capacity due to conflict of interest. We are not allowed to ask for endorsements about the care that you received.
We realize that clients like to share on these public forums and ask you to consider your privacy when doing so.
If you decide to share then that is a sign of permission to discuss your care publicly. We may respond to what has been written about SFC Change PLLC on public facing websites or forums.
Should you feel that having a recordings or screenshots of our sessions would be beneficial to your care then please talk with the therapist about this request.
We ask that you do not record , take pictures, nor post or share information about your therapy unless you have talked with the therapist about this.
We can use the Lyra Health messaging system for most communication. At times email, phone or text may be necessary but we can review that as needed. I do my best to respond to messages within one business day.
Attendance
It is highly recommended that both people are present for the session for the entirety of the session as a sign of commitment to the work and the relationship. Life happens and when one person has to make the decision to miss all or part of the session, then please provide notice. We can continue with one person.
The Pass Rule
If either person doesn’t want to answer a question, they can simply pass. This is a form of taking care of oneself as well as the relationship; make your choice with care and all will respect that choice.
Relationship Confidentiality
Individual sessions between therapist and one partner can be confidential between the two of them; sessions with both partners are confidential. If one partner individually tells the therapist private information, then the therapist will work to keep that privacy. It is very helpful for your therapist to have all available information in order to be effective. It will be a goal to eventually address all information together.
Primary Contact
While attempts and efforts will be made to include both people in communication, the primary contact will be the responsible party and primary point of contact. When using employer, insurance, or other payer benefits, the Primary Contact will always be the beneficiary.