Post-Traumatic Stress Disorder (PTSD) Support Group
Find support with others who have gone through a traumatic experience. Whether you have chronic or acute PTSD, we are here for you.
Questions about sliding-scale fees.
SleepyWalrus
I need advice on how flexible sliding-scale fees are when it comes to getting therapy/treatment for mental health issues such as PTSD and depression.
Does anyone here have any experience with sliding-scale fees (preferably with extremely low income)?
I've been looking at every concievable treatment option available to me and from what information I have been able to find there appears to be fewer than 40 doctors/therapists where I live who actually specialize in or have experience treating PTSD. Of these, maybe around half say they do the sliding scale fee option. Plus the average normal cost per session that they charge ranges from $140 to $390. Further, not all of these doctors are even covered by my insurance plan.
Another issue I've run into is that at least some of these places require you to provide documentation of how much you earn AND how much your household earns before they'll let you do a sliding-scale payment plan. For various reason it would not be possible for me to provide documentation on the latter due to my situation. Does anyone know if sliding-scale fees ever make exceptions on any of the required documentation if a client is in a situation where it would be unsafe for them to obtain/disclose that information (such as concerns with the other parties finding out)?
Does anyone here have any experience with sliding-scale fees (preferably with extremely low income)?
I've been looking at every concievable treatment option available to me and from what information I have been able to find there appears to be fewer than 40 doctors/therapists where I live who actually specialize in or have experience treating PTSD. Of these, maybe around half say they do the sliding scale fee option. Plus the average normal cost per session that they charge ranges from $140 to $390. Further, not all of these doctors are even covered by my insurance plan.
Another issue I've run into is that at least some of these places require you to provide documentation of how much you earn AND how much your household earns before they'll let you do a sliding-scale payment plan. For various reason it would not be possible for me to provide documentation on the latter due to my situation. Does anyone know if sliding-scale fees ever make exceptions on any of the required documentation if a client is in a situation where it would be unsafe for them to obtain/disclose that information (such as concerns with the other parties finding out)?
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http://www.nami.org/Template.cfm?Section=posttraumatic_stress_disorder&Template=/ContentManagement/ContentDisplay.cfm&ContentID=123099
The free and low cost services (the ones that remained after the budget cuts) where I live are constantly filled well beyond capacity. You often either have to have already been accepted in by a program before it had to stop accepting new clients, or be lucky enough to win a lottery to be accepted into one in order to get into some of the remaining assistance programs.
Some of the other remaining services/programs have requirements that make it questionable as to whether or not they actually make a person better off with them. This includes requiring that the their clients not have a job (or any other consistent source of income) and can't get one while using that service, because if they do that service will cut them off. In exchange the service will provide them with a meager amount of money to try to live off of and pay for therapy/meds with.
http://oppc.mentalhealthexcellence.org/cities/national/
NAMI is just about support... People with like illnesses supporting one another and it's free
I was thinking that if you lived anywhere near a university they may offer therapy if they have a PHD psychology program at a very reasonable cost.... The students would work under a professor
When I used their locator tool to find the nearest therapist in their network though, there was only one counselor listed as being within 100 miles of where I live. They aren't listed as one who treats cases of PTSD either.
the majority of an MDs training, even a psych MD, is about general medicine and about drugs, they don't get taught counseling techniques or get more than an over view of PTSD and trauma
social workers' and counselors' training is almost entirely geared towards counseling techniques and understanding what their clients are dealing with (along with some general training about helping find other additional resources for clients and a few other general things)..
...their training covers trauma and PTSD fairly well, but any who specialize in it, or deal with it a lot, also take ongoing training specifically in it (more ongoing training is required of counselors and social workers than Drs, regardless of specialty - I know that seems crazy, but it's true, but generally that training is in the area or areas of specialty so they get to know those areas extremely well)
this is not at all to put Drs down, or anything, but it's to say that rather than writing off MAs and MSs, you could very likely find better help for what you need from them than from a Dr
It was also a pretty good variety of different types of professionals (therapists, social workers, clinical, doctors, etc) and education levels. As long as they're affordable, understanding, able to treat the issues I'm having and aren't the type of person who falls into any of my major trigger categories I'm happy.
Another problem I'm facing with all of this is that I am very reluctant to go to one who is a woman. My issues stem from many, many years of emotional and psychological abuse prepetrated nearly exclusively by the girls/women (including my own mother) around me as I grew up, and even thru college.
Shortly before seeking support groups it had reached the point where on a bad day even thinking about interacting with women could result in brief periods of very mild psychosis or visual/audio hallucinations (I don't know for sure if "psychosis" is the correct term for stress/trauma induced temporary hallucinations). Thankfully having a supportive outlet like this site to talk about these issues and vent has helped bring those particular issues back under control.
The point I'm getting at is that for me, seeing a female therapist/counselor/etc about my problems would be like a rape victim going to a therapist who happens to look and sound like their rapist.
Generally I am able to become confortable speaking with women if I've known them for a few months (such as a coworker) and in that time they have never done or said anything that would lead me to suspect they might be insensitive to my issues or turn out to be another one who will be abusive to me in some way or another.
This is part of the reason I want to find a therapist or other professional who is affordable enough that I could afford at least 2 sessions with per month. That way if I am forced to go with one who is a woman I can hopefully become comfortable enough around her to work on getting well sooner than if I were only seeing her once a month.
I also still have to weed out the ones who won't do sliding-scale fees, determine which ones will do sessions on weekends, and find out which of the remaining options will accept pocket lint as payment.