Waterman & Associates
Psychological and Counselling Services

Frequently Asked Questions

Questions:

  1. Do I need a referral to see a therapist at Waterman & Associates?
  2. Are your services covered by the BC Medical Services Plan (MSP)?
  3. What is the difference between a Psychologist and a Psychiatrist?
  4. How long does treatment take?
  5. I am nervous about anybody finding out why I am coming for help; how confidential are your services?
  6. What does the term "Registered Psychologist" mean?
  7. How much does psychotherapy/counselling cost?
  8. What is a psychological assessment?
  9. Can clients be seen after 5:00 p.m. or on weekends?
  10. Can I bring someone in with me?
  11. Do I have to pay at the time of each session?

Answers:

  1. A referral is not necessary to see the psychologist or social workers at Waterman & Associates. However, some insurance or extended benefit plans do require a referral from your physician. Some insurance plans also require an initial assessment followed by a brief report before psychotherapy/counselling sessions will be approved. You may want to check with your particular insurance or extended benefit plan to find out what the requirements are. If you have other questions, you can call our office. We are familiar with most of the plans available to residents of British Columbia.

    The psychologist and social workers at Waterman & Associates are independent practitioners who function within the Practice of Waterman & Associates. To make an appointment with any of the therapists, you may contact our office to make an appointment.

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  2. Some people have extended medical plans which do cover the services of Registered Psychologists and in some cases, other counselling services. However, we are not covered under the general MSP plan. We have found that many people have benefit plans through their Employee Assistance Plans that cover our services either in whole or part. Other clearly defined groups such as Veterans', First Nation's people, Victims of Crime, and other such groups have benefits available to them. If you are unsure, please contact our office and we will try to be of assistance to you. Most insurance plans we have found want their clients to pay for therapy services directly and then submit their receipts for reimbursement.

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  3. A Psychologist completes undergraduate and graduate work in psychology, usually in one or more certain areas of interest (i.e. clinical, developmental, neuropsychology, etc). In BC, the usual criteria for registration as a Psychologist is the Ph.D. degree. However, with the Free Trade Agreement and the Mutual Recognition Agreement, some psychologists may be registered with an MA degree. Such individuals may have full registration or limited registration, depending on their training and experience. Psychologists do not have the ability to write prescriptions for medications and do not have admitting privileges at hospitals. Psychologists are regulated by the College of Psychologists of BC and their fraternal organization is the BC Psychological Association.

    A Psychiatrist is a physician who completes medical training and then goes on for further training in a particular area of interest (ie, gerontology, child, adolescent, etc). Psychiatrists in BC usually have admitting privileges at hospitals and are able to write prescriptions for medications.

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  4. The length of treatment required for a particular problem varies depending on a number of characteristics. The seriousness of the situation, your ability to respond to treatment interventions, the kind of situation you are trying to resolve, whether there is one or more area of difficulty to be treated, and other such aspects can all influence the duration of treatment. In some situations, there are a variety of ways in which a problem can be approached. Your therapist will discuss the options with you after they have finished assessing your specific situation.

    It is important that you are comfortable in discussing your situation with your therapist and asking any questions that you might have. If for whatever reason you are not comfortable after the first or second session, we encourage you to ask your therapist to refer you to someone else in our Practice. Our primary concern is that you receive the best treatment available that will allow you to resolve your particular difficulty as quickly and effectively as possible. The therapists and staff at Waterman & Associates are committed to ensuring that you receive the best treatment available for your particular situation.

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  5. Confidentiality is extremely important within our Practice. Any staff member found breaching confidentiality is subject to immediate disciplinary action including dismissal. Any therapist who breaches confidentiality is subject to disciplinary procedures through their respective Colleges and governing bodies. Under law, we are required to report any child abuse that we learn about, any threat of harm to another person, and must act to protect someone who is at imminent risk for harming themselves. Otherwise, we do not release any information about you without your permission. In some cases when you are being sent for assessment or treatment by a third party who is paying for you (ie WCB, ICBC, certain insurance carriers, or other such situations), information is required to be sent to the third party. However, this is clarified with you in your initial session. Periodically, we may consult with each other in order to determine the best course of treatment. When this is needed, you will be consulted prior to it happening and your identity will be protected. Only the necessary information will be disclosed in order to get feedback and other opinions about how best to proceed. In all cases, our primary concern is that you receive the treatment that you require in a safe, comfortable and confidential environment.

    Click here to see our Office Policy regarding Confidentiality

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  6. The majority of Psychologists practicing in the province of BC have to be registered with the College of Psychologists of BC, the organization responsible for the licensing and regulating of psychology within this province. At the present time, there are several exceptions. These include individuals practicing in Mental Health Centers who may or may not have their Ph.D. or be registered with the College of Psychologists. Similarly, individuals practicing in Corrections facilities and School Boards in the province do not have to be registered with the College of Psychologists. These latter individuals typically refer to themselves as School Psychologists and limit their practice to matters pertaining to the academic setting. (These exemptions may change as the Government has indicated that they would looking at having all psychologists practicing in the province to be regulated by the College of Psychologists). At the present time, University-College professors also do not need to be registered with the College of Psychologists in order to refer to themselves as a psychologist. All other individuals practicing in the province must be registered. Therefore, if someone refers to themselves as a "Psychologist", it usually means they are registered with the College of Psychologists. To check on this, you can ask them for their College registration number, check on the College website to see if they are listed (www.collegeofpsychologists.bc.ca) or telephone: (1-800-665-0979) or check in the yellow pages. All psychologists are now required to put their registration number in their yellow page ad.

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  7. The recommended rates for Psychologists practicing in BC are set by the BC Psychological Association. Psychologists are not required to comply with those recommendations and may charge less or more depending on the services required. Specialty services such as certain kinds of assessments or other specialty areas may cost more than psychotherapy. The Social Workers in our Practice set their own rates usually in comparison to what the Psychology rates are.

    When considering the cost for psychotherapy/counselling, it's important to consider what you are getting for your money. All of the therapists including the individuals who provide assessment services have at least a Masters level degree or a Ph.D. in Psychology. The Masters degrees include specialties in Psychology or Social Work. The educational level of your therapist provides you with reassurance of a certain degree of knowledge and confidence in their ability to provide the services that you require. Typically, the higher the degree, the more knowledge and expertise is indicated. In some cases, individuals at a Masters level may specialize in certain areas and develop specialty areas of practice on that basis.

    It is also important to note that generally speaking, the higher the educational level of the practitioner, the more quickly and effectively they can help you resolve your difficulties. While talking to someone with lesser qualifications may feel good at the time, if you have to continue in counselling for years with that individual, the cost of such counselling will far outweigh the costs associated with a more competent practitioner. At Waterman & Associates we recommend that you set specific goals with your therapist at the beginning of your psychotherapy/counselling and periodically check to see whether or not you are achieving what you need.

    Finally, it is important that you ask any questions that you may have of your therapist in your first interview. Don't be afraid to ask how long they have been practicing, whether or not they have treated difficulties such as the one you are experiencing, what kind of psychotherapy/counselling they provide, how long it typically takes to resolve difficulties in that area, and any other questions that you need to ask to feel secure and comfortable. If a therapist is unwilling to provide that information or seems annoyed at you asking, you may want to consider finding someone else. Certainly the therapists at Waterman & Associates are comfortable providing such information and recognize that its an important aspect of developing trust and rapport.

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  8. There are many kinds of psychological assessments. Typically, an assessment will involve at least one interview in which the therapist gathers information from you relevant to the assessment that is needed. The assessment may also involve psychological testing. The kind of tests administered will depend on the assessment being conducted. For example, if someone is having difficulty coping in various areas of their life, it may be worthwhile conducting an assessment involving psychosocial information, personality testing, and other tests that gather specific information about certain areas of functioning. If a student is having difficulty at school, a psychoeducational assessment may be indicated to determine whether the individual has a learning disability or some other kind of limitation that is impacting on their ability to be successful at school. The kinds of tests will also vary depending on the age of the person being assessed.

    Some assessments such as those in the area of forensic psychology are quite involved and complex. For example, an assessment to help determine custody and access for a child may involve thirty-five or more hours of assessment. Similarly, a neuropsychological assessment to determine whether an individual has brain damage that is impacting on their ability to perform is also very involved and complex. Typically, the more difficult the questions that need to be addressed, the longer the assessment process will be.

    At Waterman & Associates, we are pleased to outline for you what we think will be involved in a particular kind of assessment. Sometimes, assessments are conducted in stages. The initial stage is done to gather information about what other specific areas need to be addressed. Such an assessment process allows us to keep the costs lower for you while ensuring that you get the information you need in order to address the difficulties that you or your child is having. Generally, the benefit of a psychological assessment is that it allows a great deal of information to be gathered in a relatively short and efficient period of time. This allows you to get the information you need in a timely fashion while keeping the cost of the assessment at a reasonable level.

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  9. Our usual hours are from 8:30 a.m. until 5:00 p.m. Monday through Friday. However, sometimes special arrangements can be made for your therapist to see you later in the afternoon or on a weekend. That is something you would need to ask when you come in for your initial assessment or even when you are phoning to make a first appointment.

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  10. Usually there is no problem bringing someone in with you. Sometimes people like to bring a friend or family member with them for their first appointment until they get to know the therapist. When doing psychological testing, it is not possible to have someone with you since you need to be able to focus on what is being asked and to respond in a timely matter. Having someone else in the room can often be distracting under such circumstances. However, the person doing the assessment can certainly take time to meet and get to know you before beginning the testing if you wish. During that initial time, if you wanted to have someone in the room, that would be up to you. You should also be aware that by having someone else come in with you, you are limiting the confidentiality of the information that you are going to be sharing with your therapist. However, if it's going to make you more comfortable in the first session, by all means bring someone with you.

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  11. Unless your psychotherapy or assessment is being paid for by a third party or someone else or you have made special arrangements with our office, our expectation is that you will pay for each session as it occurs. We usually recommend that you pay for the session prior to going in for the session. That makes it easier for you if upsetting material is discussed during your session and you want to leave without having to worry about making your payment. If for any reason you don't use your complete hour, we will gladly refund whatever portion was not used or apply it to the next session for you. Generally, it's a good idea to get any funding questions out of the way prior to your first session.

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Waterman & Associates
   
12-1599 Dufferin Cres  
Nanaimo B.C.
V9S 5L5
Phone: (250) 754-8559
Toll Free: 1-888-422-5888
Fax: (250) 754-2349

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