Michael Sibrava brings over 20 years of experience working in community mental health settings, private practice, group and classroom settings. His experiences working with a wide range of people informs his ability to provide flexible, adaptive treatment to meet a person’s unique needs. Having worked in such diverse settings allowed to Michael recognize that each person has their own foundation of talents and resources from which to grow. This insight instructs the respect Michael has for each person’s experience and dignity.
In person sessions remain an option for therapy. There is some benefit in having time to step away from the business of the day and prepare for a session. The time following the session also give a moment to acclimate back to the rthym of the day following sessions. As convenient as telehealth may be, we relate differently with people in a room than we do with a person on a screen. Body language and expressions are not always portrayed through a camera. As needed, there is flexibility to change the scheduled format from in person to telehealth or vice versa, thankfully.
Telehealth does provide a flexible platform for therapy. When distance or health are concerns, arranging for a telehealth sessions offers a helpful adaptation. There are some considerations like privacy and safety. I typically meet with clients through Doxy.me - a HIPAA/HITECH compliant platform. As a client, it's helpful to be mindful that you're in a safe, relaxing, and private place to attend the session. There is much work that can be done through a virtual meeting, without making the way to my office on First Hill.
Currently, openings are limitted. When there are openings, 30 minute introductions give a moment to get a feel for the relationship and presense. One of the greatest predictors for success is a client's relationship with the provider.
Sessions typically last 55 minutes. (Some insurances limit the time to 45 minutes.) This time can take on different qualities depending on concerns addressed. A cornerstone of psychotherapy is building insight in order to create change. There are many settings and activites that are therapuetic, and when sitting with another person who is attentive and atuned, there are some insights that other activities might not provide. Each session allows for adjustment so that the real change comes between those sessions.
Much can be accomplished and covered in an hour. There are, however, times in which some extra time may be helpful to complete EMDR, engage in assessment, or planning future sessions. Couples sessions can benefit from the extra time. If exteneded sessions are necessary, they will be planned before the session begins.
In network with
AllOne Health EAP, Aetna, Cigna, Kaiser Permanente PPO, First Choice PPO, Lifesynch/Humana, Lyra, MHN, MHNet, Multiplan, Tricare, Regence Blue Shield, Premera, United Behavioral Health/Optum, United Healthcare, Beacon Health
Check with your insurance customer service to confirm coverage. I am happy to work with other insurance companies if I'm not a preferred provider. Typically out of network claims will cover a certain percentage of the fee.
Payments can be made by cash, check, PayPal, or