Contact

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Rhett Smith
admin@rhettsmith.com
(469) 304-9022

 

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Frequently Asked Questions

  • I am an out-of-network provider and do not accept insurance. Full-payment is due at each session. I am often covered as an out of network provider on PPO plans. I can provide a super-bill at the end of each session, which you can send to your insurance carrier to seek reimbursement. Services may be covered in full or in part by your health insurance or employee benefit plan.

    Please check your coverage carefully to verify specifics of your particular insurance coverage and ask the following questions: Do I have mental health benefits? What is my deductible and has it been met? How many sessions per calendar year does my plan cover? How much does my plan cover for an out-of-network provider? What is the coverage amount per therapy session? Is approval required from my primary care physician?

  • As a Licensed Marriage and Family Therapist, my graduate training was based in family systems therapy (also known as Bowenian Family Therapy). I believe that when I work with you I must always keep in mind that you exist in a larger relational system, and are, therefore, impacted by the larger system which includes family of origin, as well as any other relationships that you come into contact with over your lifetime, whether that be close friends, acquaintances, or previous relationships. All of these relationships and the experiences you have leave an impact on who you are, often shaping you into the person that you are today. As a therapist it is important to not only keep this system in mind for the benefit of the person sitting in front of me (you), but for the people in your life who will continue to have interactions with you (i.e. partner, kids, parents, colleagues, etc.).

    With this system’s theory in mind, I also practice from a variety of other models such as existential, narrative and cognitive behavioral. But the primary model that I practice out of is Restoration Therapy, founded by Dr. Terry Hargrave, who I trained under and consider a close friend and mentor. Restoration Therapy embodies the best of many therapies, specifically focusing on issues of attachment, emotional regulation, mindfulness, and skills training. It is within this framework that I also utilize my training in other modalities such as EMDR.

    What is essential to all the work that I do is that I help create an emotionally safe environment where you feel valued as my client. It is only in such settings one can do their necessary work.

  • There are many nuances in answering this question, but typically I tell clients that therapy often involves a deep dive into one’s past and experiences, going into depth of one’s emotional life and state. This type of depth is required to help clients find healing and restoration, as well as find agency to make the changes they want to make in their life. While coaching tends to focus on helping clients identify specific goals they want to work towards and take immediate action on, without exploring one’s past experiences or trauma.

    As a clinically trained and licensed therapist, as well as a clinically trained and board certified executive coach, I believe I bring the best of both into my work. In therapy I can often help clients create goals and create change that don’t often require as many sessions or as in depth analysis, while in my coaching work I can help clients quickly identify hidden emotional and relational barriers that can keep them from achieving the goals they set out to accomplish.

    Since the nature and practices of therapy and coaching differ, I help clients come to a collaborative decision about which path is best for what they are trying to work on and accomplish. Therapy is done in my office in person, while coaching is often done out of my office and in the client’s organization or an agreed upon meeting spot. Both can be done in person or via video or phone. Therapy typically is done in 1-2 hour sessions on a weekly or bi-monthly basis, while coaching requires a signed 3-12 month contract.

  • Yes, I provide online therapy via video, as well as doing phone and in person sessions.

  • The first session is an initial intake that will be focused on several different things, but primarily answering the question of whether or not this therapeutic relationship is a good fit for both you and I. As your therapist, do you feel a safe and trustworthy connection with me, and do you feel like I am equipped to help you? And as my client do I feel like I am equipped and within my scope of practice to help you?

    In that first session I will also discuss what the investment of time, energy and finances might look like to find positive change towards the problem you are trying to solve. That will mean discussing frequency of counseling, possible time frame of counseling, and how to get the most out of our work together.

  • In our initial intake I will discuss with you what will be required to successfully navigate the issue and find change. If it is a newer issue it may require only a few sessions, where issues that have been present for a long time may require several months or longer of therapy.

    I usually recommend that we communicate the frequency of therapy you are able to attend considering your level of commitment of time (in and out of therapy), energy, and finances that you are wanting to devote to bring restoration to the issue that brings you into therapy.

    Within that conversation I typically ask that you find a consistent day or time each week, or every other week, where we can meet. This helps create momentum in working on the issue at hand, and over time we can discuss the evolving nature of the therapy and what changes can be made in terms of frequency.

  • Sessions are typically 55 minutes long, but you have the option to do a longer session (90–110 mins). Often people will schedule longer sessions for more intensive type work.

  • I was raised in a Protestant, Evangelical tradition, and also received my Master of Divinity and pastored for many years. I will integrate my faith into the counseling process when it is desired by the client, or where I see connections that may help provide breakthroughs in the therapeutic process. But though I am a Christian, I work with Christians and non-Christians, people who express their faith in a variety of ways, and people who express no interest in faith or God.

    I am very sensitive to the sacredness of the therapy session and the trust that clients give to me. My job is not to impose my views on the client, but to help the client work through any issues they bring into the therapeutic setting.

    I have had many years working in a variety of faith settings such as the church, but my clinical training and early experiences in community mental health taught me to approach counseling with the best tools available and to integrate my faith when it is desired by the client. I am comfortable and confident in working with whatever issues someone brings into counseling, regardless of their perspectives. If you have any questions or concerns about this, please feel free to contact me.