- CLOSE
- CREDENTIALS (1-3)
- close
- 1. What does LCSW mean?
LCSW stands for Licensed Clinical Social Worker. It is the final level of Louisiana licensure for social workers and licenses those who hold it to engage in direct practice without supervision.
[Return to Top]
- close
- 2. What do Mark's other credentials mean? Specifically: ACSW, QCSW, MFA, MSW, Diplomate Academy of Cognitive Therapy?
ACSW – Academy of Certified Social Workers, “the most widely recognized and respected social work credential.
QCSW – Qualified Clinical Social Worker, “distinguishes expertise and experience” and “announces expertise in clinical social work practice.” ACSW and QCSW are both issued by the NASW – National Association of Social Workers.
MFA – Master of Fine Arts, a terminal degree in creative arts. Mark obtained his first Masters degree (MFA, Cinema-TV Production) from the University of Southern California.
MSW – Master of Social Work, a professional degree. Mark obtained his second Masters degree (MSW) from Tulane University.
Diplomate, Academy of Cognitive Therapy – an “exacting certifying credential for cognitive behavioral therapists” who have “demonstrated an advanced level of expertise in cognitive therapy.”
[Return to Top]
- close
- 3. What are Mark's academic credentials?
Mark has graduated with Honors from Brown University, subsequently earned two Masters degrees from University of Southern California and Tulane University, and spent fourteen years as a university professor, including most recently at the Tulane School of Social Work.
[Return to Top]
- CLOSE
- ABOUT MARK AND HIS PRACTICE (4-13)
- close
- 5. What types of problems do Mark’s clients typically have?
While Mark does not view a client as a person with problems, he has successfully helped people who have had issues surrounding depression, anxiety, lack of sobriety, relationships, anger, psychological trauma, difficulties with money, schizophrenia, attention deficits, and learning disabilities.
[Return to Top]
- close
- 6. Does Mark have a general treatment philosophy?
Mark believes psychotherapy is effective when the client is involved in collaboration with the therapist. He tries to adapt his style to your needs, values, and interests. It is essential that you are engaged in your treatment. Mark welcomes you to ask questions and offer feedback as you work together.
To lay it out in fancy language:
The goal of any therapy is to gain “stress inoculation” and “affect tolerance.” This psychological flexibility is developed by attenuating both distorted thinking and disturbing memories. The result is knowing how to balance acceptance and proactive change.
Living Yes and CBT can help you clarify distorted thinking. EMDR relieves disturbing memory patterns. The result is a greater ability to adapt to the ongoing events you are facing in your life (psychological flexibility), acceptance of the feelings you experience (affect tolerance), and an improved capacity to meet life on life’s terms (stress inoculation).
Although Mark offers CBT and EMDR separately, they work effectively in tandem. CBT and Living Yes function as a resource to help maintain psychological flexibility when working with trauma (EMDR and IFS).
- close
- 7. How is treatment with Mark different?
Although Mark is warm, calm and likable, he is not a passive, “hand patter” type of therapist. Rather than inviting you to vent or complain, he will challenge you (kindly). He believes that insight is not enough; action is required. He helps you shift your frame of reference. This type of therapy is rare. It requires a therapist who possesses both a vision of health and a healing process that works.
Mark is a teacher who adjusts his “curriculum” to meet your needs. He is both directive and adaptable. For example, he responds to trauma differently than cognitions, going slow and easy with these tender stories, allowing you to set the pace. With regard to your distorted thoughts (cognitions), Mark will encourage you to resist them at every opportunity, and he will teach you effective ways to do so. (Discerning whether a client is experiencing trauma or cognitive distortion is part of the craft of therapy.) Mark’s approach is grounded in theory and follows a two track workflow structure.
As Mark’s friend Jim says, “If you want to find a therapist who simply tells you what you want to hear, whether or not it’s what you need to hear, then Mark is not the therapist for you. There are many other therapists out there who will fulfill that wish and take your money in the process.”
- close
- 8. What is Mark’s personal background?
Since therapy is about you and not about Mark, this question is best answered on a limited basis.
Licensed Clinical Social Worker in Louisiana (#9291), Diplomate, Academy of Cognitive Therapy,
Masters in Social Work, Tulane University,
Masters of Fine Arts, University of Southern California,
Bachelor of Arts with Honors, Brown University.
Worked and trained at the Department of Veteran's Affairs, Bridge House, DePaul Hospital, Catholic Charities, St. Charles Parish Schools.
Mark spent fourteen years as university professor and eleven years in the entertainment business in California. He has lived in New Orleans since 1997, is married, and has one adult stepson.
[Return to Top]
- close
- 9. What kind of person is Mark?
Mark is a natural teacher. He is calm and cares about your well-being. He wants you to learn and grow. Mark is not afraid to tell the truth, even when it may not be comfortable, but he is sensitive about how much he says. Mark sees others at their highest potential, without judging, and he offers you the chance to see yourself in the same way.
[Return to Top]
- close
- 10. Does Mark have a bias for or against religious or spiritual beliefs?
Mark is open to all religious and spiritual orientations, including “none of the above.” He has observed in his therapy practice, including his work with twelve step programs, that a faith in something greater than oneself is helpful for healing. He has also observed that “psychological flexibility” helpful for healing.
[Return to Top]
- close
- 11. Does Mark have a political prejudice?
Mark is open to all. He believes that to be open-minded leads to be open-hearted.
[Return to Top]
- close
- 12. Does Mark work with all races, ethnicities, and nationalities?
Yes! Mark is open to all. Of course, he recognizes that cultural treatment and community environment have a profound effect on each person’s worldview.
[Return to Top]
- close
- 13. Does Mark work with transgender, gay, and lesbian clients?
Of course. And as in the previous question, sensitivity is essential with any and all cultural and anti-cultural identities.
[Return to Top]
- CLOSE
- PRIVACY (14-17)
- close
- 14. What happens if I run into Mark in public?
To preserve your confidentiality, Mark will not openly acknowledge you in public unless you acknowledge him first. You have no such obligation and are free to greet Mark if you wish.
[Return to Top]
- close
- 16. What are Mark's therapy boundaries?
Mark maintains confidentiality within legal limits and has no sexual or fiduciary (business) relationships with clients. Mark does not fraternize with clients after establishing a therapeutic relationship. If he runs into a client in the community, he will only acknowledge that person if he is acknowledged first.
[Return to Top]
- close
- 17. What are the legal limits of confidentiality?
Unless you provide a written release, Mark will keep everything you say confidential unless: you state intention to harm yourself, someone else, that you have hurt a minor, an elder, or someone who is disabled, or he is compelled to testify in court.
More specific detail about limits to confidentiality will be discussed at the first session and may be viewed with the other office policies may be found here.
[Return to Top]
- CLOSE
- MAKING CONTACT ~ FIRST SESSION (18-22)
- close
- 18. What happens when I first call Mark?
If you leave a message, Mark will personally call you back within one working day. Together you can decide whether the next step is an appointment, a referral, or “none of the above.”
[Return to Top]
- close
- 19. How do I prepare for my first session?
You will be asked to complete some paperwork in advance, which will make more time in the first session to focus on your needs. There is no requirement to prepare.
You may want to consider a way to describe what brought you in for therapy and what types of goals you have. Don't worry if that is hard to do on your own. That is why Mark is there to help.
[Return to Top]
- close
- 20. What do I wear? Are there any conduct guidelines? May I smoke?
Most clients wear comfortable clothes appropriate to a professional setting. In the office policies are some general personal conduct guidelines: "Please show respect for fellow clients by maintaining propriety and good taste in conduct, hygiene, and appearance. Please refrain from smoking inside or in front of the office.
[Return to Top]
- close
- 21. What happens during the first session?
In the intake-assessment sessions, you will spend time with Mark to see if you can develop a rapport. After reviewing your new client paperwork, Mark will discuss your responses to the self-assessment questions (called a “diagnostic interview”) to learn about your needs and background. Perhaps you will have a chance to identify some therapeutic goals.
These are not therapy sessions. Those start after Mark has completed a treatment plan based on your goals.
[Return to Top]
- close
- 22. What is a treatment plan?
A treatment plan is a structure that addresses your complaints. It includes a problem description, interventions that may be used, and desired outcomes / goals. A treatment plan may be revised as you reach your goals or shift your needs. Mark will write the treatment plan and goals with your input.
[Return to Top]
- CLOSE
- THE NATURE OF THERAPY (23-32)
- close
- 23. What will therapy be like with Mark?
Some of the common qualities include identifying how you are feeling, seeing, doing, mastering new coping skills, discovering ways to free yourself from your own thinking traps, learning to overcome obstacles, applying what you are learning in therapy to your life, exploring your own gifts as a person, taking responsibility, and accepting yourself as a human being.
- close
- 24. Will I lie on a couch?
- close
- 25. Will I have to talk the entire session while Mark sits there and listens to me?
- close
- 26. Will Mark offer passive support, or will he offer direction?
- close
- 27. Will Mark give me advice?
- close
- 28. Is therapy painful?
- close
- 29. Will I have to talk about my past?
- close
- 30. Is this like buying a friend?
Each session has a set purpose and is always about YOU. Additionally, Mark is prevented from having a balanced friendship with any of his clients as a result of professional boundaries, legal oversight, best practices, and confidentiality limits.
- close
- 31. Can I become dependent on therapy?
Mark will help you decide how long to remain in therapy. Mark will not indulge you if you are not working to get better. Mark will not kick you to the curb if you are in need.
- close
- 32. Can I get better without therapy?
- CLOSE
- INTERVENTIONS (33-37)
- close
- 33. What types of therapeutic interventions does Mark use?
When CBT is difficult to tolerate and there is much trauma, he relies on EMDR. supplemented by IFS. Mark also relies on common sense and the client’s spirituality and human strength.
In addition to CBT, EMDR and IFS, Mark has studied and been trained in other interventions. While these areas that inform his thinking, they are usually secondary in his treatment approach. Mark is trained in AIT (for trauma), ACT (an integrated cognitive system), Art Therapy (discovering creative potential), Behaviorism (taking actions to help outcomes), Exposure (to tolerate past memories), Mindfulness (being present and practicing meditation), Object Relations (effects of early childhood), Psychodynamics (influences of the unconscious mind), and the Twelve Steps (a spiritual practice for addiction recovery).
Mark has developed Living Yes, which distills ideas from CBT, Mindfulness, and other business and psychological concepts into an essential practice that is simple, but challenging. Mark plans to make Living Yes available to the general public in the future. You may read more about Living Yes at www.LivingYes.org.
- close
- 34. What is CBT (Cognitive Behavioral Therapy)?
“Cognitive therapy is one of the few forms of psychotherapy that has been scientifically tested and found to be effective in over three hundred clinical trials for many different disorders. In contrast to other forms of psychotherapy, cognitive therapy is usually more focused on the present, more time-limited, and more problem-solving oriented. Indeed, much of what the patient does is solve current problems. In addition, patients learn specific skills that they can use for the rest of their lives. These skills involve identifying distorted thinking, modifying beliefs, relating to others in different ways, and changing behaviors.” Judith Beck, Ph.D. http://www.academyofct.org/faq/
“Cognitive” means thinking; “Behavior” means doing; and “Therapy” means healing. Cognitive therapy relies on the idea that because thoughts generate your feelings, you can train yourself to manage your thinking in a way which will help you reduce the discomfort of painful emotions.
The behavioral therapy component of CBT relies on taking positive actions to also improve thinking and encouraging further positive actions. Continued work with CBT reveals destructive lies you have come to believe about yourself. Using your own values, you can train yourself to reverse these lies and not succumb to your own dysfunctional thinking and behaviors.
- close
- 35. What is EMDR Therapy?
EMDR is a therapy that relieves small and large traumas by using the healthy parts of the brain to integrate with memory networks that have become stuck. EMDR is a complete therapy that makes use of a memory activating technique called alternating bilateral stimulation (BLS). EMDR relies much less on talking description than traditional therapies such as CBT.
In order to help ease the challenge of re-visiting a past trauma, Mark uses EMDR Resourcing and IFS. These techniques allow EMDR Therapy to work effectively and more easily, without re-traumatization.
Read a paper Mark wrote about EMDR.
Read a brief description of IFS.
- close
- 36. What is Living Yes?
There is abundant information about Living Yes, including the Living Yes principles and how to join the mailing list, at www.LivingYes.org
- close
- 37. Do I have to be in therapy in order to study Living Yes with Mark?
- CLOSE
- THERAPY LOGISTICS (38-44)
- close
- 38. How long does a session last?
- close
- 39. How often will I come to therapy?
- close
- 40. How many sessions will I need?
CBT typically takes 16 sessions to master, and if you are fully engaged in the process, you will notice some improvement in 6-8 weeks. Many clients remain in CBT beyond the point of mastery and make profound changes in their core issues.
EMDR requires a few weeks to get started and then it depends on how quickly you complete each "target" memory, and how many "target" memories you wish to clear.
- close
- 41. Does Mark have a cancellation policy or any other office policies?
- close
- 42. Does Mark prescribe medications? What does Mark think of psych medications?
The choice to take psych medications is yours and not Mark's. He has seen them work effectively and he has seen people get better without taking any of them. If you are interested in psych medications, Mark is happy to work with you, your primary care doctor, your psychiatrist or medical psychologist to support your decision. if you would like to learn more about psych medications, Mark will be happy to refer you to any of these professionals.
- close
- 43. Will Mark release diagnostic information about me?
- close
- 44. What does Mark think about diagnoses?
- CLOSE
- COSTS (45-51)
- close
- 45. How much does an individual therapy session cost?
If you pay by credit card at the time of service, the first two sessions each cost $160, and ongoing sessions cost $130.
Mark is not accepting new insurance clients.
There may be charges for extended telephone calls, reports, letters, court appearances, consultations on behalf of clients to physicians, agencies, employers, or insurance companies. You will also be charged for missed sessions without thirty-six hours notice of cancellation. More specific detail about office policies may be found here.
Multi-session discounts are also available. More specific detail about costs and other office policies may be found here.
- close
- 46. Do you do couples sessions?
Couples rates are $30 higher than individual sessions: $185 for each of the first two sessions and $155 for each session after that. The $5 swipe fee for a credit card is still in effect.
- close
- 47. Will Mark take my health insurance?
Mark can give you an invoice (called a “superbill”) that will enable to you apply directly to your insurance company. Please let Mark know in advance if you would like an invoice, a superbill, or a receipt.
Sorry, Mark cannot give a superbill for Blue Cross PPO at this time.
- close
- 48. Will insurance reimburse me if I file an out-of-network claim?
- What mental health benefits do I have?
- How high is my deductible, and how much of it have I met?
- How many mental health sessions per calendar year does my plan cover?
- What is the coverage amount per therapy session for an out-of-network provider?
- Do I need my primary care doctor to prescribe therapy in order to be covered?
- close
- 49. Does Mark accept Employee Assistance Program (EAP) benefits?
- close
- 51. What types of payments does Mark accept?
- CLOSE
- OFFICE INFORMATION (52-56)
- close
- 52. Where is Mark's office located?
- close
- 53. How difficult is parking?
- close
- 54. Is the office handicap accessible?
- close
- 55. When is the office open?
- close
- 56. I'd like to see Mark, but circumstances prevent it. Would Mark be willing to help me find another therapist?