Individualized Therapy Services for Children (5+), Adolescents, and Emerging Adults

We are almost two years into the pandemic, and this life altering experience continues to create many challenges. For many, the pandemic is just one of many stressors. As stress accumulates, it can exceed our capacity to cope, resulting in distressing feelings, unwanted behaviors, and emotional outbursts. 


For parents and caregivers, it can be incredibly stressful and overwhelming to see your child struggling, and it is not uncommon to feel as though you are at a loss. As the saying goes, it takes a village to raise a child, and I am here to support you and your child during this difficult time. 

It can be difficult to reach out and ask for help, and at the same time, it is the first step towards improving your mental and emotional wellbeing. I am here to support you and to provide a safe space for you to work through the issues that bring you to therapy.


Email me at Tiffany@lynnwoodchildandfamilytherapy.com to inquire about services. 


Image by Luca Bravo
 
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About Me

I am a Licensed Marriage and Family Therapist (License Number: LF60920891), I hold a MA in Marriage and Family Therapy from Antioch University Seattle (graduated December 2016), and a BA in Community Psychology from the University of Washington Bothell (graduated June 2012). I worked as a clinical intern at Catholic Community Services (CCS) from September 2015 to December 2016, and I worked as a mental health therapist specializing in children’s mental health at CCS from January 2017 to June 2019. I have worked in private practice since January 2019. I have years of experience providing mental health services to children, adolescents, and young adults dealing with a wide variety of issues, including depression, anxiety, trauma, grief and loss, family conflict, major life events and transitions, and school and social issues.

I am also a Registered Play Therapist (Registration Number: T5433), which requires a minimum of two years of rigorous training, supervision, and play therapy experience. I completed a year long (April 2019 to March 2020) Play Therapy Certificate Program at Antioch Center for Play Therapy as part of my training. I have also completed extensive training in sandtray therapy, which is a form of play therapy that can be used with children, adolescents, and adults.


 

My Approach to Therapy

My overall approach to therapy is person centered, as I view you as being the expert on your life. I am here to support you and to provide guidance as needed. The beginning of therapy will primarily focus on getting to know you, and building a relationship in which you feel safe. Throughout therapy, I will tailor sessions to meet your unique needs and to address your current circumstances. I integrate various therapeutic approaches based on what is the most helpful and effective, including cognitive behavioral therapy, solution focused therapy, and motivational interviewing.
At times, it can be difficult to articulate feelings and experiences using words, especially when stressed or nervous, so I also integrate sandtray therapy. This approach is an alternative way to express yourself using sand and a variety of figures. Many of my clients find that sandtray therapy helps them to process their thoughts and feelings, provides them with new insights into past and present experiences, and helps them to problem solve challenging situations.
I primarily use child centered play therapy with children, as children communicate, problem solve, and learn new skills through play. Child centered play therapy is a safe and developmentally appropriate approach that allows children to work through unresolved issues and feelings that result in depression, anxiety, anger, and/or unwanted behaviors at their own pace. I also integrate other approaches as developmentally appropriate, including solution focused therapy and cognitive behavioral therapy.

Teenagers in Nature
 

Fees & Insurance

Fees

  • Initial intake appointment (60 minutes) = $150

  • Ongoing appointments (50-55 minutes) = $150


Insurance

I am in-network with First Choice Health, Premera Blue Cross, and Regence Blue Shield. I may also be able to bill certain out of state Blue Cross Blue Shield plans. Please contact your insurance company to ask whether I am in network with your specific plan.

If I am not in-network with your insurance carrier or specific plan, it is possible that your insurance plan will cover my services as an out-of-network provider. Please contact your insurance company for more information about out-of-network benefits.


When calling your insurance carrier about your in-network or out-of network benefits (whichever is applicable), questions to ask include:

  • Do I have a mental or behavioral health policy with in-network/out-of-network benefits?

  • What are the requirements to use in-network/out-of-network benefits?

  • Is prior authorization required?

  • Is a referral required from my primary care physician?

  • Is there a cap on how many sessions I can have?

  • What is my co-pay/co-insurance? 

  • Do I have an in-network/out-of-network deductible?

    • If yes:

      • What is my in-network/out-of-network deductible?

      • How much of my in-network/out-of-network deductible has been met?

      • What is the start date of the calendar year my in-network/out-of-network policy is based on?

If you choose to use out-of-network benefits, you must pay the full fee for service at each appointment and I will provide you with a statement for reimbursement (also known as a superbill) to send to your insurance company for reimbursement. Please note that superbills do not guarantee reimbursement. Please inquire with your insurance company to find out whether they will reimburse you for services received.


Although there are benefits to using insurance, there are also important factors to consider before using your insurance for therapy. These factors include:​

  • Insurance companies typically only cover services that are considered "medically necessary." Therefore, I may be required to diagnose you with a mental health disorder in order for therapy services to be covered by your insurance. However, not everyone who comes to therapy meets the criteria for a mental health disorder, and many people come to therapy for issues not related to a mental health disorder. For instance, some come to therapy so that they can have a safe, judgment free space for processing past and/or current experiences, self-exploration, support, personal growth, and many other personal reasons.  

  • For those who are coming to therapy for treatment of a mental health disorder, insurance companies typically require that the therapist submit your diagnosis and possibly the treatment plan before they will offer reimbursement. They may also require that the therapist submit info about therapy progress.

  • Some insurance companies limit the amount of sessions you can have. If you choose not to use your insurance, you can stay in therapy for as long as you find it beneficial.

 

Notice of Privacy Practices

*THIS NOTICE DESCRIBES HOW HEALTH INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

I. MY PLEDGE REGARDING HEALTH INFORMATION:

I understand that health information about you and your health care is personal. I am committed to protecting health information about you. I create a record of the care and services you receive from me. I need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by this mental health care practice. This notice will tell you about the ways in which I may use and disclose health information about you. I also describe your rights to the health information I keep about you, and describe certain obligations I have regarding the use and disclosure of your health information. I am required by law to:

  • Make sure that protected health information (“PHI”) that identifies you is kept private.

  • Give you this notice of my legal duties and privacy practices with respect to health information.

  • Follow the terms of the notice that is currently in effect.

  • I can change the terms of this Notice, and such changes will apply to all information I have about you. The new Notice will be available upon request, in my office, and on my website.

II. HOW I MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU:

The following categories describe different ways that I use and disclose health information. For each category of uses or disclosures I will explain what I mean and try to give some examples. Not every use or disclosure in a category will be listed. However, all of the ways I am permitted to use and disclose information will fall within one of the categories.

For Treatment Payment, or Health Care Operations: Federal privacy rules (regulations) allow health care providers who have direct treatment relationship with the patient/client to use or disclose the patient/client’s personal health information without the patient’s written authorization, to carry out the health care provider’s own treatment, payment or health care operations. I may also disclose your protected health information for the treatment activities of any health care provider. This too can be done without your written authorization. For example, if a clinician were to consult with another licensed health care provider about your condition, we would be permitted to use and disclose your personal health information, which is otherwise confidential, in order to assist the clinician in diagnosis and treatment of your mental health condition.

Disclosures for treatment purposes are not limited to the minimum necessary standard. Because therapists and other health care providers need access to the full record and/or full and complete information in order to provide quality care. The word “treatment” includes, among other things, the coordination and management of health care providers with a third party, consultations between health care providers and referrals of a patient for health care from one health care provider to another.

Lawsuits and Disputes: If you are involved in a lawsuit, I may disclose health information in response to a court or administrative order. I may also disclose health information about your child in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.

III. CERTAIN USES AND DISCLOSURES REQUIRE YOUR AUTHORIZATION:

  1. Psychotherapy Notes. I do keep “psychotherapy notes” as that term is defined in 45 CFR § 164.501, and any use or disclosure of such notes requires your Authorization unless the use or disclosure is:
    a. For my use in treating you.
    b. For my use in training or supervising mental health practitioners to help them improve their skills in group, joint, family, or individual counseling or therapy.
    c. For my use in defending myself in legal proceedings instituted by you.
    d. For use by the Secretary of Health and Human Services to investigate my compliance with HIPAA.
    e. Required by law and the use or disclosure is limited to the requirements of such law.
    f. Required by law for certain health oversight activities pertaining to the originator of the psychotherapy notes.
    g. Required by a coroner who is performing duties authorized by law.
    h. Required to help avert a serious threat to the health and safety of others.

  2. Marketing Purposes. As a psychotherapist, I will not use or disclose your PHI for marketing purposes.

  3. Sale of PHI. As a psychotherapist, I will not sell your PHI in the regular course of my business.

IV. CERTAIN USES AND DISCLOSURES DO NOT REQUIRE YOUR AUTHORIZATION.

Subject to certain limitations in the law, I can use and disclose your PHI without your Authorization for the following reasons:

  1. When disclosure is required by state or federal law, and the use or disclosure complies with and is limited to the relevant requirements of such law.

  2. For public health activities, including reporting suspected child, elder, or dependent adult abuse, or preventing or reducing a serious threat to anyone’s health or safety.

  3. For health oversight activities, including audits and investigations.

  4. For judicial and administrative proceedings, including responding to a court or administrative order, although my preference is to obtain an Authorization from you before doing so.

  5. For law enforcement purposes, including reporting crimes occurring on my premises.

  6. To coroners or medical examiners, when such individuals are performing duties authorized by law.

  7. For research purposes, including studying and comparing the mental health of patients who received one form of therapy versus those who received another form of therapy for the same condition.

  8. Specialized government functions, including, ensuring the proper execution of military missions; protecting the President of the United States; conducting intelligence or counter-intelligence operations; or, helping to ensure the safety of those working within or housed in correctional institutions.

  9. For workers’ compensation purposes. Although my preference is to obtain an Authorization from you, I may provide your PHI in order to comply with workers’ compensation laws.

  10. Appointment reminders and health related benefits or services. I may use and disclose your PHI to contact you to remind you that you have an appointment with me. I may also use and disclose your PHI to tell you about treatment alternatives, or other health care services or benefits that I offer.

V. CERTAIN USES AND DISCLOSURES REQUIRE YOU TO HAVE THE OPPORTUNITY TO OBJECT.

Disclosures to family, friends, or others. I may provide your PHI to a family member, friend, or other person that you indicate is involved in your care or the payment for your health care, unless you object in whole or in part. The opportunity to consent may be obtained retroactively in emergency situations.

VI. YOU HAVE THE FOLLOWING RIGHTS WITH RESPECT TO YOUR PHI:

  1. The Right to Request Limits on Uses and Disclosures of Your PHI. You have the right to ask me not to use or disclose certain PHI for treatment, payment, or health care operations purposes. I am not required to agree to your request, and I may say “no” if I believe it would affect your health care.

  2. The Right to Request Restrictions for Out-of-Pocket Expenses Paid for In Full. You have the right to request restrictions on disclosures of your PHI to health plans for payment or health care operations purposes if the PHI pertains solely to a health care item or a health care service that you have paid for out-of-pocket in full.

  3. The Right to Choose How I Send PHI to You. You have the right to ask me to contact you in a specific way (for example, home or office phone) or to send mail to a different address, and I will agree to all reasonable requests.

  4. The Right to See and Get Copies of Your PHI. Other than “psychotherapy notes,” you have the right to get an electronic or paper copy of your medical record and other information that I have about you. I will provide you with a copy of your record, or a summary of it, if you agree to receive a summary, within 30 days of receiving your written request, and I may charge a reasonable, cost based fee for doing so.

  5. The Right to Get a List of the Disclosures I Have Made.You have the right to request a list of instances in which I have disclosed your PHI for purposes other than treatment, payment, or health care operations, or for which you provided me with an Authorization. I will respond to your request for an accounting of disclosures within 60 days of receiving your request. The list I will give you will include disclosures made in the last six years unless you request a shorter time. I will provide the list to you at no charge, but if you make more than one request in the same year, I will charge you a reasonable cost based fee for each additional request.

  6. The Right to Correct or Update Your PHI. If you believe that there is a mistake in your PHI, or that a piece of important information is missing from your PHI, you have the right to request that I correct the existing information or add the missing information. I may say “no” to your request, but I will tell you why in writing within 60 days of receiving your request.

  7. The Right to Get a Paper or Electronic Copy of this Notice. You have the right get a paper copy of this Notice, and you have the right to get a copy of this notice by e-mail. And, even if you have agreed to receive this Notice via e-mail, you also have the right to request a paper copy of it.

 

Frequently Asked Questions

 

How Long Will Therapy Take?

Everyone's experience and need in therapy is different. Therapy can be completed within 4-6 months if the focus is limited to resolving specific problems, or it may last longer if the issues that bring you to therapy are more complex and long-standing. It also depends on what you bring to session and how much you are willing to engage in the therapy process.

Do You Prescribe Medication?

I am not a medical doctor or an ARNP, and therefore, I cannot prescribe any medications of any kind. If during your therapy process we agree that medication management may be helpful in your healing process, you will likely be directed to see your Primary Care Provider (PCP) to further discuss.

Office Safety Precautions in Effect During the Covid-19 Pandemic

My office is taking the following precautions to protect clients and families, and to help slow the spread of the coronavirus:

·        Please stay home if you are exhibiting any Covid-19, flu, or cold symptoms. If you come to your appointment exhibiting symptoms, we will need to cancel the appointment, and the cancellation fee will be waived.
·        Only clients are allowed to enter into my office and the building where my office is located.
·        If the client is younger than 13, only one parent/guardian may bring the child to their appointment. No siblings or other family members will be allowed to enter my office and the building where my office is located.
·        I will be wearing a mask and require that all clients and parents who come to my office wear a mask/face covering upon entering the building.
·        Office seating has been arranged for appropriate physical distancing.
·        I will maintain safe distancing and require you/your child to maintain safe distancing as well.
·        All offices within my suite are equipped with hand sanitizer that contains at least 60% alcohol for use before and after sessions, and as needed during sessions.
·        Clients who participate in sandtray therapy will be required to wear gloves.
·        I schedule appointments at specific intervals to allow time to clean and disinfect surfaces, toys, figurines, and other objects that are frequently used.
·        I ask that all clients/parents wait in their cars or outside until no earlier than 5-10 minutes before their appointment time.
·        All offices within my suite are thoroughly disinfected at the end of each day.
·        Physical contact is not permitted.

Covid-19 Resources

Please refer to the CDC’s dedicated 2019-ncov website for additional information, and maintain awareness by checking the official communications from the Centers for Disease Control and World Health Organization.


For more information about Covid-19 in Washington State, Governor Inslee’s 4 phase plan, and Covid-19 Reopening Guidance for Businesses and Workers, please refer to the following links:

https://www.doh.wa.gov/Emergencies/Coronavirus

https://www.governor.wa.gov/news-media/chart-washingtons-phased-approach

https://www.governor.wa.gov/issues/issues/covid-19-resources/covid-19-reopening-guidance-businesses-and-workers

 

Tiffany Classen, MA, LMFT, RPT
Lynnwood Child and Family Therapy, PLLC

19730 64th Ave W, Suite 100
Lynnwood, WA 98036

Phone: (425) 616-2383

Fax: (425) 616-2395