Frequently Asked Questions

General Therapy Questions

Do you work with clients outside of the state of Texas?


Unfortunately, no, I do not. I am licensed in the state of Texas and can only work with residents in the state of Texas. This is for both in-office visits, as well as online therapy (aka tele-therapy, e-therapy, online counseling).




Do you accept insurance?


Yes, I do take insurance. I am currently in network with Cigna Open Access, BlueCross BlueShield of Texas’ PPO, and United Health Care Optum. If I am not in your network, I’m happy to provide a Superbill to you each month to submit to your insurance provider for potential reimbursement. I will verify insurance benefits before setting up our first appointment to ensure we are on the same page about expected payment based on your plan.




I'm not sure I can afford therapy. How do I pay for it?


Therapy is an investment in yourself. And it is indeed a financial commitment. As you begin to develop new, more effective thoughts and behaviors, you may find that your work, your health, and even your finances are impacted positively. Investing in therapy as an act of self-care can be a continued investment in your overall well-being and success in life.
I do take insurance. See above for insurance options.
If I’m not able to accept your insurance, most insurance companies have what’s known as “Out-of-Network Mental Health Benefits.” If I’m outside of your provider network, your insurance may still reimburse part of the cost of therapy. Sometimes they even reimburse the total cost, depending on your plan. If I can’t take your insurance, give them a call and ask about what your out-of-network mental health benefits look like.
If your mental health benefits don’t cover our sessions, you might also be able to use your health savings accounts (HSA) or flexible spending account (FSA), if you or your family has one through your/their employer. An HSA or FSA reimburses you for the amount spent on healthcare. Be sure to check with your HR representative or HSA/FSA provider to ensure that therapy is covered.




How do I know if you're the right therapist for me?


I’m not the right therapist for everyone and I don’t pretend to be. I encourage you to read more about me and my approach. If you’re looking for someone to feel safe with, to empower you and be your cheerleader, and maybe even share a laugh when we need a break, I may be right for you. Let’s set up an initial free phone consultation before you book that first session and we’ll decide together if we align. If not, you’re not obligated to work with me or even seek therapy after our call.
Some questions to ask yourself when you’re deciding if you’d like to work with me (or any other therapist for that matter):

  • Does this person make me feel comfortable?
  • Do I “like” them?
  • Do I feel like I can trust them to keep our conversations confidential?
  • Does it seem like they understand me?
  • Does their expertise align with my specific issues?
  • Does their availability align with my schedule and needs? (Many therapists have heavy client loads. If you need to be seen every week, don’t settle for a therapist who can only see you every 3 weeks)




What kind of clients do you work with?


I work with individuals of all different identities and backgrounds in the state of Texas. Many of my clients are professionals. I work with undergrad, graduate, and even high school students. Also, while some of my clients have been to therapy before, many of my clients are new to therapy.
I specialize in a wide range of mental health issues including:

  • Anxiety
  • Depression
  • Mood Disorders
  • Anger Management
  • Bipolar Disorder
  • Coping Skills
  • Grief
  • Life Transitions
  • Relationship Issues
  • Self Esteem
  • Sexual Abuse
  • Sleep or Insomnia
  • Stress
  • Substance Abuse
  • Suicidal Ideation
  • Trauma and PTSD
  • Women's Issues




What methodology do you use?


I use an integrative approach. I combine various models and tools from various psychotherapy schools to cater your treatment to you.

I specialize in CBT and DBT. Cognitive Behavioral Therapy (CBT) is Cognitive Processing accomplished through talk therapy. CBT helps you become aware of inaccurate or negative thinking. Clients begin to view challenging situations more clearly and respond to them in a more effective way. Dialectical behavior therapy (DBT) also provides clients with new skills. Clients learn to better manage painful emotions and decrease conflict in relationships.

I also use Motivational Interviewing, Trauma-Focused, Solution Focused Brief (SFBT), and Strength-Based therapies, among other methods to address anxiety, depression, stress, and other issues, and help you develop new, more effective thoughts and behaviors using the skills and tools you’ve acquired in our sessions.
I am also trained in EMDR (Eye Movement Desensitization and Reprocessing). It’s a psychotherapy treatment that is typically beneficial for processing trauma. I use this training for specific cases, however, if it’s of interest to you, I’m happy to use this approach in our session to help you decide if it’s right for you.




Are sessions confidential?


Yes, therapy sessions with me are absolutely confidential. I comply with data privacy, HIPPA and security provisions to safeguard your medical data and what you share with me. There are exceptions to confidentiality: 1) immediate threat of harm to self or other
2) suspicion of child or dependent elder abuse
3) in the case of a court subpoena.

Our initial intake session (our first session together after your consultation call) will cover confidentiality, my policies, and what to expect moving forward.




What can I expect in my first session?


Everyone’s first therapy session is different. Request a free consult. We’ll talk about your needs, and then I can give you a better picture of what to expect.




How long is a therapy session?


Most therapy sessions are 50 minutes long. I will let you know when we’re nearing the end of our session. To respect your schedule and the time of other clients, I do stick to our allotted time.




How often should I plan to come to therapy?


We will work together to determine the best schedule for your circumstances. It’s common to connect once a week or every other week.




How long do I need to go to therapy? How will I know when I'm done?


Therapy looks different for everyone. Some, who want to change thinking patterns, behaviors and belief systems, will take a considerable amount of time to go through the process of making changes. Some are looking to address a temporary stress or process a recent trauma. That work may take six months. It may take a year. Give yourself time. I can tell you that we will check in together regularly to determine together if it makes sense to end therapy, move on to another therapist, change frequency, methodology or take a break. I will always be honest and upfront with you about our progress, your options, and what I think is best for you. My feelings aren’t hurt if you decide to end therapy or begin work with another therapist.




I don't want to just talk about my feelings. I want to improve my life.


While I’m happy to listen on days you just need to vent, we will be doing actual work together. It will likely challenge you. I may sometimes give you homework, ask you difficult questions, challenge your beliefs, provide worksheets, and even recommend resources and reading materials. This is how change happens.




Where are you located? Where do I park?


I conduct in-person sessions at 2500 W. William Cannon Dr. Suite 607D Austin TX 78745 My office suite is in a large parking lot with a lot of parking options.

When entering suite 607, you will find yourself in a small lobby. You may sit in the lobby area until the time of your session and I will come to greet you before your session begins.




If I call the number on your website, who will I be speaking to? Is it an answering service?


You will be speaking with me personally! I do not use an answering service, virtual assistant or third party. As such, you may reach my voicemail when you call. However, I will get back to you quickly, within my office hours.





Online Therapy Questions

Is online video counseling confidential and private?


Yes! As much as it can be. My tele-therapy platform, DoxyMe.com, is HIPAA-compliant. I am physically located in a closed, private room during online video sessions. I recommend that you connect from a private, comfortable space to ensure privacy on your end as well. I comply with data privacy, HIPPA and security provision to safeguard your medical data and what you share with me.




How does online video counseling work?


I use DoxyMe.com to send a link for clients to connect to my virtual waiting room. You will click the link right before the appointment. When I see you are online, I connect the video from my secure, password-protected computer.




Is online video counseling as effective as in-office?


It can be. Learn more about online video counseling in my blog post about Tele-Therapy.




Do I need special equipment to do online counseling?


Clients must have their own equipment and internet connection. Equipment includes (ideally) a laptop or desktop, though a mobile smartphone will work. I do use a special platform for online therapy. I will send you a link ahead of our online session to connect to my virtual waiting room. You will click the link right before the appointment.





 

Hello@LindseyPayton.com

Tel: 737-241-8074

Hours: Monday-Friday by appointment only

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Submissions are not for crisis contact. If you are in crisis, call 911.  Please note, you must be 18 or over to submit an inquiry.

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