FAQ.

Frequently asked
questions

If questions about therapy are running through your mind, then don’t worry! You’re not alone. Whatever your reason for getting help, one of the most challenging parts of the therapy process is starting it. Here are answers to commonly asked questions that I hope can encourage you to continue your path for support.

Q & A

What is psychotherapy?
Psychotherapy, also known as counseling or talk therapy, provides a safe and supportive environment for individuals to learn skills to navigate challenges and lead a more fulfilling, productive life. I use scientifically-validated techniques to help clients develop healthier ways of thinking and responding to life’s stressors. My goal is to assist you in identifying and changing the unhealthy patterns that prevent you from feeling your best and reaching your full potential.

What are the benefits of therapy?
You don’t need to experience a major life event or trauma to benefit from therapy. If you feel overwhelmed by your problems or find yourself stuck and unhappy, you are a strong candidate for therapy. Engaging with a professional allows you to gain insight into unhelpful thoughts and behaviors that may be contributing to your emotional distress. Therapy provides an opportunity not only to address specific issues but also to learn a set of skills for coping with hardships in healthy ways.

What can I expect in my first session?
One of the objectives of the initial visit is to determine if I am adequately trained to meet your needs. This process typically involves gathering information through an initial intake assessment. I will ask you questions to gain a better understanding of your situation and to see if my therapeutic approach is a good fit for you. During this session, I will also review important details from the informed consent form and other paperwork you received prior to your first appointment, including the limits of confidentiality and key policies. Your first session may differ from subsequent visits, which will focus more on skills and effective solutions. Some questions I might ask during your initial visit include:
What brings you to therapy?
How long have you experienced these problems?
Have you been in therapy before?
What coping strategies do you use for distress?
Who is part of your support network?

How many sessions do people tend to see you for?
Every person faces a unique set of challenges, and the journey through therapy often depends on the reasons for seeking help and the goals for the sessions. My approach to therapy is evidence-based, meaning it is supported by scientific research and documented success. These therapies are typically goal-oriented, structured, and short-term, often involving specific assignments to work on between sessions. While it’s difficult to predict the exact duration of therapy, we will establish clear goals for you to work towards. Together, we will assess your progress to determine the appropriate length of treatment for your needs.

How long are therapy sessions?
Sessions are typically 50 minutes. The length and frequency of your sessions will be agreed upon at the start and throughout the duration of treatment to adequately meet your needs and therapy goals. As a courtesy to others, you cannot be given more time than your scheduled visit, unless previously arranged.  

Are my sessions confidential?

Whether you are meeting with me in person, video, or over the phone, all information that you disclose in your sessions is confidential. The exceptions to this are related to child or elder abuse, a threat to harm another person or if you are in danger of harming yourself. Information about your sessions cannot be shared with anyone without your written consent.  

Can you prescribe medications?
Prescribing medications typically requires a medical degree, and most psychologists are not licensed to do so. However, if we determine that medication might be beneficial, I can refer you to a provider, usually a psychiatrist, for a medication evaluation. It’s highly recommended that your therapist communicates with the prescribing provider to ensure a coordinated approach to your care. Please note that this communication can only occur with your written permission.

What is the difference between a psychologist and a psychiatrist?
Both psychiatrists and psychologists work in the mental health field, providing various treatments to help individuals manage everyday struggles. As a psychologist, I assist people with concerns such as stress, relationship difficulties, and mental health issues like anxiety and depression. My approach involves talking with individuals about their problems and offering strategies to cope and prevent ongoing issues. Psychiatrists, on the other hand, have completed a medical degree and specialize in the medical treatment of mental illness. They can prescribe and manage medications and evaluate underlying medical conditions that may contribute to mental health issues. Some psychiatrists also combine medication with therapy.

Do you take my insurance?
I accept Anthem Blue Cross, Blue Shield of California, and Aetna insurances. Please contact your insurance company to verify your in-network or out-of-network coverage and reimbursement rates. If you have out-of-network coverage, it will be your responsibility to complete the necessary insurance forms and obtain reimbursement. I will provide receipts, along with diagnosis and service codes, that your insurance may require for reimbursement. My fees vary depending on the services provided. I accept cash, personal checks, health savings or flexible spending accounts, and major credit cards (a 3% convenience fee will apply for credit card payments).

Do you offer in-person or tele-therapy? 
I'm currently meeting with clients exclusively via video or phone, which allows me to provide support to individuals across California. If you’ve considered video therapy, you might be wondering, “Could this actually work?” The good news is that numerous research studies have demonstrated that video therapy is a viable option. The rapid growth of technology has created unique opportunities for therapy seekers to access support in a more convenient and flexible way. From the therapist’s perspective, video therapy allows for greater flexibility in meeting clients' needs. I use a secure, HIPAA-compliant teletherapy platform called doxy.me. Please note that due to licensing requirements, I can only meet with clients located in California at the time of their sessions.

How do I get started?
To schedule an initial visit or phone consultation, please send an email to dr.charlenefuentes@gmail.com or you can reach me at (415) 857-4995. You can also visit the Contact Me page on this website to send me a message. 

Charlene Fuentes, Psy.D.
Licensed Psychologist - PSY25869

2140 Sutter Street, Suite 2
San Francisco, CA 94122
415.857.4995