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Frequently Asked Questions

  • Will counseling help our relationship?

Counseling can improve your ability to be authentic. My goal is to help you connect in a way that allows you to really feel the care that you have for one another while safely discussing your needs, desires, fears or anger. When couples feel more connected they usually feel better about engaging in some of the hardest relationship decisions.


  • How do I know if you are the right therapist for us?

It is really important to find a therapist that feels like a good fit. Just because a therapist was helpful for your friends it does not mean that they are the best therapist for you. I encourage potential clients to interview multiple therapists to assess what style feels best. Please call and schedule a phone consultation so that we may explore if my style is a good fit for you. I will be spending our first phone call and our first few sessions also assessing our fit. It is possible that I may decide that another therapist may be more skilled in working with your particular struggle. In this case, I will speak with you about my thoughts and provide outside referrals.


  • How often do you see clients? Can we schedule sessions 2 or 3 weeks apart?

I strongly recommend weekly sessions for a multitude of reasons that I can discuss more with you during a consultation. Mostly, I believe that weekly sessions are more effective in getting to the core of what is really going on between the two of you. Consistent sessions help to foster a sense of trust and understanding. Indeed, there are always exceptions and I welcome your call if you would like to speak more about the possibility of extended time between sessions.


  • Do you take insurance?

I do not take insurance and I do not work directly with insurance companies. Some insurance companies may provide you reimbursement for couples counseling services. Please contact your health insurance company for more information.


  • What type of therapy do you practice? Is there some place I can read more about what you do?

I work with couples utilizing Emotionally Focused Couples Therapy (EFT or EFCT). You can read more about EFT and its research proven effectiveness by clicking here. My style is warm, down-to-earth, and collaborative. I bring a sense of humor and a straightforward approach to working with couples. At times, in session I will use tools and ideas from my training in Gottman Method Couples Therapy. You can read more about the research-based principles of Gottman Method Couples Therapy by clicking here.


  • Okay, I think I’m ready to call you to explore if you are the right therapist for me. What do I do next?

Please feel free to call my office at 415-902-2039 or send me an email at therapy@karensmillie.com. When we speak, I will ask you to tell me a little bit about your relationship. You will also have some time to ask me any questions that you have about the process of couples counseling.