Frequently Asked Questions...

How do I make an appointment?

You can leave a confidential voicemail on my phone anytime (561) 251-9754. If you call during day time hours I will often be able to return your call the very same day. You can also email me at marisa@marisahughes.com if that is more comfortable for you. Please be sure to include the best time for me to call you.

Do you take insurance?

I do not take insurance, however I do accept Health Savings Account (HSA) cards/payment. One of the reasons I choose not to work with insurance panels is because I do not believe that a third party should dictate your needs, the severity of your struggles, diagnosis, and treatment plan.

You can choose to submit a claim to your insurance if you have out of network coverage. Please be aware that if you choose to submit a claim through your insurance, I have no control over the confidentiality of your information once it is received by your insurance company.

How long are sessions?

Typical therapy sessions are 50 minutes long although longer times may be reserved if agreed upon in advance. I also offer the option for double sessions back to back for clients who want to dive deeper and see results even quicker. Sessions are by appointment only and are scheduled weekly or twice weekly.

How long will therapy take?

This is a difficult question to answer, though it is very reasonable to ask. The simplest answer is that it ends when you feel that you have completed the work you came to therapy to do. The decision is ultimately up to you, as everyone experiences therapy at their own pace. Completing therapy is a decision that we can work together to make with the understanding that you can come back at any time.

Do you keep what happens in our therapy sessions confidential?

Confidentiality is the foundation of psychotherapy, protecting your privacy to share openly in our sessions together. Your sessions and all information you disclose are confidential. Except for the instances stated below, which I am mandated by the state of Florida to report. Otherwise, I will not share any of your information without your written consent.

  1. If in my clinical judgment, you pose a threat to harm yourself, and you refuse appropriate treatment, I am ethically bound to notify the appropriate parties (those who can intervene to protect you).
  2. If you indicate a serious threat to harm another person, I am legally required to warn the intended victim(s) and the police and/or to obtain a civil commitment to the state mental health system.
  3. I am required to report any suspicion of child or elder abuse or neglect to the appropriate authorities.
  4. In some instances the courts may subpoena my records or testimony. In most instances, I am forced to honor these subpoenas.

What should I expect on my first visit?

It is best that you arrive a bit early to your first session, so that you can have some time to settle into the space and get comfortable. We will start where you are. I will prompt you with open-ended questions to understand together what you are looking for out of therapy. I am not that blank slate therapist you see in the movies. I am here to listen, encourage and guide you along the way. We will work at your pace. You can feel safe to ask any questions that you have. We will create a plan of achievable goals and discuss together what success looks like to you. You will find that our work together will be direct, while free flowing and flexible at the same time. Our space is sacred and the opportunities for positive change are limitless. Many of my clients tell me that they feel that a weight has been lifted off of their shoulders after just a few sessions.

What if I am currently experiencing abuse?

First and foremost, the most important thing to consider is your safety. Safety is crucial, and in the hierarchy of needs, it definitely comes before therapy. Only once you are safe can you appropriately begin the process of healing through therapy.

If you are currently in an unsafe situation contact your local authorities, seek family support, or go to a women's shelter. Here are some helpful resources:

  • If you are in immediate danger call 911
  • Florida Department of Children and Families Abuse Hotline - 1 (800) 962- 2873 (800-96-ABUSE)
  • The National Suicide Prevention Lifeline - 1 (800) 273-8255
  • Local women's' shelter listings - https://www.womenshelters.org/cit/fl-west_palm_beach

Do you work with couples?

I work with couples who are facing issues specifically related to trauma. Many couples where one or both people in the partnership have experienced trauma struggle with a unique set of issues related to intimacy. It is common to struggle with intimacy on an emotional level as well as a sexual one.

We can work together to open up lines of communication in a manner that feels safe for each of you, with the goal of learning about triggers and road-blocks so that you can overcome them as a team.