CROSSROADS PSYCHOLOGICAL SERVICES


Learn More Contact

About


  • Dr. Rachael Herrington

    Founder & Therapist


    Dr. Rachael L. Herrington is a licensed clinical psychologist trained in Cognitive Behavioral Therapy.

Services


Individual Therapy & Psychological Testing
Adults

The majority of my training has involved treating adults facing a variety of issues including anxiety, depression, OCD, schizophrenia, personality disorders, traumatic stress, panic, and phobias. I also have a fair amount of experience doing research and therapy with couples. I have helped several families learn to understand and support loved ones who are dealing with a psychotic disorder such as Schizophrenia. When appropriate (based upon my assessment or client preference), I am happy to consult with medical professionals, dieticians, spiritual or religious advisors, etc., with written permission from the client

Teens

The majority of my work with teens has focused on depression, OCD, Schizophrenia, and emerging personality disorders. I am adding a new area of specialty in Eating Disorders with teenagers. I attended a specialized face-to-face training with Dr. Chris Fairburn (nationally renowned researcher and clinician in the area of eating disorders), am currently involved in an intensive online training out of the Oxford Centre, and pay an expert in eating disorders to consult with me on a session-by-session basis until I have secured enough experience to ethically practice without consultation. Effective work with teenagers requires an agreement between the parent, teen, and therapist, and this must be discussed prior to individualized treatment.

Children

I have extensive experience working with children with symptoms of OCD and generalized anxiety, and I can walk with families through the process of supporting their child who struggles with anxiety. I also have some experience treating children with Trichotillomania (a hair-pulling disorder) and depression. Though I have training in Parent Child Interaction Therapy (PCIT), which is an evidence-based treatment for children ages 2 to 7 years with behavioral problems such as Oppositional Defiant Disorder (ODD), Conduct Disorder, and ADHD. The relationship between the therapist and client is absolutely critical for good treatment outcomes.

Treatment


About Cognitive Behavioral Therapy
About Cognitive Behavioral Therapy
Cognitive Behavioral Therapy is considered the gold-standard treatment for a variety of clinical disorders. For some disorders, it is the only treatment with demonstrated efficacy. For other disorders, CBT combined with medication is the treatment of choice. And sadly, there are some disorders for which there is no specific treatment with demonstrated efficacy. The good news is that for the disorders with no efficacious treatment, those individuals rarely even seek professional help…so that means chances are good that if you are seeking help, you will see improvement. CBT treatment looks quite different than traditional psychoanalytic therapies associated with Sigmund Freud. More information about CBT can be found at the website for the Association for Behavioral and Cognitive Therapies (www.abct.org).
What Will the First Appointment Look Like?
What Will the First Appointment Look Like?
Depending on scheduling, the first appointment may be a 45 minute or 90 minute session. The goal of the first session is for me to gain an understanding of the reason you are seeking treatment at this time. Depending on your personality and level of comfort, this may involve you doing most of the talking, me asking a lot of questions, or a more balanced approach. Because I do not bill insurance directly, I am not required to frantically arrive at a diagnosis at the end of the first session. This gives me freedom to let you lead with what is most important to you. In some cases, I may recommend a full psychological evaluation, which often speeds the process of therapy in a really positive manner, though it is not always necessary.
What Will a Typical Session Look Like?
What Will a Typical Session Look Like?
Standard treatment sessions are 45 minutes in length and typically involve an agenda that is mutually agreed upon. After initial intake, this will often involve a few minutes to check in on the assignment from the previous week, followed by teaching new skills to the client, and then a plan for the upcoming week, to include any short-term goals the client has, as well as recommended homework. While there is always room to vary from this basic schedule, too much variance may slow the therapeutic process.
How Long Will Treatment Take?
How Long Will Treatment Take?
The length of treatment varies based upon many factors including therapist skill level, client motivation to change, and unexpected personal crises that may emerge and interfere with the original treatment plan. Most clinical disorders for which CBT is appropriate can be treated in 3 to 6 months. In most situations, it is recommended that therapy start with weekly appointments until the client achieves significant gains, then we taper to every other week once we are in a maintenance phase. Once the client feels confident meeting every other week, we often will meet one time a month for 1-2 months before terminating treatment. Many clients feel somewhat anxious at the time of termination. In those situations, we will put a 3 month follow-up appointment on the schedule, with the understanding that that appointment can be cancelled without penalty should it feel unnecessary, and also with the understanding that it might be a time in which the client chooses to resume treatment. It has been my experience that very few clients feel it necessary to resume treatment for the same problem for which they were initially treated. While the above suggestions are the standard treatment suggestions, the pace is flexible and can be adjusted based upon client preference. In some circumstances, meeting too infrequently, especially at the beginning of treatment, makes it difficult to notice any changes. In those circumstances, we would discuss the pros and cons of maintaining the therapeutic relationship on such an infrequent basis. There is absolutely no obligation for a client to remain in treatment, and you are free to drop out at any time, for any reason. It is typically best for both client and therapist for termination to be a mutually agreed upon time, but you as the consumer gets to make the final decision.

PRICING


45 Minute Session
$125
Per Session
  • undivided Attention
  • Personalized Therapy
  • 45 Minutes of Time
90 Minute Session
$225
Per Session
  • undivided Attention
  • Personalized Therapy
  • 90 Minutes of Time

PRICING FAQ



What Fees Can I Expect to Pay?
Payment is due at the time of service. A 45-minute session is billed at $125, and a double session (90 minutes) can be scheduled at a rate of $225. That's All!
Do You Accept Insurance?
Given the limited nature of my private practice, I do not accept insurance, but I am happy to provide you with a receipt and any necessary documentation for you to receive partial reimbursement as an out-of-network provider from your insurance company. My clients who have chosen to submit for reimbursement have been successful in the past, but you will need to check with your insurance provider before assuming the same will be true for you.
Therapy Is Expensive. Is It Really Worth It?
Therapy is certainly an investment of your time and resources. There are some situations people face that could be adequately addressed with the help of a really good friend. Other situations really should involve the help of a professional. It’s up to you to decide if it’s worth the investment and risks involved. To help you make a more informed decision, check out www.abct.org and look to see if the problems you face are appropriate for CBT treatment, or schedule an initial appointment, and we can discuss whether or not these services are appropriate for your situation. After an appropriate initial evaluation, I should be able to help you make the decision that is best for you.
What Is Your Cancellation Policy?
Clients will need to cancel their appointment with 24 hours notice to avoid being charged the full session fee. My private practice slots are limited, but because I do not have a support staff, it is very difficult for me to fill slots at the last minute. In the event of inclement weather that prohibits you from driving to the office, it may be possible to hold the session over the phone. The cancellation policy is enforced without favoritism.

FORMS




Adult Intake


Adolescent Intake


Child Intake


HIPPA



Privacy Notice


Consent to Treat


Consent to Treat - Minor


Release of Information

I'd love to hear from you!


Contact Dr. Herrington

Springfield, Missouri, USA

T. (417) 888-8888
E. Rachael@CrossroadsPsychologicalServices.com

View Map

Contact


Want to say hello? Want to know more about my practice? Give me a call or drop me an email and I will get back to you as soon as I can.