Therapy Services & Specialties: Don Mack, LMFT

Therapy Services & Specialties

Therapy is a personal relationship and I believe it's important to connect with someone who you feel comfortable with, and who understands your concerns.

l offer confidential Individual, Family or Couples Therapy sessions which typically last around 50 minutes.

Areas of expertise include:

Substance Abuse and Addictions
Relational concerns
Sexuality.
Depression & Isolation
Creative Expression
Gay/Lesbian/Bi/Transgender concerns
Life Transitions
Anxiety
Grief & Loss.
Divorce Mediation

My Approach

I have a warm, interactive approach and hope to gain an understanding of your perspective through engagement and by asking in-depth questions. I was trained in the psychodynamic process but through experience I incorporate self-psychology, the cognitive-behavior approach and hypnotherapy in order to come up with an individualized plan for each client. I try to create a safe, inviting space for you to grow and talk about your concerns.

We may also find through our work together that adjunct methods such as exercise, diet, spirituality, meditation and visualization techniques may also improve your quality of life. If so, we will work as a team to incorporate these to meet your specific needs and progress to your goals.

Forms

client_intake_form.pdf
File Size:	52 kb
File Type:	pdf

Download File

office_policies.pdf
File Size:	110 kb
File Type:	pdf

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informed_consent.pdf
File Size:	172 kb
File Type:	pdf

Download File

consent_to_release_information.pdf
File Size:	46 kb
File Type:	pdf

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consent_for_in_person_during_covid.pdf
File Size:	55 kb
File Type:	pdf

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Individual Information Intake

* Indicates required field

Client Name *

First

Last

Home Address *

Phone Number *

Date of Birth *

Email *

Occupation, Employer *

Can messages be left at this number? *

Yes No

Living arrangement *

Prescription Medications Taken *

Presenting problems & concerns *

Prescribing Physician/Nurse Practitioner *

Insurance Information (You only need to fill this out if you're planning to use your insurance). *

I have read, understand and agree with all of the policies and procedures listed in the Office Policies and General Information about Confidentiality agreement for Psychotherapy services form and the Informed Consent form.

Submit

Couples Information Intake

* Indicates required field

Client Name 1 *

Client Name 2 *

Date of Birth (Client 1) *

Home Address (Client 1) *

Email (Client 1) *

Date of Birth (Client 2) *

Home Address (Client 2) *

Email (Client 2) *

Phone Number (Client 1) *

Can messages be left at this number? *

Yes No

Prescription Medications Taken (Client 1) *

Prescribing Physician/Nurse Practitioner *

Living arrangement *

Phone Number (Client 2) *

Can messages be left at this number? *

Yes No

Prescription Medications Taken (Client 2) *

Prescribing Physician/Nurse Practitioner *

Living arrangement *

Presenting problems & concerns *

Insurance Information (You only need to fill this out if you're planning to use your insurance). *

Submit

No Surprises Act & the Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost. Under a new 2022 law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.

You can ask me, or any other provider you choose, for a Good Faith Estimate before you schedule a service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about the Good Faith Estimate program you can contact www.cms.gov/nosurprises.

Don Mack, LMFT, LCT ​Psychotherapy & Mediation