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Angela Skurtu Therapist in St Louis

Meet the Therapist in St Louis

Angela Skurtu M.Ed, LMFT is a Missouri Licensed Marriage and Family Therapist and Nationally (AASECT) Certified Sex Therapist.


Angela provides counseling in Ballwin, Mo, including couples counseling, marriage therapy, and sex therapy. Click to find out more info

AngelaBookCover.jpgMy Book on Pre-Marital Counseling

Angela Skurtu's book, "Pre-Marital Counseling: A Guide for Clinicians." (Routledge, March 2016, $29.95), covers the predictive factors for marital success, the five habits of healthy relationships, and researched strategies for maintaining desire in a long relationship.

This guide for clinicians can even be useful for clients wanting to make a lasting marriage successful. Click here to order from Amazon.

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Marriage Therapy

Find out more about Marriage Therapy. What is the process? What are the goals? Your Therapist in St. Louis can help. Click for more info.

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Services 

St. Louis Marriage Therapy LLC is committed to providing researched techniques that work. We counsel in the areas of relationship conflict and many other issues. Click for more info.

FAQ

What do I need to do to schedule an appointment?

You can either email, submit a contact form, or call indicating your interest including days and times that work best for you. I get back to clients faster via email or contact form. You will be asked to provide your full name, phone number and credit card information to secure an appointment. There is a 48 hour cancellation policy. If you do not cancel 48 hours in advance, you will be charged a $60 missed visit fee. Your therapist will offer to send you the intake paperwork via email or you can download the intake form at the "New Clients" page.

 

What are your fees for service?

For a typical 45 minute session, the cost is $130 for sessions Monday through Friday. Couples can opt to do a 1.5 hour session Monday through Friday. A 1.5 hour session is $260 and is usually scheduled every other week. Weekend couples intensives are available. Weekend Couples Intensives last 3 hours and cost $800. These can be scheduled on either Saturdays or Sundays. If scheduled in advance, a couples intensive can also be offered on a Friday. To schedule a couples intensive during the week, you will be asked to put a $200 non-refundable deposit to save the space.

For couples who are willing to pay in advance for several sessions, discounts are available. Ask your therapist for details about advance scheduling and payment discounts.

 

What length of session should I pick and why?

If you are coming in by yourself, you only need a 45 minute session. If you are coming in as a couple, a 1.5 hour session or higher is suggested but not required. The 1.5 hour session allows couples to start and end their conversation with the therapist present. In 45 minutes, couples often start the conversation but then need to finish their discussion on their own. Since couples are usually coming in because they are struggling to work through their problems, the 45 minute session may not give enough time to fully address the issues. If a couple chooses the 45 minute session, it is best to come in weekly to make progress. Some couples will start out with 1.5 hour sessions but then change to 45 minute sessions after a few visits.

Couples who do the 1.5 hour session also report they feel less rushed and have more time to learn the various skills in therapy. When couples choose the extended session, they usually come in every other week instead of weekly because they have more time in session to cover issues. From a therapuetic standpoint, the longer sessions tend to have better outcomes because I have an opportunity to fully assess the problem, offer solutions, and even do a little troubleshooting on why a solution has not worked in the past.

When couples want to get every problem out on the table and have a lot of issues to sort through, a 3 hour couples intensive is appropriate. During this session, we do a big overview of all the issues a couple is struggling with. We develop a plan of action by the end of the session for the couple to work on. Usually couples who start with a couples intensive will continue with shorter sessions afterwards. However, some couples report the intensive was enough for them to get started in the right direction.

 

Do you take insurance?

I take Blue Cross/Blue Shield until November 1, 2017. Clients should check with their individual insurance provider prior to the first session to find out details about their insurance benefits for mental health services. If you use insurance, you can only schedule 45 minute sessions weekly. Insurance will NOT cover an extended session. Please be advised that in order to bill insurance, your therapist must diagnose you with a mental health diagnosis such as depression, anxiety, bipolar, etc. Some clients choose not to use insurance for this purpose. Clients are ultimately responsible for any fees that insurance does not pay for sessions. Insurance often does not cover couples or sex therapy.

We are in network with:  Blue Cross/Blue Shield (Starting Nov. 1, 2017, we will be private pay only).

 
Why should I choose private pay instead of using my insurance?

A mental health diagnosis goes on your permanent medical record. A diagnosis becomes a pre-existing condition and can be used to prevent clients from getting cheaper life and health insurance rates later in life. A mental health diagnosis can also prevent clients from getting certain jobs, or clearance to high security positions. Some jobs will even screen for mental illness before hiring new employees. Types of jobs that a mental health diagnosis could effect include, but are not limited to, federal and state jobs, military jobs, pilots, and some church positions.

Also, insurance is very restrictive in terms of the length of sessions. Insurance will only allow billing for a 45 minute session. Couples cannot opt to schedule extended sessions if they choose to use insurance.

 

Does insurance cover couples therapy?

Many insurances consider couples therapy an exclusion and will not cover services. Insurance requires sessions to last 45 minutes once weekly or less. This is not the most beneficial way to work through counseling as a couple. As a part of our couples program, we suggest you schedule 1.5 hour sessions. These are private pay only. Couples who use insurance usually schedule 45 minute sessions weekly to start making progress.

 

How often should I come to therapy?

This depends on the complexity of the problems you are facing as a couple. Some couples go to one weekend intensive only. Some couples will see me for 8-10 sessions either weekly or bi-weekly. The length of time spent in therapy is dependent on what the client needs or wants.

 

How long does therapy last?

The length of therapy varies based on the goals of therapy and the needs of the client. Some clients may only need a few sessions, while others may require several months of care. After an initial session, your therapist will offer suggestions for how many sessions should be scheduled. However, clients must choose what works best for them.

 

 

 

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