Do you see children individually?No, caregivers are in the treatment session with the child. Caregivers have to know how to help their child at home. Home is where children make lasting changes.
- Are you a counselor?
No, I am a psychotherapist and clinical social worker. A psychotherapist tries to identify the sources of the presenting symptoms and helps people correct the sources so that the symptoms dissipate.
- Do you do Christian Counseling?
Yes, I can specifically provide Christian Counseling as I am myself, Christian. I can also provide counseling and psychotherapy to people on different spiritual paths without judgment nor attempts to influence their belief system to match my own.
- How are you different from other counselors, psychologists or psychotherapists?
I have created a unique child-in-family approach which helps children get better faster and saves caregivers time and money. Click here for a more thorough description of why this approach is much more highly effective than the traditional “individualized therapy/play therapy only approach”.
- What do you look for when you assess children?
Please see this sample evaluatory report (click here) to get a better idea of the child-in-family approach to evaluation and treatment. Custodians are given a copy of the child’s Initial Treatment Plan upon the return trip after the evaluatory first session. If custodians also wish to have an evaluatory report, the cost is $80 and is not reimbursable by insurance.
- How much do you charge?
$80 a 60-minute hour for all services, except groups, workshops and classes.
- I may like to use my out-of-network private insurance benefits to help me pay for your services. What is my first step in making that decision?
First call your health insurance company or check your policy to be sure you have out-of-network provider benefits for out-patient behavioral health counseling or psychotherapy. If you have an HMO policy, you probably don’t have out-of-network benefits. Click here for suggested questions to ask your insurance company to help you decide whether or not you should use your out-of-network insurance benefits for services at Beth Powell’s In-Family Services.1. Do you have out-of-pocket costs to pay before you can utilize your out-of-network benefits such as a deductible? If so, what are those costs?
2. See if Lucy (Beth) Powell, LCSW qualifies as an out-of-network, outpatient behavioral health provider with your insurance company. Her LCSW license number is 18222. Her NPI number is 1942340054. Her office is located in Conroe, Texas.
3. Will your policy pay for individual outpatient behavioral health therapy? Will it also pay for family outpatient behavioral health therapy?
4. What are the outpatient mental health CPT codes your insurance company will pay for? 90791? 90837? 90847? 90834? 90846?
5. In order for your out-of-network behavioral health provider to file your visits with your insurance company to help you reach your out-of-pocket costs, how much does your insurance company expect you to pay the provider for each CPT code?When you gather this information, call Beth Powell’s In-Family Services to discuss the matter in further detail: 979-733-3232.
- Do you take credit and debit cards?
Yes, and I also take cash and checks.
Do you do play therapy?I have several interventions I choose from to help children, depending on their therapeutic needs. Play therapy could be one of them.
- Should I give my child her behavioral medications before the evaluatory session?
Please try to hold off on as many behavioral medications as you can until after the evaluation. That way I can get a better idea of what’s causing the presenting behavioral problems.
- Do you write evaluations for court purposes?
- Do you go to court?
- Do you work with children who may not be in a safe place when they are not in my care?
I can only work with children who are in safe environments. Children cannot heal until they are safe. If you have a child who may not be safe in the care of a custodial adult, then you may need someone who can do forensic psychology as a form of advocacy, to help you get that child to safety. This type of psychology is not within my scope of practice.
- Do you help parents deal with their own issues so they can better help their own hurting children heal?
Of course, your children need you to be healthy, so they can be healthy. And as long as your issues are not related to active drug and/or alcohol use, I can help you. Alcohol/drug rehabilitation is not a part of my scope of practice.
- Does Medicaid help pay for transportation to your office?
They may. Please call Texas Health and Human Services Commission at 877-633-8747 before your appointment. If you are coming from a distance, they may pay for lodging.
- Do you take a plan that is private insurance and Medicaid?
That depends on the private insurance plan. I would have to first contact them to find out.
- Do you see children of all ages?
Yes, if they are in your care.
- Do you evaluate children in their academic or daycare settings?
Yes, but insurance companies will not reimburse me for doing so.
- Do you work on Saturdays?
- Do you work with CPS Foster Children?
I work with foster to adopt or foster to PMC cases. I am unable to provide the free time necessary to work with non permanent placement CPS foster care only children. In order to work with permanent placement children, I need the home custodian to be the case manager for the child. This means I give the progress notes and pro-bono initial evaluatory report to the foster parent and the foster parent ensures that the paperwork goes to whomever it needs to go to. I am not available for phone calls, e-mails, faxes, or court appearances. I cannot assist with the child’s legal case. As long as everyone is in agreement with my limitations, then I’ll be happy to provide the best services to help people help the children in their care.
So that your CPS caseworker and your private adoption worker (if you have one) understand and agree to the treatment standards of my private practice, you must have the CPS representative and the private adoption worker (if you have one) sign the agreement form before I can make an initial appointment with you. Click Here.
- If the CPS caseworker wants you to provide the treatment suggestions from the child’s CANS assessment in lieu of your own assessment and treatment recommendations, will you do so?
No. I am responsible, ethically and legally, to assess, treat and practice according to my experience, expertise and licensure, not someone else’s.
- Do you do home visits?
- What is your approach to treatment?
A multi-dimensional, child-in-family approach to help caregivers help their children is what is provided here. That’s why the caregivers are in the therapy session with the children. Inherent in this therapy process is a strong teaching component, whereby the at-home caregivers become the child’s trained co-therapists.
- Can I ever talk with you privately during a session? Does my child or my husband always have to be in the room with me?
Certainly if an individual needs to have a private moment with the therapist during a session, it can be arranged.
- Do you work with Attachment Disorder?
I work with the source problems that create the symptoms which cause families to seek help. I certainly treat attachment/trust problems between parent and child and child and parent.
- What is Sensory Processing Disorder?
It’s the new name for Sensory Integration Dysfunction. When a person’s brain has trouble interpreting input from the senses (sight, sound, touch, taste, smell and movement), then the misprocessing of sensory input can cause the brain to go into states of fight-flight-freeze. This causes the child to be anxious and exhibit symptoms of attachment disorder, oppositional defiant disorder, obsessive compulsive disorder, ADHD, and just generally not be as pleasant or as fun to be around as other children who don’t have sensory processing issues are. For up to date information on this disorder, see The Sensory Processing Disorder Resource Center at www.sensory-processing-disorder.com. To see if your child may have sensory processing difficulties, click here for The Sensory Processing Disorder Resource Center’s Checklist.
- How do you work with someone who has sensory processing problems, Developmental Trauma Disorder or Autism?
I help clients through a variety of methods such as therapeutic neuro-behavioral play, creative play, parent education, EMDR, cognitive-behavioral therapy and learning to trust and forgive in inner and intra-personal relationships. If the problems in the brain occurred early on before there was cognitive awareness, or actual memory, then the parts of the brain that should have been coming on line at that time were likely negatively impacted. It is those parts of the brain that need to be the focus of the habilitation before the higher, more complex, more aware parts of the brain can really experience change. For example, if it is noted during the evaluation that a child seems dissociative, especially when there is the slightest bit of stress, then proprioceptive and vestibular play might be activities that would need to occur on a regular basis to help the child regulate the stress response. Another example might be a child who interacts poorly and awkwardly in social situations, missing the natural give and take of conversation and missing relational cues like body language and intonation. He might be clumsy, uncoordinated, emotionally dysregulative, impulsive and anxious. Or relationally, he may be just the opposite: flat affect and vocal tone, without really caring if he is with people or not. Rhythmic play with another person might very likely be a part of the treatment plan at some point.
- Is there any research to back up the stated effectiveness of neuro-behavioral play and activities to change the brain?
Three studies come to mind: Two involve pre and post HANDLE® neuro behavioral therapy studies (one of which Lucy (Beth) Powell, LCSW conducted) and one involves a study of the effects of a Kundalini Yoga neuro-behavioral activity on the memory of a group of individuals suffering from cognitive decline and Alzheimer’s disease. The Journal of Neuroimaging, Volume 16, Page 272, July 2006 issue contains an article titled “Imaging Cerebral Activity in Recovery from Chronic Traumatic Brain Injury: A Preliminary Report.” The abstract can be accessed via http://handle.org/.The HANDLE® study that Lucy (Beth) Powell, LCSW, conducted was published in 2006 in Fostering Families Today and Adoption Today and is titled “Behavior Change Proved.”The study regarding the Kundalini Yoga activity and memory improvement is by Newberg, AB; Wintering, N; Khalsa, DS; Rogenkamp, H; Waldman, MR (2010). It is titled “Meditation effects on cognitive function and cerebral blood flow in subjects with memory loss: a preliminary study.” It can be found in the Journal of Alzheimer’s Disease, Volume 20 (2): 517-26.