FAQ

Obtaining Services

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    Who are you and what are your credentials?

    Please see the About page for details about Shmuel Fischler, LCSW, the director of CBT Solutions of Baltimore, and his credentials. Information about other providers in the practice can be found on the same page.

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    Where are you located?

    We are located at 1212 York Rd., A302/ Lutherville, MD 21903.

    Please see the Contact page for details about our location and contact information.

    From I-695, take exit 26B for York Road/Route 45 North. Drive a quarter-mile North and turn left on Greenridge Road into the free parking lot. Suite A302 is directly in front when you enter the lot.

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    Is parking available?

    Yes, parking is abundant and free of charge.

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    Do you provide services to children?

    CBT Solutions of Baltimore provides services to adolescents (aged 12 years and up) and adults.

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    Can I obtain treatment if I live outside of the Baltimore region?

    Individuals living outside of the area may request treatment with CBT Solutions of Baltimore through the intensive treatment program. Enrolled patients are responsible for all travel and lodging expenses and arrangements during their stay, but CBT Solutions can facilitate the planning.

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    How long does it take to obtain services?

    The wait time varies based on the type of services requested and staff availability. Some services, like the intensive treatment program, are offered on a limited and seasonal basis. Please contact us today at (443) 470-9815 for more specific information regarding the wait for services.

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    What are the fees for your services?

    For information about the latest fees, please contact us today at (443) 470-9815. CBT Solutions offers a sliding scale fee structure for many services. For information on how to deal with insurance companies to maximize coverage, please see Dr. Fred Penzel's excellent article: Fight For Your Rights: Getting Your Insurance Company To Pay For OCD Treatment .

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    Do you take insurance?

    Dr. Chasson is not currently credentialed with any in-network mental health insurance plans. However, for those with out-of-network insurance benefits, CBT Solutions can help you obtain partial reimbursement from your insurance company for treatment fees when appropriate and possible. For information on how to deal with insurance companies to maximize coverage, please see Dr. Fred Penzel's excellent article: Fight For Your Rights: Getting Your Insurance Company To Pay For OCD Treatment .

    Please note that patients are fully responsible for remitting payment at the time services are rendered and are also responsible for corresponding with their insurance company when arranging for and obtaining reimbursement. For more information regarding our approach to insurance reimbursement, please contact us today at (443) 470-9815.

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    How do I deal with my insurance company?

    For information on how to deal with insurance companies to maximize coverage, please see Dr. Fred Penzel's excellent article: Fight For Your Rights: Getting Your Insurance Company To Pay For OCD Treatment .

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    Is the financial cost worth it?

    The cost of effective treatment can be burdensome, but CBT Solutions addresses these financial concerns by 1) providing a sliding-scale fee structure, 2) assisting patients with obtaining partial reimbursement through out-of-network insurance benefits when appropriate and possible, and 3) using effective and time-limited treatment approaches instead of the indefinite or long-term approaches that are typical of more traditional psychotherapy models.

    The cost of treatment is an investment in your future. Fear, worry, anxiety, and obsessive-compulsive spectrum conditions can be debilitating, affecting your ability to work, take care of household tasks, engage in meaningful relationships, and tend to family. Financially prioritizing treatment can have a positive and lasting effect that spreads throughout all facets of your life.

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    What forms of payment do you accept?

    We accept cash, check, money order, and credit card (Visa, MasterCard, American Express, and Discover). We also accept payment using health spending accounts.


Cognitive-Behavioral Therapy (CBT)

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    What does CBT involve?

    Please see the What is CBT? page for details.

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    How long does a course of CBT last?

    While CBT is meant to be a time-limited approach, there is some flexibility with respect to treatment length. The answer depends on many factors, including the type of services and techniques, the complexity of the presenting clinical problem(s), the patient's level of effort (including consistency in attendance and completion of at-home exercises), the patient's ongoing response to treatment (have they shown any improvements to date?), the individual's general strengths and weaknesses, and the patient's prior knowledge of and history with the psychiatric condition and its treatment.

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    How long are standard outpatient CBT sessions?

    Most commonly, patients engage in a weekly 45- or 50-minute session. This general approach changes if the patient requires additional or fewer sessions per week, or if a longer session is necessary to accommodate behavioral exercises.

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    Can CBT cure my disorder?

    At this time, there are no medical cures for these disorders. However, evidence suggests that CBT is effective for treating a range of disorders, including fear, worry, anxiety, and obsessive-compulsive spectrum conditions. For many of these conditions, CBT can eliminate symptoms or minimize them to negligible levels. CBT is considered successful when it results in decreased distress, improved life functioning, and enhanced quality of life. However, sometimes residual symptoms remain.

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    Do I need medication, CBT, or both?

    This question requires a careful assessment from CBT Solutions of Baltimore and a psychopharmacological expert. Ultimately, the effectiveness of combining medications and CBT depends on the psychiatric condition in question, as well as the unique presentation and history of the patient.

    CBT Solutions does not provide specific recommendations regarding medication management. However, we can offer referrals for local psychopharmacological experts.

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    Will you be interpreting my childhood or dreams?

    In contrast to many traditional psychotherapy approaches, CBT is concrete, active, present-focused, and empirical. It is relatively uncommon for a CBT provider to emphasize ambiguous unconscious processes, like dreams. Similarly, while the childhood origin of maladaptive patterns of thoughts, feelings, and behaviors might be a topic of therapeutic discussion, CBT focuses predominantly on more current problems and solutions. However, CBT can incorporate a patient's beliefs about unconscious processes or childhood experiences, especially if the beliefs are relevant to the CBT technique and presenting problem. Please see the What is CBT? page to learn more about CBT.

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    Are my symptoms too unique to respond to CBT?

    This is a common concern for many patients. CBT tends to address the underlying cognitive, behavioral, and emotional mechanisms of psychiatric conditions, instead of surface-level themes or features. For example, exposure-based CBT can decrease debilitating fear, no matter how it manifests, such as contamination in obsessive-compulsive disorder, embarrassment in social anxiety disorder, or spiders in specific phobia. However, if you are concerned about the uniqueness of your symptoms and are unsure if CBT is appropriate for you, please call CBT Solutions at (443) 470-9815 to set up an assessment/consultation.

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    Should I try CBT again if I've done it before?

    While CBT is the gold-standard psychological intervention for fear, worry, anxiety, and obsessive-compulsive spectrum conditions, relapse or symptom flare-ups are not uncommon, especially during times of heightened stress. CBT can help you get back on track with booster sessions or another course of treatment.

    Unfortunately, patients are sometimes misinformed or misled to believe that they've received CBT or a specific CBT technique. If this mislabeled treatment then fails, CBT is sometimes erroneously blamed. If you believe that you've received ineffective or questionable CBT in the past, it might be worth requesting an assessment/consultation with CBT Solutions.


Non-Treatment Issues

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    Do you provide support services to the community?

    On a limited and seasonal basis, CBT Solutions can provide workshops and presentations to the community and organizations on the nature and treatment of fear, worry, anxiety, and obsessive-compulsive spectrum disorders. Similar services can be provided for topics related to cognitive-behavioral therapy more generally.

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    Where can I go for additional information?

    Please see the Resources page.