Counseling Services

Welcome! I am a Licensed Professional Counselor and I appreciate your trust and the opportunity to be of assistance to you. Counseling is holistic and geared to the specific needs of each client. It is comprehensive and collaborative and requires your very active involvement. The therapy approach focuses on the potential for personal growth, problem solving, and decision making. It employs a variety of techniques tailored to your specific needs including coping mechanisms to improve your quality of life. A plan of treatment and/or action is discussed, so you can make the best treatment decisions for you, and/or your minor child. It usually includes some homework items to maximize your therapy dollars. To assure the highest possible outcome for each client, I must point out certain commitments that each client needs to consider before proceeding in a collaborative relationship.

  • Client agrees to communicate openly and honestly.
  • Client understands that personal growth and learning requires a commitment to change.
  • Client agrees to execute action steps discussed in each session and understand that no promises have been made as to the results of treatment or of any procedures provided by this therapist.
  • Client realizes there may be times in the process where they may confront realizations that may be uncomfortable to accept.
  • Client is aware that they may at any time stop treatment with the therapist and they are only responsible for payment of services that they have already received.
  • If, at any time, the client is dissatisfied with the counseling relationship they will fully discuss their views, reasons and plans with the counselor. After regular reviews of progress if the client is not progressing the counselor has an ethical responsibility to suggest that the client see another professional. The Client and therapist will fully discuss their reasoning and recommendations ahead of time so they can come to an agreement.
  • If the client is a minor, the guardian understands that while they have the right to general information on issues and progress, some information shared in the professional relationship will be held in confidence by the counselor and the minor child.

Appointments are scheduled by calling during regular office hours. Mon.-Fri. 9:00-5:00. If the therapist doesn’t pick up, please leave a voice message on the confidential line and your call will be returned with in 24 hrs. excluding weekends and holidays.

Out of Office Contact In a dire emergency, call 911 or go to the nearest emergency room. If you cannot reach me at the cell phone number provided, you can contact your personal physician.

Cancellation Policy I make our meetings a first priority and ask you to do the same. Your session time is reserved for you. A cancelled appointment is an interruption in our work together. If you are unable to keep your appointment, I require a 24-hour notice. If you give less than 24 hours notice, you will be charged the regular session rate, unless I am able to fill your time. As a courtesy to clients, I try to provide appointment reminders by text when possible. However, I am not able to guarantee this service. Clients are responsible for recording and keeping scheduled appointments.

Confidentiality for Therapy Services and Consent/ Authorization Agreement The confidentiality of our conversations, including your records, is legally protected by federal and state law, and by my profession’s ethical principles in all but a few rare circumstances. Listed below are two exceptions to confidentiality and for a full disclosure of exceptions refer to http://www.scstatehouse.gov/code/ t40c075.htm Section 40-75-190. Also, professional ethics prohibits counselors from entering into a sexual relationship with a client. Confidentiality Exceptions: 1. Counselors are mandated reporters for suspected abuse, neglect, or exploitation of a child or vulnerable adult. 2. Counselors have a duty to warn if there is clear and immediate danger to another person or if you are a threat to yourself. This includes persons with HIV/Aids are required by SC law to share their status before intimate sexual contact or sharing needles. Communication by e-mail is not considered a confidential means of communication. By signing below, I give Myra Gasser consent to leave a telephone message, text, or email reminding me of my next appointment.

Professional Fee Schedule for counseling/therapy 50 min. initial evaluation $160.
50 min. sessions = $135.

Phone Coaching Fees I typically return routine/non-urgent phone calls within the same business day. My policy is to provide quality client care through scheduled office visits, not unscheduled phone calls, so I may direct you to make an appointment. Unscheduled calls in excess of fifteen minutes will be charged a rate consistent with office time.

Skype appointments can be discussed at the initial evaluation to assess appropriateness for the client. They are scheduled as a regular apt. and are charged accordingly.

Financial Policy I will provide you with a super bill invoice which includes: national provider number and appropriate codes for you to file for reimbursement from your insurance Company. Payment is due at time of service by cash, check, credit card or money order. Any returned checks are subject to a $30 service fee. Any returned checks must be resolved before future appointments can be arranged.

Services Provided
Individual, couples and family therapy
EMDR
DBT
Assessment
Coaching

Rates
Initial intake session 60 min. $160.
Therapy Sessions (Individual, Couples, Family) 50-60 min. $135. In-Home Sessions 1 hr. $175.

Payment Credit card, cash or check

Disorders
• ADHD
• Depression and Suicide
• Mood and Anxiety Disorders • Teen Substance Abuse
• Eating Disorders
• Self-Injurious Behaviors
• Trauma and Abuse
• Grief and Loss
• Sexual Addiction
• Sexual Abuse
• Bipolar Affective Disorder • PTSD
• Stress Management
• Personality Disorders
• Parent and Life Coaching

DBT is a form of psychotherapy that was originally developed by Marsha M. Linehan, a psychology researcher at the University of Washington to treat people with borderline personality disorder(BPD). DBT combines standard cognitive behavioral techniques for emotion regulation and reality-testing with concepts of distress tolerance, acceptance, and mindful awareness largely derived from Buddhist meditative practice. DBT may be the first therapy that has been experimentally demonstrated to be generally effective in treating BPD. Research indicates that DBT is also effective in treating patients who present varied symptoms and behaviors associated with spectrum mood disorders, including self-injury. Recent work suggests its effectiveness with sexual abuse survivors and chemical dependency.

CISM (Critical Incident Stress Management) is a therapy used after a critical incident. A critical incident is a challenging event that has the potential to create significant human distress and can overwhelm one’s usual coping mechanisms. Psychological distress causes a psychological crisis in response to a critical incident such as emergencies, disasters, traumatic events, terrorism, or catastrophes. These crises are about people, communities, families, friends, and loved ones. CISM is founded on principles of dignity, understanding, kindness, hope and dedication in helping others through difficult situations. I am a Red Cross Disaster Mental Health specialist and I have assisted in the debriefing process of employees following critical incidents, such as, bank robberies.