Nicki Ditch LMHC CCTP AMTP

Counseling and Mental Health Services

Have questions? Call us today:

(585) 210-3663

Common Questions

Do I really need therapy?
It is my belief that we all have the innate ability to heal ourselves and to become our best self. I rarely think that my clients NEED therapy and I often believe that people can benefit from therapy and deserve to get support. 
 
How do I know if I am ready for therapy?
You are ready for therapy when your usual ways of coping and problem-solving no longer seem to help. You may be feeling frustrated, angry, anxious, depressed, or even hopeless. You are very much ready to begin therapy if you are using alcohol or drugs as a means of coping, you seem to be pushing everyone around you away, you are at risk of losing your job or an important relationship, your ways of coping have caused you to have legal issues, or you have thoughts of harming or killing yourself or someone else. 
 
How can therapy help me?
After you become familiar with working with me and I have gained your trust, you will notice that therapy with me is safe, often uncomfortable, challenging, sometimes frustrating, and can be even be fun at times. Yes, I said fun!!! Therapy, when done right, is hard work but it doesn't have to always be so damn serious! Every experience changes our brains! Therapy works when you allow yourself (and your brain) to experience life in healthier ways by learning new skills, sitting with and tolerating your emotions rather than avoiding them, and allowing yourself to meet, accept, and honor EACH AND EVERY PART OF YOUR WHOLE SELF. 
 
What can I expect during my sessions?
Every therapy session is unique. Your sessions will vary depending on your therapy goals, your personality, and even your mood. The first few to several sessions will focus on building the therapeutic relationship, building mutual trust, and identifying your therapy goals. Sessions will then progress to various interventions designed to move you in the direction of your therapy goals. During sessions, I will explore with you ways that your own thought patterns and behaviors block you from reaching your goals. I will encourage and challenge you to think and behave in ways that will help you reach your goals. Ultimately, I want to facilitate your ability to: gain understanding of yourself and those around you, connect genuinely, behave in ways that align with your values and goals, and practice self-kindness.
 
Medication vs. Therapy
While medications can be helpful in alleviating symptoms, a “magic pill” simply does not exist and therapy is what will ultimately address the underlying issues that lead to mood instability and anxiety. Sometimes it makes sense to explore adding medication to your treatment plan while other times it may not. Your primary care doctor can help you learn more about the possible benefits of medications. He or she may recommend referral to a psychiatrist to manage medications. 
 
Will our conversations remain confidential?

The relationship between a client and a therapist is protected by law. Information can’t be disclosed without written consent, unless the following conditions exist:

*I have reason to suspect past or present abuse or neglect of children, adults or elders, for which I am required by law to report this to the appropriate authorities.

*Should I have reason to believe you are in danger of seriously harming yourself or you have threatened to seriously harm another person, I will do my best to work with you in planning for safety. If you are unable or unwilling to engage in safety planning, I am required by law to call 911 to ensure your safe transport to the hospital for evaluation and if applicable, notify any intended victims.

*I am, or my records are, subpoenaed.