Carolina Counseling Services - Questions
How Do I Set Up my FIRST Appointment?
- Call: (910) 485-6336 (Fastest way to schedule)
- Text: (910) 308-3291 (Reply will be via phone)
- Email: Click to send email (You must include your phone number, because replies will only be made by telephone to ensure security/privacy)
- Call or Text for your New Patient Appointment Anytime!
- Appointment scheduling for NEW clients: Mon-Fri 8:30am-5:15pm
- New client appts may be scheduled when therapists have openings, which may include daytime, evenings and weekends.
- Established/Standing Appointments are made directly with your therapist!
- Some Therapists schedule appointments Mon-Fri 8am-8pm and Saturdays (if requested)
- Referrals: MOST beneficiaries do NOT need a Referral!
- 1310 Raeford Rd Suite 2 Fayetteville, NC 28305
ADMIN OFFICE FOR NEW CLIENT REGISTRATION:
For your first appt at the Raeford Rd location come to this address:
Have Questions? Please don't hesitate to call us!!
Also some of these articles may answer questions that you have:
- Understanding Psychobabble
- Do My Children Really Need Counseling?
- How to get Off-Post Counseling for yourself or for a family member.
- Does Tricare pay for Marriage Counseling?
Understanding PsychobabbleBy: Verna Dority, MSW, LCSW
People get confused. I get confused. Can one always remember the difference between an optometrist and an ophthalmologist, an astrologist and an astronomer, or a podiatrist and a pediatrician? When you don’t work in a specific field, or people tend to use certain words interchangeably, meanings get blurred.
I may not be able to tell you about other fields, but I can explain the field that I work in.
I work in a field that people refer to in many different ways. This is a perfect example of using words interchangeably: Counselor, therapist, psychologist, psychiatrist, mental health provider, behavioral health provider, family therapist, or marriage counselor.
People who don’t work in the field can refer to any of us in the above ways, and we are fine with it- as long as you understand our intent is to be of assistance. However, just for the record, I want to point out some specific differences that may be helpful to you if you or a family member are trying to make a decision on who can best assist you.
Let’s start with mental health and behavioral health. The word “behavioral” refers to how one behaves or acts, while “mental” refers to something to do with how one thinks. Both of these terms are used in the profession synonymously. Many prefer to use the “behavioral health” term because of the previously strong stigma attached to the word “Mental”. Many facilities that used to be termed “Mental Health” are now “Behavioral Health”, allowing people to seek relief without the feeling like they will be labeled “crazy” just because they need to talk to a counselor.
Let’s move on to who’s who:
Psychiatrists are the only ones in this field who can write prescriptions. Regardless of what you have seen on TV or the movies, if you see a Psychiatrist in most states, you will not be able to have an hour session of therapy. Specifically, there is a shortage of Psychiatrists in the whole state of NC. Although it is possible your first session will be 30 min to an hour, follow up sessions will usually be 20 min or less. Psychiatrists usually only have time to manage a person’s medication. Psychiatrists are Medical Doctors who are specialists in the field of Psychiatry and are experts in the area of psychotropic medicines (antidepressants, anti-anxiety meds, etc.) Psychiatrists are able to make an appropriate diagnosis of a person’s symptoms, and choose from a vast array of medicines that will assist a person to function better. Many general practitioner Medical Doctors (MD’s) refer depressed or anxious people to Psychiatrists so that they can get the best medicine, dosage, etc for the symptoms they are experiencing. A Psychiatrist is not only able to prescribe the meds, but also tell you the proper dosage to start with, the time of day to take the medicine, and other important factors that makes the medicine work better for you.
Note: Many psychiatrists prefer that while you are on a psychotropic medicine they have prescribed that you see one of the following professionals:
Psychologists are those who usually have a PhD or PsyD. This means they are Doctors, as in having a Doctorate degree- but they are not Medical Doctors and they cannot prescribe medicine. PhD Psychologists have been educated in clinical practice, research, training and assessment. PsyD Psychologists are trained primarily in clinical practice (counseling). All Psychologists have an average of 5-7 years of education beyond their Bachelor’s degree. Licensed Psychologists have at least two years of supervised work and have passed a National Exam. In addition to counseling services, Psychologists may provide personality, IQ, and other evaluative testing.
Licensed Clinical Social Workers (LCSW) have earned a Masters in Social Work and have completed the licensing requirements of the state they practice in, which usually includes two years of work supervised by an LCSW and passing the very extensive Licensing exam. Social Workers are trained in working with groups… from the small group of two to the larger societal groups and everything in between. Social Workers are trained with culture sensitivity and with client focus. LCSW’s provide couples, family, group, and individual counseling.
The Licensed Marriage and Family Therapist (LMFT) has graduate training in Marriage and Family Therapy and at least two years of clinical experience before they take their state licensing exam. LMFT’s specialize in treating their clients within the context of marriage, couples and family systems.
Licensed Professional Counselors (LPC’s) have either a Masters degree or a Doctorate Degree in counseling or a related field. They have passed the National Counseling Exam and meet the requirements for licensing in the state in which they practice. LPC’s work with all populations.
Pastoral Counselors are trained both in psychology and theology. Pastoral Counselors provide spiritual guidance in addition to their counseling services. They usually have a Masters in Divinity Degree in addition to other academic work. Currently, Pastoral Counselors are licensed in some states (to include NC) and certified in others.
There you have it! So now, even though you might have to Google what an astronomer does, you will already know who to call should you need assistance.
Do My Children Really Need Counseling?By: Verna Dority, MSW, LCSW
Many years ago, counseling was perceived by many as something bad. If you had to go to counseling that meant that maybe you were weak, or "crazy," or couldn't take care of your own problems, etc.
Now counseling is perceived as a good thing...especially by those who have used it to help themselves and family members.
There are times when we all get overwhelmed. Sometimes talking to family members and friends helps. Sometimes they are unable to assist or maybe they are too biased to give us the guidance/assistance we need. It is comforting to know that one can reach out to unbiased professionals to help alleviate the stress, frustration, worry or anger that maybe keeping us from living our lives to the fullest.
That goes for our children as well. Often it is difficult for a parent to stand back and see the bigger picture of why their child behaves the way they do. Some children are very angry, some are extremely worried. Some children have physical, mental or other issues that keep them from functioning at school and at home.
Parents often believe they aren't good parents if they are unable to help their children with all of their problems. This is not the case. We all have our gifts and talents and we use them to the best of our ability with our children. As humans, we are limited however. One cannot do it all. We call the plumber when certain things need fixed in our house, we take our car to the mechanic when it stops working right and we take our kids to the doctor when they are sick.
If our child needs help and we don't know what to do, the next stop is counseling. Let a professional look at the whole situation and plan with you a course of action. You don't have to figure it all out yourself. Remember, counseling is a good thing...
Verna Dority, MSW, LCSW, a veteran, is a Licensed Clinical Social Worker and owner of Carolina Counseling Services in Fayetteville, NC.
How to get Off-Post Counseling for yourself or for a family memberBy: Verna Dority, MSW, LCSW
When an active duty military individual needs to talk to a counselor and does not want to talk to anyone on post, they have a choice of how to go about getting the services they need:
- They may use their Tricare insurance. (Which pays for as many sessions as needed to provide relief or resolve the situation for the soldier).
- They may pay for sessions with cash or check and not use either their Tricare insurance or their Employee Assistance Program. (They may pay for as many sessions as they can afford)
Insurance vs. the Employee Assistance Program (EAP) for the active duty soldier. Again, dependents and retirees can use their Tricare Insurance by simply making an appt off post. They do not need to worry about using the EAP. The Employee Assistance Program is for the employee (the active duty soldier).
Tricare is the insurance (managed health care) program for military, dependents and retirees. (It replaced the previous CHAMPUS plan). The TRICARE Management Activity (TMA) contracts with several large health insurance companies. The company Healthnet provides services for Tricare North Region, which includes the Ft. Bragg area.
Advantages of using Tricare Insurance:
- If you are needing more than 6 sessions, you don’t have to switch therapists. You can start and finish with the same therapist.
Disadvantages of using Tricare Insurance:
- You have to get your pcm to fax a referral to Tricare. This can take anywhere from 24 hours to several weeks’ wait. (However, once Tricare receives the referral, they fax the authorization to the therapist usually within 24 hours)
Since using a one source referral (EAP) may result in the soldier still having to go through the same paperwork process to start using the Tricare Insurance, and since they will not be able to see the same therapist they started with for longer term therapy, some soldiers (who don’t meet the criteria below) decide to skip the EAP and just use their Tricare insurance.
If you have any questions about this topic or would like me to address different topics in future articles, please contact me through my website below.
Thank you for your Service and for all you do for us!
Does Tricare Pay for Marriage Counseling?
Behavioral Health Options for Military Couples
July 12, 2010 No. 10-62
FALLS CHURCH, Va. – It’s important for military couples to talk to someone about marital struggles or stress they may be experiencing. Marital, couples and family therapy, often referred to as counseling, are all types of professional behavioral health interventions available to eligible married couples enrolled in TRICARE Prime, TRICARE Prime Remote and TRICARE Prime Overseas.
“Military life can often cause stress for couples and families,” said Rear Adm. Christine Hunter, deputy director of the TRICARE Management Activity. “Long deployments, worries about job-related danger, and frequent moves can take their toll. For these reasons, TRICARE considers marital therapy an essential part of behavioral health care.”
Marital therapy or counseling can be covered by TRICARE Prime when it’s based on a behavioral health diagnostic evaluation by a TRICARE provider. TRICARE Prime-enrolled spouses of active duty service members can seek marital therapy or counseling in the U.S. or overseas as part of the first eight outpatient behavioral health care visits allowed per fiscal year. This can be done without a referral from a primary care manager or prior authorization from their regional health care contractor. Active duty service members need a referral for all behavioral health care received in the TRICARE network.
Professionals in the TRICARE network authorized to provide marital therapy include psychiatrists, psychologists, certified psychiatric nurse specialists, clinical social workers and certified marriage and family therapists. TRICARE-authorized pastoral and mental health counselors can provide therapy or counseling services under a physician’s supervision.
After the first eight visits, non-active duty beneficiaries must get authorization from their regional health care contractor to continue treatment. To reduce their out-of-pocket expenses, beneficiaries are encouraged to use a TRICARE network provider.
Active duty family members enrolled in TRICARE Prime or TRICARE Prime Remote can call their regional Behavioral Health Care Provider Locator and Appointment Assistance Line for help locating and making appointments with network behavioral health care providers in their area. The toll-free numbers are: North Region, 1-877-747-9579; South Region,1-877-298-3514; and in the West Region,1-866-651-4970. Hours vary according to region. TRICARE Prime Overseas beneficiaries can get information about host nation providers from their local military treatment facility or TRICARE Service Center. The nearest TRICARE Service Center can be found at www.tricare.mil/overseasTSC.
Sign up for TRICARE e-mail updates at www.tricare.mil/subscriptions.
Call now and make an appointment!
Confidential / Private Sessions
Carolina Counseling Services contracts with Licensed professional counselors/therapists that can continue to provide a friendly, relaxed and safe atmosphere to everyone. Carolina Counseling Services assists individuals, couples, families, and children with counseling services that will help put your life back on track. We love to work with the military and are happy to assist active duty dependents and retired military and their families.
Counseling and Therapy are often used interchangeably in our English language. The same is true for Counselor and Therapist. For us, it really doesn't matter which word you use. When you need help, it is best to talk to someone who is not only objective, but who has had lots of experience helping others who have been in similar situations as yourself. We believe that a friendly Counselor or Therapist who is trained, licensed andexperienced is the one who can assist the most. You don't have to figure it out alone. We can help. All of our therapists are licensed, friendly professionals.
If we can't help you, we will be happy to refer you to someone who can. We look forward to assisting you!!!.
Our mission is to contract with licensed therapists/psychologists who are client centered/focused, who are caring, friendly and helpful and who are able and willing to help you resolve you/your family issues. We care about ensuring those who need assistance, get it from those who are best qualified to give it. It is our pleasure to assist you in finding the right fit.
For further enquiries, comments or advices, kindly contact us in one of the 4 ways we described on each page of this website.
When you need an expert who can help...contact Carolina Counseling Services.
Evening and Weekend appointments: We have therapists available for appointments from 8am to 8pm Monday through Friday. Some therapists have Saturday appointments available if requested.
Serving Areas: Carolina Counseling Services
Counties: Cumberland, Hoke, Harnett, Bladen, Sampson, Moore, Montgomery and Robeson Counties, NC
Areas: Fayetteville NC, Ft Bragg NC, Pope Field NC, Hope Mills NC, Raeford NC, Spring Lake NC, Dunn NC, Spout Springs NC, Rockfish NC, Sliver City NC, Linden, Cedar Creek NC, Bowmore NC, Vander NC, Autryville NC, Parkton NC, Bunnlevel NC, Erwin NC, Dundarrach NC, Broadway NC, Falcon NC, Overhills NC, Anderson Creek NC, Pineview NC, Lumber Bridge, NC, Rex NC, Lemon Springs NC, Johnsonville NC, Olivia NC, Eastover NC, Stedman NC and Wade, NC.
Military Community areas: Linden Oaks NC, Ardennes NC Bataan NC, Casablanca NC, Anzio Acre, NC, Corregidor NC, Bougainville NC, Hammond Hills NC, Nijimegen NC, Cherbourg NC, Normandy NC, Bastogne NC, Pope NC, Ste Mere Eglise NC,
Zip Codes: 28301, 28302, 28303, 28304, 28305, 28306, 28307, 28309, 28311, 28312, 28314