Frequently Asked Questions


Where is the office? “North of the River,” less than a mile east of Zona Rosa and just south of Barry Road and St. Luke Northland Hospital. Look for a two story red brick building with the name "Embassy Park" and the number "8350" on it. The office is on the second floor at the end of the hall. There is an elevator at the entrance for those who need one. Click here for more directions.


What are the hours? Appointment times normally are 2PM to 7PM, Monday & Tuesday, Noon to 7PM, Wednesday & Thursday.


What does it cost? The fee for a 45-50 minute counseling or psychotherapy session is $125. Art therapy fees are usually less and must be negotiated. Click here for Fees and Insurance.


How do I decide who to see? Your needs and desires need to match the therapist’s location, hours, and fees. Once you have answered these questions, the next step is to meet the therapist. You must feel comfortable talking to whomever you see for the work to be effective and productive. Effective work usually involves feeling painful emotions from time to time. Being comfortable with whomever you see is the foundation for successful work. Many years of research show that the quality of the relationship between the client and therapist is more important than any other factor, for example, the therapist’s specific education or theoretical orientation.


How and why does it work? There is something about talking with someone trustworthy that promotes psychological health, just as food, water, sleep, and physical exercise foster physical health. We human beings have discussed our hopes, problems, and worries with each other for thousands of years. Counseling and psychotherapy are simply a new way of doing what humans have always done. The professional training of counselors and psychotherapists usually makes those conversations more productive.


What happens in a counseling or psychotherapy session? You talk, the therapist listens and talks, and you both discuss what is on your mind. The goal is to see more clearly what is on your mind and to find new ways of living, new ways of thinking, acting, and feeling. Art therapy is a similar process but with less talk.


What is the difference between counseling and psychotherapy? We do both, but the
difference is not always clear. Counseling tends to be brief, for example, six to 12 meetings over a few months, for example, discussing thoughts and feelings about the death of a co-worker. Psychotherapy is for long-term problems, such as recurring feelings of depression and anxiety, or troubled relationships with significant others. Long-term problems are often subtle, complex, and hard to resolve. If the problems were simple and easy to solve, they would not exist. So psychotherapy tends to take longer than a few months, often a year or more of weekly appointments. An analogy shows another way counseling and psychotherapy are different. Counseling, short term work, may provide one or two new tools for ones tool box. Psychotherapy, long term work, helps develop more new tools and perhaps examination of the tool box itself. For example, “Who am I?” Ultimately, the purpose of both counseling and psychotherapy are for helping you to live your life more fully and effectively, consistent with the old adage, “Give a man a fish and he is fed for a day. Teach a man to fish and he is fed for a lifetime.”


What are your theoretical orientations? Bruce Manley’s approach is a mix of humanistic-
existential and psychoanalytic theory and training. Linda Kramer’s approach is self-expression
by means of drawing, painting, etc.


What is Cognitive Behavioral Therapy (CBT)? There are many ways to categorize different types of counseling and psychotherapy. One way is short term versus long term, that is counseling versus psychotherapy. Another way is the focus of change, that is, thoughts, behavior, or feelings. Thoughts, behaviors, and feelings are interrelated, and if there is change in one area, then there is change in all three areas. Cognitive behavioral therapists (CBT) focus on thoughts and/or behaviors. While Bruce Manley uses CBT techniques from time to time, his approach involves awareness of all three. Feelings are important; they provide clues and motivation for change. Feelings are the “water” in which we human beings “swim.”

Which theoretical orientation is right for me? To use an analogy, it is like going to a
restaurant. You do not know whether or not you like Italian food, Mexican, or barbecue until
you try it! It is a question involving the type of food, the setting in which it is served, and the
cook who prepares it.


Designed by Jean Anderson