Frequently Asked Questions
Clear information about therapy, treatment approaches, insurance, scheduling, fees, and what to expect before you begin.
Finding the right fit
Therapy begins with understanding what is happening, what keeps repeating, and what you want to change.
Is Brian the right therapist for me?
Brian’s style is direct, structured, and engaged. Therapy focuses on identifying the pattern, understanding what keeps it going, looking honestly at what it is costing you, and building practical ways to respond differently.
This approach often works well for people who value emotional depth, honest feedback, practical skills, and personal responsibility. Brian is steady with complicated material and willing to challenge patterns that continue to hurt you or the people around you.
The first few appointments also give you an opportunity to decide whether the relationship and approach feel useful.
What happens during the first appointment?
The first appointment focuses on understanding what brings you in, what has already been tried, what keeps repeating, and what you want to change.
The conversation may include your current concerns, relevant history, relationships, coping patterns, trauma, substance use, previous treatment, strengths, and immediate priorities. Together, you and Brian will begin identifying treatment goals and determining which approaches may be most helpful.
Who does Naples Integrated Recovery work with?
Naples Integrated Recovery works with adults, couples, families, and selected adolescent cases based on clinical fit.
- Trauma and PTSD
- Addiction and compulsive behavior
- Alcohol and substance use
- Anxiety, stress, and rumination
- Anger and emotional reactivity
- Relationship conflict
- Betrayal and attachment injuries
- Burnout and high-functioning distress
- Depression, shame, and self-criticism
- Patterns that continue despite insight
Many clients are professionals who are accustomed to functioning at a high level while carrying more privately than the people around them realize.
Do you offer in-person and online therapy?
Yes. In-person appointments are available in Naples, Florida. Secure online therapy is available for clients who are physically located in Florida at the time of the appointment.
Some concerns or treatment approaches may be better suited to in-person care. This can be discussed during the initial assessment.
How long does therapy usually take?
The length of therapy depends on the concern, how long it has been present, current stability, treatment goals, appointment frequency, and the depth of the work.
Some clients benefit from a focused period of therapy around a specific problem. Others participate weekly for several months and later move to biweekly or occasional maintenance appointments. Trauma processing, addiction recovery, and longstanding relationship patterns often require more time.
Progress and treatment frequency are reviewed openly as therapy develops.
How the work is structured
What treatment approaches does Brian use?
Treatment is individualized and may draw from:
- Dialectical Behavior Therapy
- EMDR therapy
- IFS-informed parts work
- Motivational interviewing
- Cognitive Behavioral Therapy
- Emotionally Focused Therapy
- Gottman Method
- Attachment-informed therapy
- Addiction counseling and relapse prevention
- Trauma-informed treatment
Brian uses these approaches according to the client, the presenting concern, and what is happening in the room. The focus remains on understanding the pattern and creating meaningful change rather than forcing every client through the same method.
Do I need to be sober before beginning addiction counseling?
No single starting point is required. Clients begin addiction counseling while abstinent, after a relapse, while questioning the severity of their use, or while trying to decide what they are willing to change.
Early treatment may focus on assessment, motivation, harm reduction, stabilization, relapse prevention, or developing a recovery plan.
Outpatient therapy may not be sufficient during active withdrawal, severe intoxication, medical instability, or an immediate safety concern. In those situations, Brian may recommend a more appropriate level of care.
Will therapy include homework?
Between-session work is never a requirement. It may be offered when a client wants to extend the work beyond the appointment and apply what was accomplished during the session.
Any suggested practice is tailored directly to the client and the specific session. It might involve observing a pattern, practicing a communication skill, preparing for a difficult conversation, following a relapse-prevention plan, or trying a regulation strategy.
Brian does not assign general worksheet packets simply to create homework.
Clear financial information
Do you accept insurance?
Naples Integrated Recovery participates with select Aetna and UnitedHealthcare plans, along with Traditional Medicare, for individual therapy. Medicare Advantage plans are not accepted.
Coverage depends on the specific plan, benefits, diagnosis, medical necessity, and service being provided. Eligibility must be verified before treatment, and participation with an insurance company does not guarantee coverage under every plan.
Availability for insurance appointments may differ from availability for self-pay care.
Couples, family, and relationship-focused therapy are self-pay services.
What are the self-pay rates?
Payment is due at the time of service unless another arrangement has been made in advance.
Why is relationship-focused therapy self-pay?
Relationship-focused therapy at Naples Integrated Recovery focuses on the relationship itself: the interactional patterns between partners, attachment, communication, emotional responsiveness, trust, intimacy, conflict, betrayal, boundaries, repair, and shared responsibility.
The work may draw from Emotionally Focused Therapy, Gottman Method, attachment theory, DBT skills, and IFS-informed parts work. Both partners are expected to examine their role in the repeating cycle and participate in changing it.
Insurance-based treatment for one partner’s psychiatric diagnosis or individual medical necessity is provided through individual therapy. Relationship sessions are reserved for clients seeking therapy focused on the couple or family system.
What clients should expect
Can I request an urgent appointment?
Urgent appointments may be requested by new or established clients. The fee is $250.
An urgent appointment is a request and cannot be guaranteed. Availability depends on Brian’s schedule and whether an outpatient therapy appointment is appropriate for the situation.
Urgent appointments do not provide emergency, crisis, or on-call coverage.
What is the cancellation policy?
At least 24 hours’ notice is required to cancel or reschedule an appointment.
Appointments canceled with less than 24 hours’ notice and missed appointments are subject to the late-cancellation and no-show policy described in the practice paperwork. Insurance does not cover these fees.
How quickly does Brian respond to messages?
Brian personally responds to messages in most cases within 24 hours and often replies outside regular business hours.
A response within 24 hours cannot be guaranteed. Response time may vary during sessions, weekends, travel, illness, or scheduled time away. Messages are appropriate for scheduling, brief updates, and administrative questions. More involved clinical concerns are generally addressed during an appointment.
Is therapy confidential?
Therapy is private. Information is generally shared only with the client’s written authorization, subject to limited legal and ethical exceptions.
The complete confidentiality policy and its limits are explained in the informed-consent and privacy documents before treatment begins.
Does Naples Integrated Recovery provide emergency services?
Naples Integrated Recovery is an outpatient psychotherapy practice and does not provide emergency, overnight, or 24-hour crisis services.
Messages and urgent appointment requests may not be reviewed immediately. Anyone experiencing an immediate safety or medical emergency should use emergency services or an appropriate crisis resource rather than waiting for a response from the practice.
Request an appointment
Appointments are available in Naples and through secure online therapy throughout Florida.
Secure Client Portal