Frequently Asked Questions
What to expect from therapy, how I work with clients, fees, out-of-network benefits, and the practical details of beginning treatment.
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?
My approach is direct, engaged, and practical. I work with people who want to understand what keeps repeating in their lives, including patterns connected to trauma, addiction, anger, shame, and relationships. We examine what those patterns protect, what they cost, and what a different response might look like.
The first appointments are also a chance for you to evaluate the relationship and decide whether my style and approach feel useful.
How direct is your style? What does “joining through the truth” mean?
Joining through the truth means building a therapeutic relationship in which honesty and compassion can exist together. I begin by learning who you are, what you have lived through, how you protect yourself, and what you want to change. Listening carefully and developing trust create a foundation for deeper work.
As we develop that relationship, I may challenge an assumption, identify a defense, or point out behavior that is causing harm. Those observations are specific, thoughtful, and paced to the person and circumstances. You can disagree, ask questions, or ask to slow down. I want you to experience both my willingness to tell you the truth and my commitment to treating you with respect.
What happens during the first appointment?
We begin with what brings you in, what has already been tried, what keeps happening, and what you hope will change. I will ask about relevant history, relationships, coping strategies, strengths, previous treatment, and immediate concerns.
Together we begin identifying goals and deciding which approaches may be useful. The pace and priorities develop through our work together.
What are Brian Granneman’s qualifications and credentials?
Brian Granneman is a Licensed Mental Health Counselor (LMHC) in Florida, a Certified Addiction Professional (CAP), and a Certified Clinical Trauma Professional (CCTP).
He holds a Master of Arts in Counseling Co-Occurring Disorders from the premier Hazelden Betty Ford Graduate School and a Bachelor’s degree in Criminology and Law from Marquette University.
Who does Naples Integrated Recovery work with?
Naples Integrated Recovery works with adults, couples, families, and selected adolescents based on clinical fit. Common concerns include:
- Trauma, PTSD, and attachment injuries
- Addiction, relapse prevention, and compulsive behavior
- Alcohol and other substance use
- Anxiety, stress, and persistent rumination
- Anger, reactivity, and emotional regulation
- Relationship conflict, betrayal, and intimacy concerns
- Depression, shame, and self-criticism
- Burnout and high-functioning distress
- Longstanding patterns that continue despite insight
Many clients function well professionally while privately carrying distress that has become difficult to manage.
Do you offer in-person and online therapy?
In-person psychotherapy is available in Naples, Florida. Secure telehealth is available to psychotherapy clients who are physically located in Florida at the time of the appointment.
Some clinical concerns and treatment approaches call for additional assessment to determine whether remote or in-person care is the appropriate fit.
How long does therapy usually take?
The length of treatment depends on your concerns, history, current stability, goals, appointment frequency, and the kind of work we are doing. Some people benefit from a focused period of therapy; others choose longer-term treatment and eventually reduce session frequency.
We review progress and treatment frequency openly as the work develops.
How the work is structured
What treatment approaches does Brian use?
Treatment is individualized and may incorporate:
- Relational Life Therapy (RLT), particularly for couples and relational patterns
- EMDR and trauma-focused treatment
- Dialectical Behavior Therapy (DBT) and Acceptance and Commitment Therapy (ACT)
- Emotionally Focused Therapy (EFT) and the Gottman Method
- IFS-informed parts work and attachment-informed psychotherapy
- Motivational interviewing, addiction treatment, and relapse prevention
- Cognitive Behavioral Therapy (CBT) and practical behavior-change skills
The methods are chosen according to your goals, history, and what happens during sessions.
Will couples therapy hold both partners accountable?
In couples counseling, I listen carefully to both partners and work to understand the recurring cycle between them. I examine the impact of specific behaviors and address contempt, intimidation, dishonesty, chronic withdrawal, and other harmful patterns when they arise.
Responsibility and power can differ between partners. When one person is being harmed or silenced, that imbalance requires direct attention. Sessions may sometimes focus more closely on one partner's behavior. Safety and clinical suitability are assessed before deeper relationship work.
Do I need to be sober before beginning addiction counseling?
You can begin addiction counseling while abstinent, newly sober, returning after a relapse, considering a change, or working to understand the role substances or compulsive behaviors play in your life.
Initial work may involve assessment, motivation, harm reduction, stabilization, recovery planning, and relapse prevention. Severe withdrawal, intoxication, medical instability, and immediate safety concerns may require a higher level of care.
Will therapy include homework?
Sometimes I suggest between-session practices when they fit your goals. These might include noticing a repeating pattern, practicing a communication skill, preparing for a conversation, following a relapse-prevention plan, or using a regulation strategy.
We decide together what is useful and realistic. Suggestions arise from the work we are already doing in the room.
Clear financial information
Do you accept insurance?
Naples Integrated Recovery is a self-pay, out-of-network psychotherapy practice. Individual, couples, and family psychotherapy are self-pay services. I do not submit claims or bill insurance companies directly.
Payment is due at the time of service unless we have agreed on another arrangement in advance.
Can I use out-of-network benefits or request a superbill?
Some commercial health plans offer out-of-network benefits for eligible individual psychotherapy. The amount you may receive depends on your plan, deductible, and its reimbursement policies. You remain responsible for the full fee regardless of your insurer's decision.
Superbills may be requested for eligible appointments beginning January 1, 2027. Submitting a superbill discloses diagnosis and service information to your insurer. Please check your plan's out-of-network benefits before scheduling if reimbursement is important to you.
Medicare has separate rules for private-pay psychotherapy. Medicare beneficiaries should contact the practice before scheduling to discuss whether private-pay services are available under the applicable requirements.
What are the self-pay rates?
Other services: substance-use assessment, $400; 60-minute consultation, $150; 45-minute Mindfulness & Nervous System Regulation session, $100. Urgent appointments depend on availability and clinical appropriateness.
Why is the practice self-pay?
Insurance-based psychotherapy usually requires a diagnosis and documentation of medical necessity. Insurers may also request clinical records in connection with claims, utilization review, or audits.
Private payment gives clients greater control over whether their treatment information is submitted to an insurer. I continue to maintain appropriate clinical records and follow professional confidentiality and documentation requirements. Clients who request an eligible superbill choose whether to provide its diagnostic and billing information to their insurer.
I recognize that paying privately is a meaningful financial commitment. Fees and expectations are discussed before treatment begins.
Why is relationship-focused therapy self-pay?
Relationship counseling focuses on interactional patterns: communication, attachment, betrayal, conflict, emotional responsiveness, intimacy, boundaries, and repair. The couple or family system is the focus of treatment.
Couples and family therapy are private-pay services. Insurance benefits for relationship-focused treatment vary by plan, and reimbursement should be confirmed with your insurer before relying on it.
What clients should expect
Can I request an urgent appointment?
An urgent appointment can be requested by a new or established client. The fee is $250, subject to scheduling availability and whether outpatient therapy is appropriate for the circumstances.
Urgent appointments are separate from emergency, crisis, or on-call care.
What is the cancellation policy?
At least 24 hours' notice is required to cancel or reschedule an appointment.
Late cancellations and missed appointments are subject to the fees and conditions detailed in the practice's financial agreement and informed-consent paperwork.
How quickly does Brian respond to messages?
I personally respond to most messages within 24 hours, although response times vary during sessions, weekends, travel, illness, and scheduled time away.
Messages work best for scheduling, brief updates, and administrative questions. More involved clinical concerns are usually addressed during an appointment. An immediate response is never guaranteed.
Is therapy confidential?
Therapy is confidential within the limits established by professional ethics and applicable law. Information is generally disclosed only with authorization or when a legal exception applies.
We review the details, including the limits of confidentiality and the practice's privacy procedures, in informed-consent documents before treatment begins.
Does Naples Integrated Recovery provide emergency services?
Naples Integrated Recovery provides outpatient psychotherapy and has no overnight, emergency, or 24-hour crisis coverage. Messages and requests may be reviewed after a delay.
For an immediate medical or safety emergency, call 911 or go to the nearest emergency department. In the United States, you can call or text 988 for suicide and crisis support.
Request an appointment
Individual and relationship counseling are offered on a self-pay basis, in Naples and through secure telehealth for clients located in Florida. Review availability and request your appointment through the secure portal.
Secure Client Portal