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FAQ

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  • Booking an Appointment, Cancellation/No Show Policy, Free 15 minute Consultation
    Booking an Appointment To schedule a session, click here. Insurance & Payment Information I accept the following insurance providers: ✔ Aetna ✔ Blue Cross Blue Shield (BCBS) ✔ Cigna ✔ United Healthcare ✔ Optum ✔ Oscar When booking an appointment, you will need to provide: Your insurance information A credit card number to keep on file Your insurance will be verified during the booking process, and you will be informed of your estimated deductible. However, it is always a good idea to confirm your coverage directly with your insurance provider. You will not be charged until after each session. Cancellation & No-Show Policy Follow-up sessions must be canceled at least 24 hours in advance to avoid a $85 late cancellation fee. No-shows or late cancellations without 24-hour notice will also incur an $85 fee (no exceptions). Self-Pay Option For those without insurance, the self-pay rate is $130 per 55-minute session. (A superbill can be provided for potential out-of-network reimbursement.) Free Consultation If you’re unsure whether we’re the right fit, I offer a free 15-minute consultation to discuss your needs and answer any questions. Feel free to reach out: 📧 Email: createtherapy.elizabeth@gmail.com 📌 Or visit my Contact Page I look forward to supporting you on your healing journey!
  • Who Do I Work With and Why?
    Who Do I Work With and Why? I specialize in working with women who have experienced trauma, including but not limited to: Sexual abuse Rape Domestic violence Traumatic grief Childhood trauma, such as being bullied or growing up in an alcoholic home How Trauma Affects Women Trauma profoundly impacts our sense of trust, safety, self-worth, power, and relationships. It alters how we connect with partners, family, and friends, often leaving us feeling disconnected and out of control. Many women feel isolated and alone, suffering in silence, not understanding why they feel stuck in patterns of fear, shame, or self-doubt. If trauma is part of your history, I want you to know you are not alone. Healing is possible, and I would be honored to walk this journey with you. Why Do I Focus on Women’s Healing? I am deeply committed to working with women because I believe in empowerment, healing, and transformation. Throughout my life, I have witnessed and experienced the disempowerment of women, and I am passionate about helping women reclaim their sense of self-worth and power. While pursuing my Bachelor of Fine Arts degree, I created a painting series titled Exposed, which explored the struggles women face in our culture. That experience reinforced my understanding of how deeply societal conditioning shapes women's beliefs about themselves. Our culture often teaches women that they are not good enough—that they should be small, passive, and incapable. Women are socialized to focus on their inadequacies rather than their strengths and achievements. As researcher Brené Brown (2007) explains, many girls grow up believing that failure is an inherent part of being female. For women who have experienced trauma, this deep-rooted belief of unworthiness becomes even more pervasive. Many clients express feelings such as: "I am not lovable." "I am broken." "I am bad." My mission is to help women rewrite these narratives, find their voice, and step into their full potential. Healing from trauma is not about changing who you are—it’s about reclaiming the person you were always meant to be. ​ Brown, B. (2007). I thought it was just me (but it Isn't): Telling the truth about perfectionism, inadequacy, and power. Gotham Books.
  • Session Fees, Insurance, and Booking Information
    Session Fees, Insurance, and Booking Information Session Fees Insurance Accepted: Aetna, Blue Cross Blue Shield (BCBS), Cigna, Humana, Optum, Oscar, United Healthcare. Out-of-Network & Private Pay Clients: $130 per 55-minute session (A superbill can be provided for potential reimbursement). Cancellation & No-Show Policy Cancellations must be made at least 24 hours in advance. Late cancellations will incur an $85 fee (no exceptions). No-Shows: If you miss a session without providing 24-hour notice, an $85 no-show fee applies (no exceptions). Initial Intake Appointments: A late cancellation or no-show for an initial intake session will result in the client not being rescheduled (no exceptions). How to Book an Appointment Click the link below to schedule a session: 🔗 Book an Appointment By booking a session, you agree to the cancellation and no-show policies. Please ensure you review all policies before scheduling.
  • What do I need for telehealth? What are the pros and cons?
    What Do I Need for Telehealth Art Therapy? To participate in telehealth art therapy, you will need: A reliable internet connection to ensure a smooth and uninterrupted session. A phone, tablet, or laptop for video conferencing. A stable surface or stand to prop your device so you can comfortably share your art-making experience during the session. A designated art space—this can be as simple as a table with good lighting and easy access to art supplies. Ideally, having a space where you can leave your materials out for ongoing use throughout the week can enhance your creative process. A private, distraction-free environment to ensure you can focus on the session without interruptions. The therapy platform used is HIPAA-compliant, ensuring that your sessions remain confidential and secure. Additionally, you will be required to share your current location at the start of each session, as per telehealth best practices. Pros and Cons of Telehealth Art Therapy Pros: Convenience – No need to commute or worry about traffic. Comfort – You can attend sessions from home in a relaxed setting. Time Efficiency – Sessions fit into your schedule without travel time. Increased Privacy – No waiting room or public exposure. Pet-Friendly – Your pets can offer emotional comfort during sessions. Cons: Privacy Concerns – You must be mindful of your surroundings and ensure no one nearby can overhear confidential conversations. Technology Requirements – A strong and stable internet connection is essential; occasional technical issues may still occur even with a reliable provider. State Residency Requirement – You must physically be in Texas during each session, as telehealth regulations require therapists to serve clients within their licensed state. By preparing your space and ensuring a distraction-free environment, telehealth can be a highly effective and accessible way to engage in therapy from the comfort of your own home.
  • What is Expressive Arts Therapy and Art Therapy?
    What is Expressive Arts Therapy and Art Therapy? Expressive Arts Therapy and Art Therapy are both creative therapeutic approaches, but they differ in scope and application. According to the International Expressive Arts Therapy Association (IEATA), “the expressive arts combine the visual arts, movement, drama, music, writing, and other creative processes to foster deep personal growth and community development” (IEATA, n.d.). This approach integrates multiple forms of creative expression to help individuals explore emotions, process experiences, and cultivate healing. Expressive Arts Therapy: A Holistic Approach Expressive therapies take a holistic approach by engaging the body, mind, and spirit in the healing process. Morrison (2012) describes expressive therapy as a method that “goes beyond traditional talk therapy by using creative outlets as a means of expression, especially for those who have difficulty communicating and conveying thoughts and emotions” (p. 14). This is particularly beneficial for individuals who struggle with verbal expression, as creative modalities offer alternative ways to process and communicate feelings. Unlike traditional talk therapy, expressive arts therapy encourages fluid movement between different artistic modalities—a client may start with painting, then transition into journaling or movement as a way of further exploring their emotions. This integrative approach can be especially powerful for trauma recovery, emotional regulation, and self-discovery. Morrison, R. (2012). Expressive therapies and autism spectrum disorder. Adler Graduate School. How Does Art Therapy Differ? Art Therapy, while also a creative therapeutic approach, primarily focuses on visual art—such as drawing, painting, sculpture, and collage—to facilitate self-expression and psychological insight. It is often used to externalize emotions, provide a sense of control, and support personal growth. Art therapy is grounded in psychological theories and is facilitated by a registered art therapist who helps clients process emotions and gain deeper understanding through creative expression. Which Approach is Right for You? Both expressive arts therapy and art therapy offer unique benefits, depending on individual preferences and needs: Expressive Arts Therapy is ideal for those who connect with multiple creative forms (e.g., music, movement, writing) and benefit from a multisensory approach. Art Therapy is beneficial for individuals who prefer visual expression and want to explore emotions through color, shape, and form. Regardless of the method used, both approaches emphasize the healing power of creativity, offering a safe and non-judgmental space to explore emotions, reduce stress, and promote self-awareness.
  • How much time do I spend doing art in sessions?
    How Much Time is Spent Creating Art in Therapy Sessions? The time spent on art-making during a therapy session varies based on the client's comfort level and therapeutic goals. For clients who choose to incorporate art in sessions, the creative process typically takes about five minutes, sometimes longer, depending on the activity and the individual’s engagement. For those who are new to art therapy or feel hesitant, we might start with simple exercises like using a whiteboard on Zoom to experiment with drawing in a low-pressure way. Others may feel comfortable jumping right into paints, colored pencils, pastels, or any medium of their choice. The art-making process is always tailored to what feels right for you. Art Therapy Beyond the Session For clients who are comfortable with art therapy, I often assign art-based exercises as homework to deepen their self-exploration between sessions. These assignments are typically prompt-based and relevant to what was discussed in therapy. The goal is not to create a perfect piece of art, but rather to use art as a tool for emotional expression and reflection. Generally, spending 10–15 minutes on an art assignment is sufficient to engage in the process. However, each person is different—some may spend more time if they feel drawn to explore further, while others may complete their piece more quickly. Reflecting on the Artwork In addition to creating art, we also take time to write about the experience. This can include: Describing the artwork (colors, shapes, imagery). Exploring emotions that arose during the process and while reflecting on the artwork. Identifying insights or connections to personal experiences. Writing about the art often takes longer than the creation itself, as it allows for deeper reflection and meaning-making. Whether in-session or as a take-home exercise, art therapy is a fluid process that adapts to your individual needs, allowing you to engage at a pace that feels comfortable and meaningful.
  • Do I have to be an artist to participate in art in therapy?
    Do I Have to Be an Artist to Participate in Art Therapy? No! You do not need to be an artist to engage in art therapy. Art therapy is not about artistic skill or creating a polished final product—it is about self-expression, emotional exploration, and personal insight. Art therapy provides a non-verbal way to process emotions, reconnect with the body, and gain a deeper understanding of thoughts and feelings. Through color, line, and texture, you can express emotions that may be difficult to put into words. It’s About Expression, Not Perfection A common misconception about art therapy is that the artwork must be “good” or look a certain way. This could not be further from the truth. Art therapy is not about making aesthetically pleasing artwork—it is about engaging in a creative process that allows for self-reflection and healing. If you feel hesitant about art-making, that is completely normal. You will never be pressured to create in a way that makes you uncomfortable. We can move at your own pace, gradually introducing creative exercises in a way that feels right for you. Art Therapy is Not an Art Class Unlike an art lesson where the focus is on technique, art therapy is a therapeutic tool for self-exploration. The goal is not to improve artistic skills but to express emotions, uncover patterns, and foster personal growth. I have witnessed firsthand how clients gain powerful insights through the art-making process. Sometimes, what emerges visually reveals deeper feelings and experiences that were previously unrecognized. Art therapy is for everyone. Whether you are new to creative expression or have been making art for years, the process remains the same—it is a way to communicate, process, and heal in a way that words alone cannot always achieve.
  • What is Cognitive Processing Therapy? How does art therapy fit?
    Integrating Art Therapy with Cognitive Processing Therapy (CPT) Cognitive Processing Therapy (CPT) is highly effective in helping individuals understand and reframe unhelpful thought patterns related to trauma. However, for many trauma survivors, verbal expression alone can be challenging. Art therapy serves as a powerful complement to CPT by providing a non-verbal means of processing emotions, offering individuals an alternative way to explore their experiences and begin their healing journey. When combined with CPT, art therapy enhances cognitive restructuring by allowing clients to externalize their thoughts and emotions through creative expression. This process facilitates a deeper connection between thoughts, feelings, and bodily sensations—critical areas of focus in CPT. By engaging in art-making exercises, clients can begin to recognize and challenge distorted cognitions, uncovering underlying beliefs that contribute to PTSD symptoms. Reframing Through Art Therapy A key component of both CPT and art therapy is reframing—helping clients shift their perspective on traumatic events. Art therapy offers a unique way to visualize and rework difficult emotions, memories, and beliefs in a safe and structured environment. Through the use of symbolism, color, and imagery, clients can reshape their narratives and gain a sense of control over their experiences. For individuals who struggle with shame, guilt, or avoidance behaviors, art therapy provides an accessible pathway to self-exploration without the pressure of immediate verbal disclosure. As Malchiodi (2012) notes, art-making reduces emotional barriers, allowing clients to engage with difficult topics at their own pace. Rosal (2018) further emphasizes that integrating cognitive-behavioral strategies with art therapy techniques can help clients increase coping skills, develop cognitive flexibility, and reconstruct a more empowered sense of self. The Role of Art in Healing Trauma Trauma often disrupts an individual’s sense of self and safety, making it difficult to engage in traditional talk therapy alone. By incorporating art therapy into CPT, clinicians provide clients with a structured yet creative outlet to explore traumatic memories, regulate emotions, and develop new ways of understanding their experiences. The physical act of creating art can be particularly grounding, helping clients connect to the present moment and rebuild trust in their own healing process. Ultimately, integrating CPT with art therapy supports a more holistic approach to trauma recovery—one that honors both cognitive and emotional healing. Through this multimodal approach, individuals can reclaim their narratives, regain a sense of empowerment, and move toward lasting psychological well-being. more info about CPT: https://cptforptsd.com/about-cpt/ Rosal, M.L. (2018). Cognitive-Behavioral Art Therapy: From Behaviorism to the Third Wave. Routledge Malchiodi, C. A. (Ed.). (2012). Handbook of art therapy. Guilford Press
  • How do I prepare for my first session?
    Preparing for Your First Therapy Session Starting therapy can be both exciting and overwhelming, especially if it’s your first time. To help ease the process, here’s what to expect and how to prepare for your initial sessions. Completing Initial Paperwork Before your first session, you’ll need to complete and submit important intake forms. These documents ensure that you understand the therapy process and allow your therapist to provide the best possible care. The required paperwork includes: Intake Forms – Basic information about your background and concerns. Telehealth Informed Consent – If sessions are virtual, this form outlines guidelines for online therapy. Informed Consent for Psychotherapy – Explains the therapy process, confidentiality, and what to expect. Practice Policies – Covers session guidelines, cancellations, and communication policies. Notice of Privacy Practices (HIPAA) – Describes how your personal health information is protected. You will receive a link via Simple Practice to complete and submit these forms before your session. What to Expect in Your First Session The first session is a time to build rapport, establish goals, and share your story. This is your opportunity to discuss: What is not working in your life right now. Your hopes for the future and how you envision your life in the next year. Any challenges or obstacles that may be holding you back. The goal is to create a safe and supportive environment where you feel comfortable expressing yourself and working toward meaningful change. Preparing for Art Therapy Sessions If you are open to incorporating art into your therapy, it’s helpful to set up a dedicated space for art-making before your second session. This doesn’t require any elaborate setup—just a simple table with good lighting and basic art supplies. Keep in mind that art therapy is not about creating artwork for display—it is a tool for self-expression and emotional processing. No artistic experience is necessary. The focus is on using colors, lines, and textures to explore your emotions, not on making “perfect” art. Between Sessions: Art-Based Assignments To deepen your insight and enhance the therapy process, you will receive art-based assignments between sessions. These activities are designed to help you process emotions and gain clarity. It is recommended to use a spiral sketchbook or hard covered art journal as a container for your therapy journey. This keeps all of your expressive work in one place and allows you to reflect on your progress over time. Remember: This is not about artistic skill—it’s about expressing emotions in a visual and tangible way. There is no right or wrong way to engage in art therapy.
  • What art supplies will I need?
    BASIC SUPPLY LIST ​ My hope is that you will create a dedicated space for art making both during the session and following. This will allow easy access to process homework. This space does not require more than a table, light, internet access, and simple art supplies. Art journal (any spiral bound sketch pad - heavier weight paper is preferred) Acrylic paints (a 12 pack of craft paints, any brand; or any paints you prefer), water, paper towel Paint brushes Pencils optional: markers, chalk pastels, colored pencils old magazines Playdoh (3 ounce container) or similar or reusable clay material anything that can be turned into art, your choice! However, any art making materials that you would like to include, please do. Some ideas may include: collage materials, scraps of fabric, yarn, macramé materials, quilting materials, clay, nature items...........It is about self-expression with what speaks to you. If you are anxious or uncertain about using art in therapy, please feel free to express that. No pressure. It could just be a simple experiment for a couple sessions to see how it feels.
  • How did art become a part of your life?
    Art has always been an intrinsic part of my life—it feels as natural as breathing. Some of my earliest memories are of sitting at the coffee table, drawing cartoons from the Sunday paper, or playing outside, shaping mud pies from dirt and water. Creating made time seem to disappear. I was constantly immersed in artistic expression—whether through drawing, sewing, crocheting, painting, or quilting. As I grew older, art became more than just a creative outlet; it became a way to process my emotions. It served as a healing agent, allowing me to connect with my feelings and quiet the constant chatter in my mind. In those moments, art provided a peaceful retreat—a sanctuary where time and space seemed to dissolve. Throughout the ups and downs of life, I have turned to art to express and acknowledge my emotions. Over time, I realized that creating wasn’t just an outlet; it was a form of self-discovery. Through art, my mind, body, and spirit aligned, helping me to "see" my emotions and gain insight into myself. This process allowed me to move forward, release difficult feelings, and experience true healing.
  • Why did you become a Board Certified Art Therapist and Registered Expressive Arts Therapist?
    I first discovered art therapy years ago when a retired art therapist spoke at a local art club meeting. I was immediately fascinated but believed it was beyond my reach. At the time, I had no college degree and was fully immersed in raising my three children as a stay-at-home mother. However, in my forties, I decided to pursue my own dreams of higher education. While earning my Bachelor of Fine Arts, I created a painting series that explored the struggles women face in our culture—an experience that deepened my understanding of art as a tool for expression and healing. See my journey here. Years later, in 2013, while browsing the gift shop at the Boston Museum of Fine Arts, I stumbled upon Art Heals by Shaun McNiff. This book validated my personal experiences with the healing power of art and reignited my passion for art therapy. The timing felt right. Having recently left a full-time job, I had started working as an art teacher with at-risk teens at a juvenile detention center. Art became a bridge for connection—allowing the teens to express emotions they struggled to verbalize. Although my skills as a mother helped me relate to them, I knew they needed more. Determined to provide that support, I pursued a Master’s in Counseling, followed by specialized training in art therapy at Prescott College, one of the few institutions offering the required coursework. Today, as a Board-Certified Registered Art Therapist and Registered Expressive Arts Therapist, I find immense fulfillment in witnessing how art-making facilitates conversations that traditional talk therapy alone may not reach. While talk therapy can be highly effective, I have observed that individuals dealing with trauma, anxiety, and grief often struggle to articulate their emotions. They may avoid acknowledging their pain altogether. Art—through shapes, symbols, colors, and lines—offers them another language for self-expression, creating a deeper and more meaningful path toward healing.I never knew art therapy existed until a retired art therapist lectured at a local art club meeting many years ago. At the time, I thought it was fascinating but imagined it was out of my reach. I had no college degree at the time and was a busy stay at home mom with three beautiful children. A few years into forty, I started pursuing my own dreams of a college education. While pursuing my Bachelor of Fine Arts degree, I developed a series of painting to explore the struggles of women in our culture.
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CREATE THERAPY, PLLC

COUNSELING AND EXPRESSIVE ARTS THERAPY BY ELIZABETH

Virtual Therapy for Texas residents                         

TEL: (432) 242-1798 

createtherapy.elizabeth@gmail.com

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