Common Questions

How can therapy help me?
 
Several benefits are available from participating in therapy. Therapists can provide support, problem-solving skills, and enhanced coping strategies for issues such as depression, anxiety, relationship troubles, unresolved childhood issues, grief, stress management, body image issues, and creative blocks. Many people also find that counselors can be a tremendous asset to managing personal growth, interpersonal relationships, family concerns, marriage issues, and the hassles of daily life. Therapists can provide a fresh perspective on a difficult problem or point you in the direction of a solution. The benefits you obtain from therapy depend on how well you use the process and put into practice what you learn. Some of the benefits available from therapy include:
 
  • Attaining a better understanding of yourself, your goals, and values
  • Developing skills for improving your relationships
  • Finding resolution to the issues or concerns that led you to seek therapy
  • Learning new ways to cope with stress and anxiety
  • Managing anger, grief, depression, and other emotional pressures
  • Improving communications and listening skills
  • Changing old behavior patterns and developing new ones
  • Discovering new ways to solve problems in your family or marriage
  • Improving your self-esteem and boosting self-confidence

Do I really need therapy?  I can usually handle my problems.
 
Everyone goes through challenging situations in life, and while you may have successfully navigated through other difficulties you've faced, there's nothing wrong with seeking out extra support when you need it. In fact, therapy is for people who have enough self-awareness to realize they need a helping hand, and that is something to be admired. You are taking responsibility by accepting where you're at in life and making a commitment to change the situation by seeking therapy. Therapy provides long-lasting benefits and support, giving you the tools you need to avoid triggers, re-direct damaging patterns, and overcome whatever challenges you face.


Why do people go to therapy and how do I know if it is right for me?

People have many different motivations for coming to psychotherapy.   Some may be going through a major life transition (unemployment, divorce, new job, etc.), or are not handling stressful circumstances well.  Some people need assistance managing a range of other issues such as low self-esteem, depression, anxiety, addictions, relationship problems, spiritual conflicts, and creative blocks.  Therapy can help provide some much-needed encouragement and help with skills to get them through these periods.  Others may be at a point where they are ready to learn more about themselves or want to be more effective with their goals in life.   In short, people seeking psychotherapy are ready to meet the challenges in their lives and ready to make changes in their lives.
 
 
What is therapy like?
 
Because each person has different issues and goals for therapy, therapy will be different depending on the individual.  In general, you can expect to discuss the current events happening in your life, your personal history relevant to your issue, and report progress (or any new insights gained) from the previous therapy session.  Depending on your specific needs, therapy can be short-term, for a specific issue, or longer-term, to deal with more difficult patterns or your desire for more personal development.  Either way, it is most common to schedule regular sessions with your therapist (usually weekly).
 
It is important to understand that you will get more results from therapy if you actively participate in the process.  The ultimate purpose of therapy is to help you bring what you learn in session back into your life.  Therefore, beyond the work you do in therapy sessions, your therapist may suggest some things you can do outside of therapy to support your process - such as reading a pertinent book, journaling on specific topics, noting particular behaviors, or taking action on your goals. People seeking psychotherapy are ready to make positive changes in their lives, are open to new perspectives, and take responsibility for their lives.
 
 
What about medication vs. psychotherapy?
 
It is well established that the long-term solution to mental and emotional problems and the pain they cause cannot be solved solely by medication. Instead of just treating the symptom, therapy addresses the cause of our distress and the behavior patterns that curb our progress. You can best achieve sustainable growth and a greater sense of well-being with an integrative approach to wellness.  Working with your medical doctor you can determine what's best for you, and in some cases, a combination of medication and therapy is the right course of action.
 
 
Do you take insurance, and how does that work?
 
Our office is not a participating insurance provider.  We will provide you with the necessary paperwork so you may file the claim.
 
Does what we talk about in therapy remain confidential?
 
Confidentiality is one of the most important components between a client and a psychotherapist. Successful therapy requires a high degree of trust with highly sensitive subject matter that is usually not discussed anywhere but the therapist's office.   Every therapist should provide a written copy of their confidential disclosure agreement, and you can expect that what you discuss in session will not be shared with anyone.  This is called “Informed Consent”.  Sometimes, however, you may want your therapist to share information or give an update to someone on your healthcare team (your Physician, Naturopath, Attorney), but by law, your therapist cannot release this information without obtaining your written permission.
 
However, state law and professional ethics require therapists to maintain confidentiality except for the following situations:
 
* Suspected past or present abuse or neglect of children, adults, and elders to the authorities, including Child Protection and law enforcement, based on information provided by the client or collateral sources.
* If the therapist has reason to suspect the client is seriously in danger of harming him/herself or has threatened to harm another person.
 

What is Neuropsychological Testing?

Neuropsychological testing and evaluations provide a means for quantifying cognitive function.  Like taking a picture of your brain (e.g., MRI, CT Scan) the neuropsychological examination takes a working picture with the outcome being numerical quantifications.
 
Neuropsychological evaluations are a common means of assisting in diagnosis and treatment planning for individuals suffering from difficulties such as memory problems, attentional deficits, dementia, learning difficulties, chronic pain, seizure disorder, depression, and anxiety.  Most evaluations include assessment of the following cognitive domains:
  • Attention and concentration
  • Perceptual and spatial abilities
  • Memory and learning
  • Sensory Perceptual and Motor skills
  • Language
  • Reasoning, problem-solving, and judgment
  • Emotion and Personality
  • Malingering

What is Dementia and can Neuropsychological Testing assess my memory as well as other thinking difficulties?

Dementia is a fancy term used to describe memory and other thinking difficulties. Thinking problems most often associated with dementia include memory, language, visual-spatial functions, motor behavior, and reasoning.  There are many different types of dementia, one of them being Alzheimer's Dementia which is irreversible dementia characterized by progressive memory loss.  Other types of dementia, however, are reversible and include dementia caused by depression and/or anxiety.  Once the depression and/or anxiety is treated, memory improves meaning the dementia is reversed.
 
A neuropsychological evaluation is a means to assist with a diagnosis so proper treatment planning can occur. The sooner memory difficulties are detected, the sooner treatment can begin.  Early treatment is the key to retaining memory and other cognitive skills. Other conditions that can contribute to memory problems include:
  • Depression
  • Anxiety
  • Alzheimer's disease
  • Vascular dementia
  • Lewy body disease
  • Parkinson's disease
  • Progressive supranuclear palsy
  • Pick's Disease
  • Huntington's disease
  • Frontotemporal dementia
  • Progressive nonfluent aphasia
  • Semantic dementia
  • Corticobasal degeneration

What is Educational Testing?

A psychoeducational or educational assessment investigates learning potential and academic skill development.  In simple terms, during an educational assessment, a psychologist will determine a person’s cognitive abilities and then see if their academic achievement is at a comparable level.  It is common sense to predict that a person with average intelligence will complete math, spelling, reading, writing, and other academic tasks within the average range.  A psychologist will find out whether a client’s academic performance is equal to their cognitive skills using testing, clinical observation, and statistical analysis.

What may be keeping the individual from performing at their level of cognitive ability?  It could be problems with visual or verbal memory.  It could be that their brain cannot track and scan written text as quickly as most people.  Perhaps they have been told they don’t pay attention but actually their brain cannot process verbal information as efficiently as other people. Alternatively, a person may find it extremely difficult to begin a task, plan and organize a task, and/or monitor their performance as they work along.  The truth is there are many reasons that a person is not meeting their cognitive potential.

 
What are Forensic/IME Evaluations?
 

A neuropsychological assessment is useful in personal injury, competency, criminal, and disability cases.

A neuropsychologist assesses cognitive function from a quantifiable standpoint to provide objective information regarding any relationship between aspects of behavioral functioning (such as memory) and injury (such as a concussion or brain injury).

The assessment is conducted through scientifically validated standardized tests.  The results of a neuropsychological evaluation are reported by domain which provides a meaningful way to address cognitive function. Most neuropsychological evaluations include assessment of the following cognitive domains:
memory, intellectual ability, attention, concentration, information processing abilities, executive functions, and skill level.

Dr. Legler has provided neuropsychological and psychological testimony in civil cases in Indian River, St. Lucie, Brevard, and Miami-Dade counties.

What is RehaCom Cognitive Therapy?
 
Our office provides RehaCom Cognitive Therapy for patients with age-associated memory changes, mild cognitive impairment, early-onset dementia, or recovering from a stroke, brain injury, or other cognitive functional difficulties such as ADHD.
 
RehaCom, an evidenced-basedclinically endorsed, and established part of cognitive rehabilitation for the past 25 years. It consists of 20+ computerized therapy modules to improve cognitive functions in areas such as alertness, attention, memory, thinking skills, and decision making. Each module is self-adaptive and contains hundreds of tasks with different levels of difficulty: from very easy – to highly complex tasks. Improved brain functioning leads to increased self-confidence and self-esteem.
 
This is an affordable program tailored individually to your goals. Please contact the office at (772)-231-5554 for specific info on pricing and scheduling. We look forward to hearing from you!
 
Who would benefit from RehaCom?
  • Memory Changes Associated with Aging: RehaCom can help with memory-based impairments such as the early onset of dementia.
  • Stroke/Traumatic Brain Injury: Several studies have evidenced greater recovery rates among patients that implemented RehaCom into their rehabilitation after recently experiencing a stroke or traumatic brain injury.
  • ADHD: RehaCom could be helpful as one adjunct module in the complex treatment of ADHD3
  • Visual Problems as a result of Stroke and/or Brain injury