Durham Chapel Hill Area Therapist
Welcome to my practice. Whatever concerns bring you to therapy, I endeavor to provide a warm, judgement free, and confidential space to be vulnerable and begin the process of healing. Thank you for considering me as you search for a therapist.
Barbara Marotto
Some of the evidence-supported therapies I provide:
Cognitve Behavioral Therapy
Cognitve Processing Therapy for Treatment of Trauma
Schema Therapy
EMDR
Interpersonal Therapy
Dialectical Behavioral Therapy
Population Served
Barbara Marotto Counseling serving Durham, Chapel Hill, Triangle
I work with clients from 16 years of age and up, and have experience working with diverse populations. Practice specialties include depression, anxiety, difficulties with emotion regulation, PTSD, BPD, interpersonal effectiveness skills, personalilty diisorders, high functioning autism/Asperger's, spiritual/religious abuse. Keep scrolling down for a more complete list of treatment areas/disorders.
Psychotherapy
Appointments and Fees
As a therapist, I want to provide a safe and comfortable environment to work together on matters of importance to you, and help you move toward the life you want to live. Our first therapy session will focus on getting to know you, exploring your therapy goals, and gathering information related to the issue or subject of concern. Toward the end of the session we will collaboratively develop a plan to address your goals.
- Sessions based on therapy/time $135-185
- Reduced fee for veterans and family members of veterans.
- Telehealth and in-person sessions available
- Can provide an initial consultation to find out if we are a good match $0.00
I provide some reduced fee services based on financial need. Currently, these spots are taken.
I am in-network for most BCBS and Aetna insurance plans. I cannot accept Blue Home plans.
Visibility Matters
Your appointment is time I set aside for you. I understand lives are busy, and sometimes complicated, if you are unable to attend an appointment I ask that you give me a 24 hour notice of cancellation. In the event an appointment is cancelled without this notice, I will consider the circumstances, but in the absence of an extreme emergency, a session fee will be charged.
Resources
Mental Health Related Resources
SAFETY PLANNING AND HELPFUL RESOURCES
Barbara Marotto MSW, LCSW, PLLC does not provide immediate crisis or emergency services. If you are feeling like you want to harm yourself or anyone else, please go to the nearest emergency room or call 911. The following organizations may be able to offer emergency or crisis support. Please call before going to one of these places to ensure that the organization is still providing services, to ask about whether there are fees or if they take insurance, and to ensure they provide the services you are looking to obtain.
Crisis Resources
Durham Recovery Response Center
309 Crutchfield, Street, Durham
You can call ahead 919-5607305
Crisis Line 1-800-510-9132
Mobile Crisis Team if you cannot get yourself there safely 919-428-0819
For help with an emotional crisis or substance abuse detox – open 24/7
CarolinaOutreach Behavioral Health Urgent Care
2670 Durham Chapel Hill Rd, Durham 27772
Call ahead for hours and availability 919-251-9009
Wake Crisis and Assessment
107 Sunnybrook Rd, Raleigh 27610
984-974-4800
For help with mental health or substance abuse crises – open 24/7
Mobile Crisis Team by Therapeutic Alternative
877-626-1772
Triangle Springs Emergency Mental Health Services
10901 World Trade Boulevard
Raleigh, NC 27617
919-561-5609 or 919-372-4027
UNC Emergency Room
101 Manning Drive, Chapel Hill, 27514
Basement of the Neurosciences Hospital
984-974-4721 or 984-974-4800
Duke Hospital Emergency Room
2301 Erwin Road, Durham, 27710
919-684-2413
Veteran 's Crisis Line
1-800-273-8255 press 1 or online chat
Connect with the Veterans Crisis Line to reach caring, qualified responders with the Department of Veterans Affairs. Many of them are Veterans themselves.
InterAct 24 Hour Crisis Hotlines
Domestic Violence 919-828-7740
Sexual Assault 919-828-3005
Spanish/Espanol 844-203-8896
Linea de Prevencion del Suicidio y Crisis
888-628-9454
Orange County Rape Crisis Center
24 hour Help Line 866-935-4783
Text Line 919-967-7273
Process fo rVoluntary and Involuntary Commitment
https://files.nc.gov/ncdhhs/Voluntary%20and%20Involuntary%20Commitment.pdf
Orange County Magistrate
(919) 644-4690
Durham County Magistrate's Office
Phone: 919-560-6826
Substance Abuse Recovery Support
UNC ASAP (Alcohol and Substance Abuse Program) https://www.uncmedicalcenter.org/uncmc/care-treatment/alcohol-and-substance-abuse/
Phone: 984-974-6320
1101 Weaver Dairy Rd, Chapel Hill 27514 (Chapel Hill North)
Smart Recovery https://www.smartrecovery.org *note days and times may change, some meetings are in person while others are online * times may have been changed
· Carrboro, 10:00 AM Saturdays, meeting online until further notice.
· Cary, 7:30 PM Monday, meeting both online and in-person.
· Chapel Hill, 7:00 PM Tuesdays, now meeting in person.
· Durham, 7:00 PM Mondays and Wednesdays. Both meetings are now online.
· Raleigh, 7:30 PM Thursdays, meeting online until further notice
Alcoholics Anonymous
Durham office: 919-286-9499
Raleigh office: 919-783-8214
Chapel Hill Office: 919-783-6144
https://www.aanorthcarolina.org
http://www/aa-intergroup.orgto find an online meeting
In the Rooms: A Global Recovery Community
A variety of online resources and meetings
Other Resources
The Trevor Project
Crisis intervention and suicide prevention resource for under 25 LGBTQ community.
1-866-488-7386
Also, text and chat support at https://www.thetrevorproject.org/get-help-now/
Trans Lifeline
A hotline staff by transgender people for transgender people.
877-565-8860
Suicide Prevention Lifeline
www.suicidepreventionlifeline.org
800-273-8255
NAMI Helpline
800-950-6264 or text NAMI to 741-741
National Eating Disorder Association Helpline
800-931-2237
National Association on Mental Illness
https://www.nami.org/Learn-More/Public-Policy/Jailing-People-with-Mental-Illness
Orange County Chapter of NAMI
Stepping Up Initiative
NC Harm Reduction Coalition
Alcohol Help
988 Suicide & Crisis Lifeline
https://www.samhsa.gov/find-help/988
Poison Control
(800) 222-1222
UNC STEP Clinics
For treatment of severe and persistent mental health disorders.
919-962-4919 (Carr Mill) or 919-445-0350 (Wake).
NCWorks (gov)
Community Resource Guide: includes many types of resources
https://www.ncworks.gov/admin/gsipub/htmlarea/uploads/CRAG/Orange_County.pdf
DURHAM COUNTY
The Durham Center
Crisis Hotline
24 hours / 7 days
1-800-510-9132
CHAPEL HILL
Serving Orange, Person, & Chatham Areas
OPC Area Program
Emergency Crisis Services
24 hours / 7 days
1-800-233-6834
RALEIGH
Serving DURHAM, Chapel Hill, & Raleigh
Hopeline, Inc.
24 hours / 7 days Crisis Line
(919) 231-4525
1-800-844-7410
Teen Talkline
(919) 231-3626
Privacy Practices
NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
Your health record contains personal information about you and your health. This information about you that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services is referred to as Protected Health Information (“PHI”). This Notice of Privacy Practices describes how we may use and disclose your PHI in accordance with applicable law, including the Health Insurance Portability and Accountability Act (“HIPAA”), regulations promulgated under HIPAA including the HIPAA Privacy and Security Rules, and the NASW Code of Ethics. It also describes your rights regarding how you may gain access to and control your PHI. Your health record contains personal information about you and your health. This information about you that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services is referred to as Protected Health Information (“PHI”). This Notice of Privacy Practices describes how we may use and disclose your PHI in accordance with applicable law, including the Health Insurance Portability and Accountability Act (“HIPAA”), regulations promulgated under HIPAA including the HIPAA Privacy and Security Rules, and the NASW Code of Ethics. It also describes your rights regarding how you may gain access to and control your PHI.
HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU
For Treatment. Your PHI may be used and disclosed by those who are involved in your care for the purpose of providing, coordinating, or managing your health care treatment and related services. This includes consultation with clinical supervisors or other treatment team members. We may disclose PHI to any other consultant only with your authorization.
For Payment. We may use and disclose PHI so that we can receive payment for the treatment services provided to you. This will only be done with your authorization. Examples of paymentrelated activities are: making a determination of eligibility or coverage for insurance benefits, processing claims with your insurance company, reviewing services provided to you to determine medical necessity, or undertaking utilization review activities. If it becomes necessary to use collection processes due to lack of payment for services, we will only disclose the minimum amount of PHI necessary for purposes of collection.
For Health Care Operations. We may use or disclose, as needed, your PHI in order to support our business activities including, but not limited to, quality assessment activities, employee review activities, licensing, and conducting or arranging for other business activities. For example, we may share your PHI with third parties that perform various business activities (e.g., billing or typing services) provided we have a written contract with the business that requires it to safeguard the privacy of your PHI. For training or teaching purposes PHI will be disclosed only with your authorization.
As a social worker licensed in this state and as a member of the National Association of Social Workers, it is our practice to adhere to more stringent privacy requirements for disclosures without an authorization.
The following language addresses these categories to the extent consistent with the NASW Code of Ethics and HIPAA.
Required by Law. Under the law, we must disclose your PHI to you upon your request. In addition, we must make disclosures to the Secretary of the Department of Health and Human Services for the purpose of investigating or determining our compliance with the requirements of the Privacy Rule.
Without Authorization. Following is a list of the categories of uses and disclosures permitted by HIPAA without an authorization. Applicable law and ethical standards permit us to disclose information about you without your authorization only in a limited number of situations.
Child Abuse or Neglect. We may disclose your PHI to a state or local agency that is authorized by law to receive reports of child abuse or neglect.
Judicial and Administrative Proceedings. We may disclose your PHI pursuant to a subpoena (with your written consent), court order, administrative order or similar process.
Deceased Patients. We may disclose PHI regarding deceased patients as mandated by state law, or to a family member or friend that was involved in your care or payment for care prior to death, based on your prior consent. A release of information regarding deceased patients may be limited to an executor or administrator of a deceased person’s estate or the person identified as next-of-kin. PHI of persons that have been deceased for more than fifty (50) years is not protected under HIPAA.
Medical Emergencies. We may use or disclose your PHI in a medical emergency situation to medical personnel only in order to prevent serious harm.
Family Involvement in Care. We may disclose information to close family members or friends directly involved in your treatment based on your consent or as necessary to prevent serious harm.
Health Oversight. If required, we may disclose PHI to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections. Oversight agencies seeking this information include government agencies and organizations that provide financial assistance to the program (such as third-party payors based on your prior consent) and peer review organizations performing utilization and quality control.
Law Enforcement. We may disclose PHI to a law enforcement official as required by law, in compliance with a subpoena (with your written consent), court order, administrative order or similar document, for the purpose of identifying a suspect, material witness or missing person, in connection with the victim of a crime, in connection with a deceased person, in connection with the reporting of a crime in an emergency, or in connection with a crime on the premises.
Specialized Government Functions. We may review requests from U.S. military command authorities if you have served as a member of the armed forces, authorized officials for national security and intelligence reasons and to the Department of State for medical suitability determinations, and disclose your PHI based on your written consent, mandatory disclosure laws and the need to prevent serious harm.
Public Health. If required, we may use or disclose your PHI for mandatory public health activities to a public health authority authorized by law to collect or receive such information for the purpose of preventing or controlling disease, injury, or disability, or if directed by a public health authority, to a government agency that is collaborating with that public health authority.
Public Safety. We may disclose your PHI if necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public. If information is disclosed to prevent or lessen a serious threat it will be disclosed to a person or persons reasonably able to prevent or lessen the threat, including the target of the threat.
Research. PHI may only be disclosed after a special approval process or with your authorization. Fundraising. We may send you fundraising communications at one time or another. You have the right to opt out of such fundraising communications with each solicitation you receive.
Verbal Permission. We may also use or disclose your information to family members that are directly involved in your treatment with your verbal permission.
With Authorization. Uses and disclosures not specifically permitted by applicable law will be made only with your written authorization, which may be revoked at any time, except to the extent that we have already made a use or disclosure based upon your authorization. The following uses and disclosures will be made only with your written authorization: (i) most uses and disclosures of psychotherapy notes which are separated from the rest of your medical record; (ii) most uses and disclosures of PHI for marketing purposes, including subsidized treatment communications; (iii) disclosures that constitute a sale of PHI; and (iv) other uses and disclosures not described in this Notice of Privacy Practices.
YOUR RIGHTS REGARDING YOUR PHI
You have the following rights regarding PHI we maintain about you. To exercise any of these rights, please submit your request in writing to Barbara Marotto (privacy officer) at: 3622 Lyckan Parkway, Suite 6005, Durham, NC 27707.
• Right of Access to Inspect and Copy. You have the right, which may be restricted only in exceptional circumstances, to inspect and copy PHI that is maintained in a “designated record set”. A designated record set contains mental health/medical and billing records and any other records that are used to make decisions about your care. Your right to inspect and copy PHI will be restricted only in those situations where there is compelling evidence that access would cause serious harm to you or if the information is contained in separately maintained psychotherapy notes. We may charge a reasonable, cost-based fee for copies. If your records are maintained electronically, you may also request an electronic copy of your PHI. You may also request that a copy of your PHI be provided to another person.
• Right to Amend. If you feel that the PHI we have about you is incorrect or incomplete, you may ask us to amend the information although we are not required to agree to the amendment. If we deny your request for amendment, you have the right to file a statement of disagreement with us. We may prepare a rebuttal to your statement and will provide you with a copy. Please contact the Privacy Officer if you have any questions.
• Right to an Accounting of Disclosures. You have the right to request an accounting of certain of the disclosures that we make of your PHI. We may charge you a reasonable fee if you request more than one accounting in any 12-month period.
• Right to Request Restrictions. You have the right to request a restriction or limitation on the use or disclosure of your PHI for treatment, payment, or health care operations. We are not required to agree to your request unless the request is to restrict disclosure of PHI to a health plan for purposes of carrying out payment or health care operations, and the PHI pertains to a health care item or service that you paid for out of pocket. In that case, we are required to honor your request for a restriction.
• Right to Request Confidential Communication. You have the right to request that we communicate with you about health matters in a certain way or at a certain location. We will accommodate reasonable requests. We may require information regarding how payment will be handled or specification of an alternative address or other method of contact as a condition for accommodating your request. We will not ask you for an explanation of why you are making the request.
• Breach Notification. If there is a breach of unsecured PHI concerning you, we may be required to notify you of this breach, including what happened and what you can do to protect yourself.
• Right to a Copy of this Notice. You have the right to a copy of this notice.
COMPLAINTS
If you believe we have violated your privacy rights, you have the right to file a complaint in writing with our Privacy Officer at Barbara Marotto 3622 Lyckan Parkway, Suite 6005, Durham, NC 27572 or with the Secretary of Health and Human Services at 200 Independence Avenue, S.W. Washington, D.C. 20201 or by calling (202) 619-0257. We will not retaliate against you for filing a complaint.
The effective date of this Notice is September 2013. National Association of Social Workers© Popovits & Robinson, P.C. 2013 3
Barbara Marotto MSW, LCSW, PLLC Policies
INTRODUCTION
This agreement is intended to provide you with important information regarding my professional services and business policies. The Client Agreement and Therapeutic Policies will provide a clear framework for our work together and will facilitate our therapeutic relationship.
THERAPIST INFORMATION
My education and training are in social work, mental health, and addictions. I am licensed as a licensed clinical social worker (LCSW) through the North Carolina Social Work Certification and Licensure Board, and as licensed clinical addictions specialist (LCAS) through the North Carolina Substance Abuse Professional Practice Board. These licensures permit me to provide treatment in the areas of mental health and addictions. I earned a Master of Social Work (MSW) degree from the University of North Carolina at Chapel Hill, and an undergraduate degree from the University of Minnesota. I provide therapy for adults and adolescents, and treat a variety of mental health symptoms and conditions, as well as co-occurring substance use disorders. I have specialized training in dialectical behavioral therapy, schema therapy, EMDR, and cognitive processing therapy for PTSD. Some other examples of therapies I may provide include interpersonal therapy, cognitive behavioral therapy, narrative therapy, solution-focused brief therapy, and supportive counseling.
CLIENT RIGHTS
You have the right to ask questions about any procedure used during therapy.
You have the right to self-determination, meaning you have the right to freely choose what is best for you.
You have the right to discontinue therapy for any reason. If you would like I will provide you with the name(s) of another qualified professional(s).
You have the right to expect me to maintain professional and ethical behavior and boundaries.
CONFIDENTIALITY AND LIMITS TO CONFIDENTIALITY
One of your rights involves confidentiality. Within the limits of the law, information revealed by you during therapy will be kept strictly confidential and will not be revealed to any other person or agency without your written permission. As your therapist, I am legally prohibited from revealing to another person that you are in therapy with me, nor can I reveal what you have said to me in a way that would identify you without your written permission. However, there are important exceptions to confidentiality:
In actual or suspected instances of abuse or neglect of a child, elder, or dependent adult, social workers are legally required to report the suspected abuse or neglect to the appropriate protective services.
If I have reason to believe that you pose an unavoidable and imminent danger of violence to another person, I may need to warn the intended victim and notify the proper authorities.
If I believe you are in danger of harming yourself, or if you are gravely disabled and cannot provide for you own basic needs and safety I may need to notify the proper authorities.
If a judge orders my testimony or, in the context of legal proceeding, you raise your own psychological state as an issue, I may be required to release your confidential information to the court.
Note Related to Legal Action: If legal actions occur in which I am requested or subpoenaed to provide testimony, you will be responsible to pay me directly for providing the following services: the time spent preparing for court, the time spent for transportation to and from court, and the time spent appearing in court. Charges for legal services will be billed at $250.00 per hour. This fee is NOT reimbursable by a Third-Party Payer and is therefore the full legal responsibility of the client or client’s legal guardian.
THE THERAPEUTIC PROCESS
Benefits and Risks of Therapy
Psychotherapy is a process in which you and I discuss a variety of issues, events, and experiences for the purpose of creating the positive change you desire. Participating in therapy may result in several benefits to you, including, but not limited to reduced stress, depression, and anxiety, decreased symptoms of mental health symptoms, a decrease in negative thoughts and self-sabotaging behaviors, improved interpersonal relationships, increased comfort in social, work, and family settings, increased capacity for intimacy, and increased self-confidence. There is no guarantee that therapy will yield any or all of the benefits listed.
Participating in therapy may also involve discomfort, including remembering and discussing unpleasant events, feelings, and experiences. The process may evoke strong feelings of sadness, anger, fear, etc. The issues presented by you may result in unintended outcomes, including changes in personal relationships. During the therapeutic process, many clients find that they feel worse before they feel better. Personal growth and change may be easy and swift at times, but may also be slow and frustrating. Please bring your concerns about the progress or impact of therapy to me.
APPOINTMENTS
Your appointment is time reserved especially for you. Standard therapy sessions are between 50-60 minutes. I understand lives are busy, and sometimes complicated, if you are unable to attend an appointment I ask that you give me a 24 hour notice of cancellation. In the event an appointment is cancelled without this notice, I will consider the circumstances, but in the absence of an extreme emergency, a session fee will be charged. The session fee for a cancelled or missed appointment without a 24-hour notice is $25, if more than two appointments are missed/canceled without notice you will be required to pay the entire standard session fee in full. Missed appointment fees are not covered by Third Party Payers.
E-MAIL, CELL PHONES, COMPUTERS
It is important to be aware that computers, e-mail, and cell phone communication can be relatively easily accessed by unauthorized people and can compromise the privacy and confidentiality of such communications. E-mails are vulnerable to such unauthorized access because servers have unlimited and direct access to all e-mails that go through them. Additionally, the e-mails sent by me may not be encrypted. Faxes can easily be sent erroneously to the wrong number, and scanned documents to the wrong address. I will do my best to protect your information and will only use computers and devices that are equipped with virus protection and password protection.
RECORDS AND ADMINISTRATIVE SERVICES
I may take notes during sessions and will also produce other notes and records regarding treatment. These notes constitute my clinical and business records, which by law, I am required to maintain. Should you request a copy of my records, such a request must be made in writing. I reserve the right to refuse to produce a copy of therapy notes under certain circumstances. Third Party Payers require documentation of services provided including diagnosis in order for client to access benefits. Insurance companies often use managed care, this typically requires sharing private information with people who are not chosen by the client. These people may be company employees, such as utilization reviewers, who have access to your information.
AGREEMENT
INTERVENTIONS
I/we agree to allow Barbara Marotto MSW, LCSW to implement professionally accepted methods of outpatient therapy interventions as mutually agreed upon by client and staff.
EMERGENCY AND ROUTINE CARE
I/We authorize Barbara Marotto MSW, LCSW, PLLC to obtain emergency assistance for client, as needed.
Barbara Marotto may be reached at 919-641-6838 or barbara@barbaramarotto.com for matters related to treatment and appointments. Effort will be made to try to respond to calls, emails, or text messages within 24 hours Monday - Friday, or at the beginning of the week if messages are left over the weekend. If Barbara Marotto will be out of the office for an extended period, for example a vacation, active clients will be informed of how to obtain mental health services over that period. Barbara Marotto MSW, LCSW, PLLC is not able to provide on-demand emergency services for immediate life-threatening or crisis situations. If you are experiencing a mental health emergency, and are unable to maintain your safety, please refer to the Safety Planning and Helpful Resources for referrals and contact information, or call 911, or go to your nearest emergency room, to get immediate help.
FINANCIAL RESPONSIBILITY
I/we understand that all services are charged to me(us) and payment (or insurance co-payment) is due at the time of service. I agree I will pay the full fee at each session. If I am late to a session, the length of the session may be shortened, and I agree to pay for a full session or portion not covered by a Third-Party Payer. A 24-hour notice is required for cancellation of a scheduled session. If I do not meet this requirement, I agree to pay a $25 missed appointment or standard session fee. I understand that this will be my responsibility, not that of the third-party payer. I realize Barbara Marotto MSW, LCSW, PLLC may discharge me(us) from services for non-payment at any time. I understand that the therapist has the right to seek legal recourse to recoup any unpaid balance. In pursuing these measures, the therapist will only disclose biographical information and the amount owed, to maximize confidentiality.
Fee Structure: Standard Session
Individuals (Adolescent/Adult) $ 135.00 - $185.00
Assessment $250.00
Missed Appointment $25.00 twice, then standard session fee
INSURANCE
I/we authorize Barbara Marotto MSW, LCSW, PLLC to 1) release to insurance carriers/Third Party Payers necessary information regarding services provided by Barbara Marotto MSW, LCSW, PLLC and 2) process insurance claims generated in the delivery of services, and 3) receive insurance benefits, including third-party reimbursement.
CLIENT RIGHTS
I/we have been fully informed and/or have received a copy of the following documents 1) Client Agreement and Therapeutic Policies, and 2) Notice of Privacy Practices.
AMENDMENTS
I/we understand that this document may be amended or updated, as needed.
ACCEPTANCE
I/we have read or had explained the specific agreements of this informed consent agreement and voluntarily accept them as stated or amended below. This agreement may be withdrawn at any time.
Thank you for reviewing this information and please feel free to discuss any of this information with me.