Frequently Asked Questions

Here are some questions that individuals and couples in San Jose, Milpitas, and Fremont might have.

What is therapy?

Therapy is not only a joint partnership between the client and the therapist, but also a sacred space where the client can fully immerse themselves in self-exploration. Within this safe and non-judgmental environment, clients have the freedom to openly express their deepest emotions, thoughts, and behaviors without the fear of any criticism or condemnation. This unique opportunity for genuine self-disclosure fosters a sense of trust and vulnerability, ultimately paving the way for personal growth and healing.

I believe people are influenced by their past experiences, culture, family, relationships, beliefs, identity, and society. We will explore these factors and how they affect your behavior and emotions in order to help you achieve your goals. I adapt my therapeutic approach to fit your needs, typically using psychodynamic, trauma-focused, and culturally sensitive techniques. I may also incorporate self-compassion and mindfulness if you are comfortable with them. Alternatively, if you prefer a faster approach, I can utilize Acceptance Commitment Therapy (ACT) to help you change your behavior.

As your guide, I may question your assumptions or perceptions to help you improve your life. If you ever feel uncomfortable with the techniques I introduce, please let me know. I'm not here to give you direct advice or judge you. You know what's best for you. Honesty with yourself and with me is important. Together, we can work collaboratively. I'm here to assist you. You can use what you learn to grow and become more resilient.

How do I find a therapist?

According to a Psychology Today article, it's advised to identify the areas you need help with (such as personal issues, relationship problems, trauma, anxiety, grief, etc.). Deciding whether you prefer in-person or online therapy sessions is important (considering travel distance and therapist's location). Determine the time and date you can commit to regular therapy sessions. Lastly, think about desirable qualities in a therapist, such as gender, race, religion, and therapeutic approach.

How do I begin?

After you contact me, we'll set up a 20-minute session by video or phone. We'll find a time that works for both of us. During this session, you can tell me about your worries and how I can help you. The purpose of this meeting is to see if we're a good match. If we agree, we'll plan a 50-minute session and you'll fill out some initial forms.

How long will it take?

The duration for therapy is different for everyone as it depends on various factors, such as the nature of the issues being addressed, your personal goals, and the progress made throughout the sessions. Therefore, we will regularly review your progress every few sessions to ensure that we are on track and to determine where you are in the therapeutic process. By doing so, we can effectively gauge if any adjustments need to be made in terms of the frequency or focus of our sessions.
It's important for you to know that you have the autonomy to terminate therapy at any time if you feel it's necessary. Your comfort and well-being are paramount, and I want to ensure that you have complete control over your therapeutic journey. However, if you do decide to terminate therapy earlier than anticipated, I would kindly request you to consider attending one more session. This last session will provide an opportunity for us to discuss your decision and explore any lingering concerns or unresolved matters. Additionally, I can offer you valuable referrals to other professionals or resources that may continue to support you during your transition.
Ultimately, the goal is to make your transition out of therapy as smooth and seamless as possible. This collaborative approach empowers you to take charge of your therapeutic experience and ensures that you have the necessary guidance and support throughout the entire process.

What are the risks and benefits?

Therapy can help many people. It gives you new skills and ideas to help you in the future. But it can't promise results right away; changes take time. There's a chance therapy might bring up uncomfortable feelings or surprise you. People close to you might struggle with the changes you make. We'll face these challenges together. It might feel worse before it feels better, but many people find the benefits of therapy outweigh the risks. They gain self-awareness, new perspectives, and achieve their goals.

Do you offer in person or telehealth/online sessions?

I offer both in-person and online counseling sessions at the same rates. Research shows that online therapy can be just as effective as in-person therapy. Rest assured that I put in the same level of effort and care, whether we meet in person or through video.

Who do you work with?

I help people with their relationships, communication, anxiety, sadness, difficult experiences, loss, life transitions, and understanding their gender and sexuality. I also work with people adjusting to a new country or situation..
I work with adults, children, veterans, immigrants, older adults, and members of the LGBTQ community. As a therapist, I support individuals in exploring and accepting their gender identity.

Do you provide free consultation?

Free 20-minute meeting to see if I'm the right therapist for you. We'll decide together if I'm the right fit. Contact me for info on therapy session prices. Call (408) 219-6676 or email llramos@lilianalramos.com.

What is your fee?

Individual sessions (50-60 minutes): $180

Couples sessions (60-85 minutes): $220

Cancellations

Please cancel appointments at least 24 hours in advance. Failing to do so will result in being charged the full fee for a missed appointment.

I accept major credit or debit cards (American Express, Discover, Master Card, and Visa) using an online invoice. When you first complete your paperwork, I ask you to provide a credit card that will be charged after each therapy session.

 Do you work with insurance?

I don't work with insurance companies. However, I can give you a superbill that you can send to your insurance company. I do accept clients who are eligible for Lyra.

Good Faith Estimate - What Is it?

You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost. 

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. 

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. 

You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service. 

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.

 For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.