Hawaii Trauma Center Policies

Trauma Resolution is Prevention Not Crisis Intervention

Cutting edge trauma therapies resolve issues/traumas to eliminate unpredictable triggers, overwhelming negative emotions. Trauma Therapy is preventive, not crisis intervention. I resolve crises only in scheduled session. After trauma therapy, reframing and psychoeducation can build skills. With fewer triggered reactions, you can think through responses to develop effective problem solving.

If you are in crisis, call 911 or go to the nearest emergency room. Use EFT/TFT tapping or butterfly tapping, slow your breathing with long slow breaths, repeat positive affirmations.

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Minors (Patients Under 18 Years Old)

In addition to completing a registration form with the minors picture, own email, and insurance, a legal guardian must complete a separate, second registration form, identifying guardianship, with their insurance, their email, and their picture before services are rendered.

Pharmaceuticals

If you are taking, anti-depressants, anxiolytics, mood stabilizers, or major tranquilizers, including benzodiazepines, natural trauma interventions as EMDR, BSP, EFT/TFT are rendered ineffective. Brain optimization with LENS is weakened but can be doubled or tripled in strength.. Pharmaceuticals tend to suppress, not fix the problem. This enables functioning but doesn't prevent triggers from reoccurring. Repeating trauma therapy until the trauma is resolved is not an option as retraumatization is an issue. Titrating off pharmaceuticals must be psychiatrically supervised as unresolved traumas can seem worse, may reactivate.

I refer individuals to psychiatric consult to titrate off prescription pharmaceuticals if they wish to resolve past trauma with natural strategies. It takes approximately 6 wk for the body to clear pharmaceutical Once clear, we can optimize brain functioning with LENS and eliminate trauma with rapid resolution trauma therapy as EMDR, BSP/Gaze Spotting, or EFT/TFT.

Some individuals cannot segue off pharmaceuticals but wish to LENS while on medications. We must strengthen the LENS dose to override the suppressant effect of medications. As brain functioning improves with LENS, the body may no longer need as high a medication dose. If so, pharmaceutical overdose may occur. Check your pharmaceutical insert for overdose symptoms and consult your prescription provider.

Phone and Text Messaging

No detailed or clinical information will be transmitted on phone or text.

Same-Day Cancellation/No-Show Fee $45

Appointment cancellation is required at least 24 hours prior to your appointment. When we are not given sufficient time to fill a vacancy, waitlisted patients must wait longer, and we can't bill the vacancy. A $45 no-show/same-day cancellation fee is texted/emailed.

Illness

Please do not come in when ill. We do not LENS when ill.

Requests for ESA Letters

There is no charge for Emotional Support Animal (ESA) letters if it is completed during your session.

There is a $50 charge for ESA letters requested and composed outside your session.

Requests for Custom Documents

We charge $50/half-hour if the therapist composes your letter or scans your medical record to provide verification, or if a medical record search is required.

Long-Term Psychological Care

We are an acute care clinic specializing in trauma intervention. We require those needing long-term psychotherapy to have a long-term therapist. If you are seeking a CBT (talk) therapist, please visit Hawaii Psychology Association or Psychology Today. CBT is fundamental in all psychotherapy education and part of most interventions. Please find a talk therapist for long-term services; we specialize in acute trauma therapy. Many clients have a couple's therapist or long-term CBT therapist and see us for LENS, EMDR, Brainspotting, or TFT periodically. MDs, psychiatrists, psychologists, and hospitals refer clients to us.

Termination of Services

Both client and therapist may discontinue therapy for any reason.