
Frequently Asked Questions
Do you take Insurance?
No, I do not take insurance. Private payment provides you with the benefits of confidentiality, which I highly value.
As an out-of-network provider, I do not bill insurance companies directly, but I am happy to provide you with session receipts that you can submit for reimbursement.
Please ask your insurance company about their out-of-network benefits towards mental health counseling. It may also be important to ask about your deductible. It is probably a good idea to call your insurance company before you schedule an appointment if you are hoping for partial reimbursement.
What are your rates?
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Individual Therapy (50 Minutes) - $175
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Couples or Family Therapy (50 Minutes) - $175
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Parent Session: PARENT ONLY Session of Client under 18yrs (50 Minutes) - $175
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Double Session: Individual, Couples, or Family Therapy (100 Minutes) - $350
- Sliding Scale Available
Cancellation/Missed Appointment Policy:
I require 24 hours notice for all cancellations; but 48 hours is super helpful so I can fill your spot. Failure to cancel within the 24-hour time frame results in a charge of half your scheduled session the first time this occurs, and a full session fee the second occurrence and on.
What are the confidentiality standards you are required to meet?
Everything you tell me will be kept strictly confidential. There are a few important EXCEPTIONS to assurances of confidentiality:
United States law requires that any suspicion of risk of child abuse or neglect be reported to child welfare authorities or law enforcement authorities. If I believe that a child is at risk of being abused/neglected, has already been abused/neglected, or that someone who previously abused children is still a threat, I have no choice but to immediately make every effort possible to report it to social services agencies.
Most United States courts have the power to subpoena my records if you are involved in a court case in which your relationship with your counselor is somehow relevant. Although this may be rare, if you have any questions, it is best to contact your lawyer prior to disclosing any information you may deem private.
Texas and United States Law requires that there is a duty to report imminent cases of suicide or homicide.
Do you work with children, families or couples?
I work with individuals, families, and couples, ages 13 years and older.
How do I book an appointment?
Please note, there is a waitlist for potential new clients as my caseload is currently full. If you would like to be placed on the waitlist, please call and leave a message on my confidential voicemail (806.535.6639) that includes your name & telephone number -or email me at lizkeatorcounseling@gmail.com.
What exactly is EMDR, and how can I best understand/explain it to my family?
Ana Gomez, a leading psychotherapist, author, and researcher, offers the following explanation of EMDR therapy in simplistic terms:
“Before defining EMDR, it is helpful to understand what EMDR does. When we go through painful or overwhelming experiences, our nervous system sometimes has difficulty processing them fully. We can be left with conflicting emotions, distorted beliefs, and lingering physiological tension. It’s as if we continue to carry heavy, disorganized material within us—emotionally, cognitively, and somatically. Over time, these unprocessed fragments can limit our capacity to access clarity, calm, and more adaptive responses.
EMDR helps reduce the weight of this unresolved material so there is more internal space for healthier, more grounded ways of thinking, feeling, and relating. Francine Shapiro, the founder of EMDR, named the approach Eye Movement Desensitization and Reprocessing. Ana Gomez offers a more accessible way to remember it: Eyes Moving to Digest and Recover.
During EMDR, clients engage in bilateral stimulation—commonly through side-to-side eye movements or, alternatively, through alternating tactile taps or auditory tones—while recalling aspects of the distressing event. Interestingly, humans naturally engage in a similar neurological process during REM sleep, when the eyes move rapidly back and forth during dreaming. Ana poetically refers to this as “the eyes dancing in the night.”
When overwhelming events occur, the brain’s information-processing system can become disrupted. This can leave memories stored in a fragmented, unintegrated form. As a result, present-day experiences—words someone says, a sound, a smell, a sensation—can trigger the old memory networks, bringing forward emotional intensity, negative beliefs, and body-based distress as if the past were happening again.
EMDR supports the brain in completing the processing that could not occur at the time of the event. As the pieces integrate, the disturbing emotional charge diminishes, the body’s reactivity settles, and the meaning of the experience shifts toward something more adaptive. What is no longer useful or necessary can release, while the insights, strengths, and resilience gained from the experience remain.”
(This is based on an excerpt from Ana’s book: EMDR Therapy and Adjunct Approaches with Children: Complex Trauma, Attachment and Dissociation.)
https://www.anagomez.org/what-emdr-kids
Where did you receive your training?
I can always provide you with more details, but here it is at a glance:
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Lubbock Christian University: Master of Science in Counseling
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Texas Tech University: Bachelor of Science in Early Childhood Education, Minor in Substance Abuse Studies
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Texas State Board of Examiners of Professional Counselors: Licensed Professional Counselor
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Texas Department of State Health Services: Licensed Chemical Dependency Counselor
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EMDRIA: Trained Clinician in Eye Movement Desensitization and Reprocessing (EMDR)
Please feel free to reach out with additional questions.