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Questions About Therapy

 

What kinds of clients do you work with?

I work with individuals, couples, and families who want to understand themselves more deeply, improve their relationships, and move toward a life that feels more aligned. Many people come in navigating anxiety, relationship distress, trauma, chronic pain, or patterns they’re tired of repeating. I see clients ages 18 and up.

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What approaches do you use?

My work is integrative and tailored to each person. I draw from a variety of evidence-based frameworks, and I've listed my favorites below. You don’t need to know these models for therapy to be effective, though; my job is to weave them together in a way that fits you.

  • emotionally focused therapy

  • somatic and polyvagal theories

  • acceptance and commitment therapy

  • cognitive behavioral therapy

  • internal family systems therapy

  • pain reprocessing therapy

  • exposure and response prevention

  • attachment-oriented therapy

  • expressive arts therapy

  • narrative therapy

  • prolonged exposure therapy

  • cognitive processing therapy

 

What can I expect in the first session?

The first session is a conversation. Your therapist will provide you a handful of forms beforehand to help get the process started. Based on that information, we’ll talk about what’s bringing you in, what you’re hoping for, and what feels most important to understand about your story. I’ll ask questions, offer reflections, and help us get a sense of whether we’re a good fit.

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How long does therapy usually last?

It depends on your goals. Some people come for a handful of sessions to work through something specific. Others stay longer to do deeper relational or trauma-focused work. We’ll check in regularly to make sure therapy is moving in a direction that feels meaningful and continues to support your progress.

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How do I get started?

Reach out through my contact form or email to schedule a consultation or first session. If you’re unsure whether therapy is right for you, we can start with a brief conversation to explore what you’re looking for.

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Why should I see a therapist when I can ask AI for help?

AI can be a helpful place to gather information, organize your thoughts, or feel less alone in a difficult moment. But AI often functions as an echo‑chamber by reflecting back the ideas, assumptions, and interpretations you bring into the conversation. It can’t notice when you’re stuck in a loop, reinforcing a story that keeps you hurting, or repeating patterns that limit your growth.

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A therapist offers something fundamentally different: relationship with someone trained to understand your history, your nervous system, your relational patterns, and the deeper meanings beneath your reactions. Therapy provides a safe, attuned space where you can explore what’s happening inside you, receive compassionate challenge, and learn new ways of relating to yourself and others. A therapist can help you recognize patterns you can’t see on your own, interrupt cycles that keep you stuck, and practice new ways of thinking, feeling, and responding.

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Don't misunderstand, I'm actually a fan of AI. I think it has brought fundamental changes to society, and many of them have been quite helpful. AI can support your process in therapy and I welcome you to share any interactions with AI you've found useful. It's not a threat to the therapeutic process because it can’t replace the depth, nuance, or healing power of a human therapeutic relationship.

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Questions about Anxiety, Phobias, and OCD

 

What’s the difference between anxiety, a phobia, and OCD?

Anxiety is a natural human response that can become overwhelming when it shows up too often or too intensely. Phobias are strong, specific fears that lead to avoidance. OCD involves intrusive thoughts or urges paired with rituals or mental habits meant to reduce distress. You don’t need to sort this out alone — part of our work is making sense of what you’re experiencing in a compassionate, non‑judgmental way.

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Why do I have intrusive thoughts?

Intrusive thoughts are unwanted, distressing thoughts or images that pop in without permission. They don’t reflect your character or intentions. Many people experience them, especially during stress or anxiety. In therapy, we explore why they feel so sticky and how to relate to them in a way that reduces their power.

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What is ERP, and do I need it?

Exposure and Response Prevention (ERP) is a highly effective therapy for OCD and phobias. It involves gently facing fears while reducing the rituals or avoidance that keep the cycle going. We move at a pace that feels manageable, and you’re never pushed into anything you’re not ready for.

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Do I need medication?

Some people benefit from medication, and some don’t find it necessary. Therapy can be effective on its own, and medication can be a helpful addition for certain people. 

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How do I support a loved one who’s struggling?

Supporting someone you care about can feel confusing at times, especially when you’re trying to be helpful without accidentally making things harder. The most meaningful support usually comes from steadiness, understanding, and gentle encouragement rather than trying to “fix” the fear.

  • being a grounding presence
    A calm, steady presence helps their nervous system settle. You don’t have to solve the fear — just staying with them makes a difference.

  • acknowledging their feelings
    Validation doesn’t mean you agree with the fear. It simply communicates, “I see that this is hard, and I’m here with you.”

  • reducing reassurance loops
    Repeated reassurance feels comforting in the moment but can unintentionally strengthen anxiety or OCD cycles. Gently redirecting to coping skills or therapy strategies is often more supportive.

  • encouraging gradual approach
    Avoidance brings quick relief but keeps fear in place. You can help by supporting small, manageable steps toward the feared situation — never pushing, just walking alongside them.

  • building shared understanding
    Learning about anxiety, OCD, or phobias helps you respond with compassion and recognize what’s fear‑driven versus what’s truly dangerous.

  • supporting therapy goals
    If they’re in treatment, ask how you can support the work. Sometimes that means stepping back from reassurance or helping them practice a skill.

  • maintaining your own boundaries
    Caring for someone who’s struggling can be emotionally taxing. It’s okay to have limits, take breaks, and seek your own support.

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Why does my anxiety get worse even when I try to calm down?

Sometimes the harder you try to “calm down,” the more activated your body becomes. This isn’t a failure; it’s a nervous‑system response. When you’re anxious, your brain is scanning for danger, and efforts to force calm can accidentally signal that something must be wrong.

  • your body’s alarm system
    Anxiety activates the fight‑or‑flight response. Trying to shut it off too quickly can make your brain think the threat is bigger than it is.

  • overthinking the symptoms
    Focusing on your heartbeat, breathing, or thoughts can make them feel more intense, even when nothing dangerous is happening.

  • trying to control what feels uncontrollable
    Efforts to “make anxiety stop” can create pressure, which increases tension instead of reducing it.

  • what actually helps
    Gentle, body‑based strategies like grounding, slow exhale breathing, or naming what you’re feeling often work better than trying to force calm.

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What causes anxiety, OCD, or phobias?

These conditions don’t have a single cause. They develop through a mix of biology, life experiences, temperament, and how the brain learns to respond to stress or uncertainty. Understanding the “why” can help people feel less alone and more empowered in treatment.

  • genetics and brain wiring
    Some people are naturally more sensitive to stress or uncertainty because of inherited traits or how their brain processes information.

  • life experiences and stress
    Trauma, chronic stress, or major life changes can shape how the nervous system reacts to perceived threats.

  • learning and reinforcement patterns
    Avoidance, rituals, or reassurance can temporarily reduce fear, which teaches the brain to rely on those behaviors and strengthens anxiety or OCD cycles over time.

  • temperament and personality factors
    People who are highly conscientious, sensitive, or imaginative may be more prone to certain anxiety patterns.

  • no one is to blame
    These conditions are not caused by weakness, lack of willpower, or personal failure. They’re treatable patterns rooted in how the brain and body learn to protect you.

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Questions About Couples Therapy

 

What happens in couples therapy?

Couples therapy is a guided conversation where both partners get space to be heard, understood, and supported. I help you slow things down, notice patterns, and communicate in ways that feel safer and more productive. You won’t be left to “hash it out” on your own. I’m actively involved in helping you make sense of what’s happening between you.

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Will you take sides?

No. My role is to understand each partner’s experience and the cycle you’re both caught in. In fact, my approach takes you our of the blame cycle and helps you both shift from “who’s right” to “what’s happening between us,” so you can work together instead of against each other.

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Can couples therapy help us if we’re constantly arguing?

Yes. Many couples come in feeling stuck in conflict. We’ll look at what fuels the arguments, what each partner is trying to express underneath the surface, and how to create moments of connection even when emotions run high.

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What if one of us is unsure about therapy?

It’s common for partners to feel differently about starting therapy. We move at a pace that feels manageable, and I help each person feel included, respected, and understood. You don’t have to be perfectly aligned to begin.

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What if we argue during the session?

When conflict shows up, we use it as information. I help you slow down, understand what’s happening emotionally, and practice new ways of responding to each other in real time.​​

Questions About Co-Parenting Therapy

 

What is co‑parenting therapy?

Co‑parenting therapy helps separated or divorced parents work together more effectively for their child’s well‑being. The focus is on communication, boundaries, and creating a stable, predictable environment.

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Do we have to be on good terms to start?

No. Many parents begin therapy with high conflict or limited communication. The goal isn’t to repair the relationship; it’s to build a functional partnership that supports your child.

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What do sessions usually focus on?

We explore communication patterns, decision‑making, routines, boundaries, and how to reduce tension around parenting transitions. The work stays practical and future‑focused.

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Will you take sides?

No. The focus is on the co‑parenting system, not on who’s “right.” I help both parents understand patterns and make choices that support their child’s needs.

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Can co‑parenting therapy help if we disagree about everything?

Yes. Therapy helps you identify shared goals, reduce unproductive conflict, and create agreements that make day‑to‑day parenting smoother.

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What if communication is really strained?

We work on structured communication tools that reduce escalation and keep conversations focused on the child. Sometimes this includes written communication guidelines or parallel‑parenting strategies.

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How long does co‑parenting therapy take?

It varies. Some families need a few sessions to create agreements; others benefit from ongoing support as they navigate transitions or new developmental stages.

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Can you talk to our child too?

Co‑parenting therapy focuses on the adults. If child therapy is needed, we can discuss appropriate referrals or how to coordinate care.

Questions About Pre-Marital Therapy

 

What is pre‑marital counseling?

Pre‑marital counseling helps you build a strong foundation before marriage by exploring communication, expectations, values, and the patterns that shape your relationship. It’s a proactive way to strengthen connection and reduce future conflict.

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Do we need to be struggling to benefit from this?

Not at all. Most couples who seek pre‑marital counseling are doing well and want to stay that way. It’s about preparing for real‑life challenges, not fixing a crisis.

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What topics will we cover?

We explore communication styles, conflict patterns, finances, family dynamics, intimacy, expectations, and shared goals. If you choose, the Prepare/Enrich assessment provides a personalized report of strengths and growth areas.

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How long does pre‑marital counseling take?

It varies by couple. Some complete a focused series of 5-9 sessions, while others prefer a slower pace with more time to explore deeper conversations.

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Is this religious or faith‑based?

Pre‑marital counseling can be tailored to your values. Some couples want a faith‑integrated approach; others prefer a secular focus. We shape the work around what matters to you.

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What is the Prepare/Enrich assessment?

Prepare/Enrich is a research‑based tool that highlights your relationship’s strengths and growth areas. It gives you a personalized roadmap for conversations that matter most.

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© 2026 by Crystin Rice, LCMFT

1223 N Rock Rd, Bldg A Ste 100
Wichita, KS 67206-1271
785.422.7113  |  316.536.4188 fax

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