Specializing in Couples Therapy, Anxiety and Mood Disorders
Hansen Counseling
     Skype Therapy Services

     Skype Therapy Services are available for individual treatments (with the possible inclusion of a support person) and primarily conducted for the treatment of anxiety and depression. Skype services do not include couples/marital treatment.

     Anxiety states/conditions are especially appropriate for treatment through Skype. It is important to note that many cases of depression have an underpinning or foundation of anxiety, which invariably leads to a state of depression. Let me explain: If, for example, you suffer from agoraphobia or panic attacks, you often find yourself confined to your home or to a very small and isolated area. As such, it is difficult – at times VERY difficult – to get out to even access medical/clinical assistance for your condition. You therefore find yourself TRAPPED in a way in your very small existence. As with most people, you then experience both anxiety and depression as you realize that your existence is confined to a very small space.

     Do not misunderstand this, the work through Skype is as difficult and challenging as is the work in one of my office settings. Some of the treatments (panic disorders; agoraphobia; obsessive-compulsive disorder; and, some forms of social anxiety) include exposure and response prevention ERP) exercises. Others include cognitive therapy and cognitive/behavior therapy (CBT). When you think about it, the vast majority of us (humans) want to flee when we experience something that causes anxiety. At some level, this is functional as we confront real-life dangers (for example, poisonous snakes). But in anxiety states, we distort the actual danger causing us to misinterpret the real danger we face. Therefore, in treatment, we focus on either the restructuring of distorted thinking or we EXPOSE the individual to that which they fear. Thought restructuring is more often associated with social anxiety and generalized anxiety. Exposure therapy is associated with agoraphobia, panic disorder, posttraumatic stress disorder and obsessive-compulsive disorder.

     Depression is primarily treated with CBT. That is, thought disorders are a part of the depressive condition in many cases. However, it is important to note that certain types of depression (internal or chemical) are not as amenable to clinical (as opposed to psychopharmacological) intervention. However, with external/situational depressions, Skype services are possible with this type of condition. As with anxiety, a thorough evaluation is necessary to sort through the type of depression a person suffers.

     Additionally as with many states, Maine has a population that is spread over a wide geographical area. For some, the distance alone can be a barrier to obtaining quality services for behavioral health treatment. Additionally, as described above, certain conditions, such as agoraphobia, social anxiety, panic disorder, posttraumatic stress disorder, obsessive-compulsive disorder, generalized anxiety disorder and some forms of depression can make travel for treatment services quite difficult.

     Cost: The cost of this service is identical to my “in office” cost: $110.00 per hour, with some possibility of adjustment if necessary. However, it is important to understand this is not a service supported by insurance companies. Therefore, the client is responsible for entire cost of the service. Additionally, this cost must be secured with a credit card PRIOR TO the start of each session.


I, , do hereby voluntarily consent to mental health treatment by Dr. Tom Hansen. I am aware that the practice of mental health is not an exact science, and I acknowledge that no guarantees have been made to me as the result of assessment or intervention by Dr. Hansen. I understand that Skype technology is not guaranteed to be safe from possible breaches in confidentiality through technological means, and that by using this technology I accept this possible risk.
Signature: Witness:
Your name typed in the textbox above constitutes your legal signature.   Your witness's name typed in the textbox above constitutes his/her legal signature.
 Payment Agreement
I, , understand that I will be responsible for paying the full standard charge for my Skype service. I agree that my cash payment for services, payable at the start of each session, is $ per fifty (50) minute interview.
Signature: Witness:
Your name typed in the textbox above constitutes your legal signature.   Your witness's name typed in the textbox above constitutes his/her legal signature.



Payment for Skype Services

Skype Services is NOT insurance reimbursable. Client accepts responsibility for full payment of services at the beginning of each Skype session. Credit Card reimbursement is required for this service. Disclaimer: Skype technology is not guaranteed to be safe from possible breaches in confidentiality. By using this technology, clients accept this risk.

Click the Skype button below to begin your Skype session

Please note that Skype may not work with older versions of Internet Explorer. If you use an older version of IE, you may want to download and install Google Chrome, Firefox or Safari for use with Skype.


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