images poster

images

It takes support to heal. It takes courage to grow.
Karine Bertram

images

The secret of getting ahead is getting started
MarK Twain

images

Big journeys begin with small steps
Lao Tzu

images

The past is a place of reference, not a place of residence
Roy T Bennet

images

Once you become fearless life becomes limitless
Nishant Patel, Mit Bhat

images

Great things never come from comfort zones
Ben Francia

images

Ask yourself if what you are doing today is getting
you closer to where you want to be
Paulo Coelho

Counseling for Cultural Adaptation

Counseling for Cultural Adaptation

Moving into a new culture is never easy. Although adaptation has enabled humans to survive in harsh environments, changes often cause a great deal of discomfort. Everything you have established, such as doctors, therapists, and hairdressers, may feel difficult and confusing.

Common stages involved in cultural adaptation include the Honeymoon Phase with its positive feelings of excitement related to the new experiences, followed by the Crisis Phase, when people start to experience discrepancies between their culture of origin and the new culture.

Culture shock can be expressed as disbelief about certain moral values, language, and aesthetics, and it can seriously impact mood, eliciting negative feelings toward others. Symptoms include hopelessness, disappointment, disorientation, anger, physical symptoms, withdrawal from people, and decreased self-esteem.

The length of time needed to accept the changes is unique to each person and depends on his or her strengths and weaknesses. Sometimes, therapy and support groups can help to accelerate the adaptation process. They may be able to provide the tools to cope with the negative aspects of change, provide resources, and offer new opportunities to expand friendships.

With time you will learn to accept and integrate parts of the new culture while maintaining your own cultural traditions.

“No Surprises”Act

In January 2022, Congress passed the “No Surprises” Act that obliges health care providers—like me—to furnish clients who self-pay with a “good faith estimate” of the cost they might expect to incur in the calendar year or the number of sessions agreed upon. Your own cost will be the number of visits you schedule multiplied by my fee. How many visits you can expect is variable, difficult to anticipate, and ultimately, up to you. I will provide existing clients with a good faith estimate based on a range of number of sessions in the calendar year. Ps: The faith of the estimate is just an estimate, and you are not obliged to attend all the sessions provided in the estimate. You are allowed to discontinue therapy anytime during the treatment period if you desire. You will not be charged for sessions not attended that are cancelled within the 48 hour of the cancellation policy.
Feel free to discuss this with me and explore more about this act in this website: https://www.cms.gov/nosurprises

  • ©2025. Karine All Right Reserved.