How do I determine if I need psychotherapy?
Different people seek out therapy for different reasons. We all deal with problems in our lives everyday. We use our resources - talk to our family and friends, religious leaders, teachers, mentors and bosses; read self-help books, join support groups; or attempt to deal with our difficulties the best way we know how. For many people this alone is sufficient and the crisis is averted. Sometimes, however, these efforts are not sufficient. Life throws unexpected curveballs our way that make it difficult to maintain relationships, work, and otherwise function in the ways that we want. It is when our own efforts do not give us relief that people need professional assistance. Sometimes people want help to get through a crisis in their lives. Some people wish to be proactive during major life transitions even when not in crisis. Some people seek therapy soon after a traumatic experience (end of a relationship, death of a loved one, recent illness, and loss of a job) or long after they have begun seeking closure. Some people are inherently curious about their lives and want a deeper understanding of themselves, their desires and motivations. Psychotherapy and, only when appropriate, medications can help to re-establish order so that you see your life in an entirely different way that allows you greater mindfulness, such that you are making decisions about your life rather than simply reacting to impulses.

What's the difference between a psychiatrist and other forms of counselor, therapist, etc.?
All of these mental health professionals talk to people and can help them solve their problems. The difference is their education and training background. Psychiatrists are medical doctors that have the ability to prescribe medications in addition to providing psychotherapy. A licensed clinical social worker trained in psychotherapy helps individuals and families deal with a variety of mental health and daily living problems with an emphasis on client advocacy to improve overall psycho-social functioning. A marriage and family therapist works with families, couples, individuals and groups with a ‘systemic’ emphasis on interpersonal relationships for the purpose of achieving more adequate, satisfying, and productive lives and relationship adjustments. At the Cairn Center, we take pride in our diverse training backgrounds that allow us to collaboratively provide expertise for all your mental health needs under one roof.

How do I know if I need to see a psychiatrist or a therapist?
Psychiatrists have the training to prescribe medications. Some psychiatrists, like Dr. Jain, provide both psychotherapy and medications. If you are already in therapy, your therapist may have suggested that you might benefit from medications. You may want to discuss whether you need to see a psychiatrist with your therapist who has taken the time to get to know you well and can give you good feedback on this question. You can alternatively discuss this with your family doctor and we strongly recommend that you be honest, open and upfront with your internist/family doctor. You can also schedule a consultation at The Cairn Center and we can do a thorough diagnostic assessment and recommend the best course of treatment for you. Consider us as consultants giving you an expert opinion.

Why do I choose Dr. Jain as my psychiatrist?
We believe that Dr. Jain is one of the few psychiatrists in Las Vegas that can provide both medication management and psychotherapy. She is the only member of the American Psychoanalytic Association in the state of Nevada. She is psychoanalytically trained and has an extensive psychotherapy background in CBT and DBT as well. Her psychopharmacological training was under the mentorship of some premier depression researchers. She also spent a year doing her research fellowship and participating in psychopharmacological research at the Depression Research Clinic at UT Southwestern Medical Center in Dallas.

Can't I just put my problems behind me, move on and hope for the best next time?
Learning from our problems helps us prepare for the next time. You may do that by self-introspection or talking with loved ones. Being honest with yourself can tell you if you are successful. Running away or shoving your problems under the carpet in hope for a different outcome can backfire. In fact, the more we deal with life in that manner the more difficult it usually becomes to move on after each successive disappointment, frustration, or conflict. Each situation that is not dealt with adequately accumulates over prior unresolved issues. A large pileup can cause an overflow in the form of symptoms like stress, anxiety, depression, irritability, lack of focus, stomach upset, headaches, muscle tightness, and the like.

What about reading a book, joining a support group, going to church/temple, attending a parenting class or a seminar, etc. to get the help I need?
It’s possible. We encourage people to be an active participant in their recovery and explore all options. The journey to feeling better is determined by what you put into the treatment. That is, how far you go. Everyone’s path to better mental health is different. And yes, many people try other avenues first before turning to therapy. But know that it does not have to be an “either/or” decision.

What about medications?
Anxiety, fear, depression, mood swings, anger, impulsiveness and addiction can significantly complicate and alter one’s experience of life and relationships. These and other conditions can, indeed, be treated with medications (though in some instances the medications are only working on the symptoms, not the cause). However, research has proven that psychotherapy can often reduce the need for prescription medications with these and other conditions. Our belief is that medications prescribed appropriately can benefit a person tremendously, but that one should not assume that this is the only path of treatment. Psychotherapy, which allows a person to not rely on the medication exclusively and can help get the maximum relief and benefit without being over-medicated, should be considered.

Am I a failure if I go to a psychiatrist or a therapist (or am I a failure as a parent if I take my child)? Am I "weak" if I cannot work my problems out by myself?
If you have diabetes, you see your family doctor. You go to your lawyer for legal counsel. And you have a mechanic fix your car. Unfortunately, many people do not see going to a mental health professionals in the same light. They may feel that one should just “pull yourself up by your bootstraps” and “stop whining and deal with it.” There is a sense of shame and they see it as a deficiency in themselves. This is probably the result of a lack of information about the nature, causes, and complexities of emotional problems, and what is required to deal with them effectively. Some people are comfortable seeing a life coach, but are hesitant to see a psychiatrist/ therapist. A common myth is that psychiatrists only see severe mental illnesses and “I must be really nuts if I need to see one.” Another belief especially regarding psychiatrists is that “they will fill me up with unnecessary medications”. These myths unfortunately contribute to a mental health stigma and keep people from getting timely assistance. We believe that it is wise (not weak) to seek professional counsel and get the direction and guidance you need especially with Cairn Center professionals who take pride in their ethical practice and are known for their judicious treatment recommendations. We believe in empowering you with tools and skills necessary to live your life effectively. The Chinese axiom “ Give a man a fish, and you have fed him once. Teach him how to fish and you have fed him for a lifetime” aptly illustrates our practice philosophy.

Will I “fall apart” if I start talking about upsetting thoughts and feelings?
For most people, the answer is no, at least not in terms of a "nervous breakdown" or crying uncontrollably. It is certainly possible that you may cry or feel anxious or upset. But many people feel relief after letting their feelings out during a session.

Will you put me in a hospital against my will?
We recommend hospitalization only when we are deeply concerned about your safety and that of others or in the case of severe mania and psychosis. We do not take this lightly and make this decision in conjunction with your family and loved ones only if you are not in a position to make a decision. Otherwise, we have an extensive discussion with you that explore all the possible options. We believe that involuntary hospitalization is only a last resort and in our practice we have only made a handful of these recommendations. It is not often.

Will what I say in therapy sessions be kept private and confidential?
The details of your personal life discussed at Cairn Center have no chance of being divulged to an outside party without your consent. Confidentiality is essential to creating an atmosphere of trust, and treatment cannot work without that trust. Were we to practice under the traditional managed care model, your rights to confidentiality are basically waived. But because we are not on any insurance panels, we are free from any and all third-party intrusions. If you choose to use traditional insurance to get reimbursement for your sessions with us, we will be required to give a diagnosis in order for you to get reimbursed, based on your benefits. This is the only time we would ever share any information about your treatment with an insurance provider unless you requested otherwise. Further, we share pertinent information with your physician, therapist and family members only when you are in agreement that this would facilitate your treatment.
However, there are circumstances under which exceptions do exist. The following is not a complete list of exceptions to confidentiality, but it does contain a few of the more common ones: 1) you are a threat to harm yourself or someone else; 2) child abuse or neglect is suspected; 3) your treatment records are requested by legal subpoena (Should we receive such a subpoena for your records for legal reasons like a divorce, only the dates of your sessions and diagnosis will be available); or 4) to collect payment for services rendered.

Are your services covered by my insurance plan?
As we are not members of any HMO/PPO insurance plans, Cairn Center treatment is fee-for-service only and payment is due at time of your appointment. That does not mean that you may not be able to be reimbursed by your insurance company for your Cairn Center visit. Many insurance policies provide ‘out of network benefits’ that reimburse our services to varying degrees. We can help facilitate your efforts to claim traditional insurance benefits by providing you a receipt that you can then submit to your insurance company.

What is a “concierge practice” and why don’t you take insurances?
There are several types of concierge practices, but all of them alike include direct payment by the patient to the physician for the services provided. There are many benefits of this arrangement. One is that providers can spend more time with his/her patients. Additionally, treatment decisions are made entirely by the provider and patient/client, not by insurance companies or managed care organizations. For a full discussion of this topic and of why we feel that this model provides the best care for our clients, please see our Managed Care section.

How do I get started?
Give us a call or send us an email. We will be back in touch as soon as we are able.

How soon can I get an appointment?
For first-time visitors and those in need of prompt attention, we will always do our utmost to make appointments available as soon as possible. As a commitment to those we treat, we make ourselves personally available for emergencies should they arise. We also make ourselves available for phone and web consultations should this prove necessary or more convenient.

What can I expect in the first session?
The first session offers a comprehensive psychiatric or psychological evaluation where our providers will seek to gain a clear understanding of what issue(s) are bringing you into treatment. By the end of the session, we will provide you a psychiatric diagnosis if applicable and/or our impressions of your psychological distress. We will discuss with you the treatment options available, and together you can develop a plan about how to address the issues in terms of working towards solutions.

What is your cancellation policy?
As we only schedule one person per appointment time, you have effectively contracted for that time. As such, should you not attend your session and not give us 24 hours notice (so that we can try to fit another patient into that time), you will be charged for the full fee of the appointment that you had reserved, regardless of whether this appointment was used or not. Frequent cancellations/rescheduling may incur a fee as well.

How long does treatment take?
This is not a question that can be answered with a blanket statement. As all people are unique, length of treatment is highly variable and depends upon each individual’s goals for treatment, frequency of sessions they commit to with their provider, and ability to work at those goals. At your first appointment we will discuss the length of your unique treatment with you.