Currently, I am seeing established clients in person, and offering telehealth sessions to any clients who feel more comfortable meeting remotely. Please refer to the COVID-19 agreement for expectations for clients, and safety measures that we are taking at the farm. Masks/face coverings are required for everyone and must cover the mouth and nose.  Please use hand sanitizer with alcohol immediately prior to entering my office.

Where are you located?

We are located at Haven Oaks Farm in Moreau, NY. The address is 46 Reynolds Rd. Fort Edward, NY 12828.

Email: info@AdirondackEAP.com

Phone: (518) 573-0239

Fax: (518) 747-2194

Facebook: www.Facebook.com/AdirondackEAP

What is Equine Assisted Psychotherapy?

Equine Assisted Psychotherapy is a cognitive-behavioral-based therapy model, provided by a licensed therapist with the assistance of horses. EAP engages the client in a real-life, real-time experience designed to improve their ability to function in their everyday lives.

EAP is mental health therapy, and therefore, anyone with mental health issues may benefit. EAP is especially effective at addressing depression, anxiety, relationship issues, grief, and  trauma-related symptoms (difficulty sleeping, difficulty focusing, intrusive thoughts, mood swings, etc). Clients who have experienced trauma, do not feel comfortable in a traditional office setting, or who feel “stuck” in their current treatment may find EAP to be a good fit. Please click on the Our Model tab for more detailed information about the equine assisted psychotherapy model that we use.

How do I support the Inherit the Gold Foundation? How do I apply for a scholarship for equine assisted psychotherapy?

The Inherit the Gold Foundation is a registered 501(c)3 nonprofit organization helping horses and people!

The foundations rescues, retrains, and rehomes race horses, and also provides scholarships to Adirondack Equine Assisted Psychotherapy for under- or uninsured individuals. You can make a tax deductible donation or apply to be considered for the Equine Therapy Scholarship at www.InheritTheGold.org.

You can also visit the Adirondack EAP store and the Inherit the Gold Foundation store for cool merchandise. All proceeds benefit the Inherit the Gold Foundation!

Do you take volunteers/interns?

We do not take volunteers/interns, but there are several places in the area that do. Nipper Knolls Therapeutic Riding and Old Friends at Cabin Creek are two of our favorites!

Are you hiring?

We are not hiring.

Can I come visit the farm?

The farm is private, and we do not allow visitors. We do occasionally host open houses and group tours, so if you keep an eye on the Facebook page, any opportunities to visit the farm will be posted there.

Can I sit in on a session to see if I like it? Can I stop by and check the place out?

Therapy is private, and is protected by HIPAA, a federal law ensuring privacy for medical clients. Observing a therapy session is strictly forbidden. The farm is private, and we protect the safety, privacy, and well-being of all of our clients and animals. If you’d like to meet us and check out the farm, and you have a mental health concern that you’d like to address, you can engage in therapy and meet us in a therapy intake session. Attending therapy is always optional. If at any time you decide EAP is not a good fit, you can let me know and I will discharge you.

How can I become an equine assisted psychotherapist like you?

Equine assisted psychotherapy is provided by licensed, board-certified mental health therapists who have been trained and specialize in equine assisted psychotherapy. I receive frequent requests for information and guidance from people looking to become equine assisted psychotherapists, and I encourage everyone to consider going into the field. My consulting fee is $250/hour to provide individuals with information based on my personal experience. I also highly recommend checking out Shannon Knapp’s books, Horse Sense, Business Sense, and More Than A Mirror for lots of great information and useful tips. You can find both books here.

What makes Adirondack Equine Assisted Psychotherapy different from other therapy?
At Adirondack EAP, a licensed mental health therapist with over 20 years of education and clinical experience teams with horses to provide a unique, effective counseling experience to children, adults, and families.

While horses are inherently therapeutic, it is vital that mental health therapy be provided by a trained and board-certified (human) clinician, and that equine assisted psychotherapy be provided by a therapist who is additionally trained in EAP.

Do you accept insurance?

We currently accept BlueShield of Northeastern New York,  Lifetime Benefit Solutions, Empire Blue Cross/Blue Shield, Fidelis, and CDPHP insurance.

If we do not accept your insurance, see below for tips on how to advocate with your insurance company for out-of-network benefits.

Insurance Disclaimer: A quote of benefits and/or authorization does not guarantee payment or verify eligibility. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member’s contract at the time of service. Any and all services not covered by an individual’s insurance are required to be paid by the individual to whom services are rendered.

Will insurance cover equine therapy if I also see another therapist?

Yes. As long as you don’t see both therapists on the same day, insurance companies will cover equine therapy, as well as your traditional, office-based therapy. EAP can be an excellent adjunct therapy, and we work in close partnership with outside therapists to provide supportive, wrap-around care for our clients.

What kind of training do you have?

Therapist Shannon Brock Myles, LCSWR, has a Bachelor’s degree from Ithaca College, and a Master’s degree from SUNY Albany. She has extensive training and experience, both in her professional field as a therapist, and in equine assisted psychotherapy. Shannon trained directly with Tim and Bettina Jobe, the founders of TF-EAP.

Equine Specialist Sue Hooper is a 1979 Riding Master graduate of Meredith Manor International Equestrian College and holds a B.S. in Equestrian Studies from Salem College. Sue is a lifelong horsewoman, and is extremely well-respected in her field.

How do I get a referral?

You can contact our offices directly via email at info@adirondackeap.com, via Facebook message, or by phone at (518) 573-0239. You may also talk to your physician or provider if you would like to be referred to AEAP. Some insurance companies require a physician’s referral in order to consider reimbursement for services, so please be informed about the requirements of your specific policy.

In the case of a physician or provider referral, please direct them to the following Referral Forms. A release of information will be expected from any referring agency to ensure HIPAA compliance.

What is the cost of sessions?

We currently accept Lifetime Benefit Solutions, Empire Blue Cross Blue Shield, CDPHP, Fidelis, and BlueShield of Northeastern New York insurance.

Insurance coverage varies according to clients’ individual policies. If a client has an insurance that we don’t accept, many policies include direct reimbursement to the client for therapy given by an out-of-network provider. Please read below for assistance with this process.

Session fees for out-of-pocket payments are $160.00. Sessions are generally held on a weekly basis, all year round, and are 50-60 minutes. Payment is due at the time of session and can be paid by insurance coverage, cash, check, or credit card.

The Inherit The Gold Foundation provides funding to individuals who are uninsured or under-insured. Please contact them directly to apply for consideration for this scholarships.

What can I expect in sessions? How often do you meet? Do you operate in the winter?

We operate all year-round, and typically meet weekly for ~60 minute sessions. Most of our work with the horses will be on the ground, in specific exercises designed to maximize the therapeutic experience for the client and support attaining goals outlined in his or her individual treatment plan. There is an aspect of TF-EAP called Rhythmic Riding, where horseback riding occurs. This is not recreational riding. RR is a therapeutic intervention designed specifically for mental health therapy. Not everyone needs RR, so not everyone does RR. If Rhythmic Riding is to be part of a client’s treatment plan, that will be discussed well in advance of the riding, and is almost always preceded by extensive ground work. There may be instances where a session will require more of a traditional office-based setting and interaction with the horse will not occur that day. Communication with the client and their family will be ongoing so that everyone knows what to expect.

Will we ride horses in session?

Probably not, and if your treatment plan were to include riding, this would be something we would discuss well in advance of the actual riding.

There is an aspect of TF-EAP called Rhythmic Riding, where horseback riding occurs. RR is a therapeutic intervention specifically designed for mental health therapy. This is not recreational riding.  RR is only utilized for very specific treatment interventions. If Rhythmic Riding is to included in a client’s treatment plan, that will be discussed well in advance of the riding, and is almost always preceded by extensive ground work. There may be instances where a client may not be appropriate for this aspect of treatment.

What should I wear for sessions?

Please dress to be outside, protect your feet and wear something you don’t mind getting dirty. When you’re in a barn or corral, there is always the chance for getting mud, dust and horse hair on your clothes and shoes so please dress accordingly. Wear closed-toed, closed back shoes. Boots with a slight heel are preferable but not required.

Do you operate in the winter? If so, are sessions held outside?

We operate all year round, outside, under cover.

I am concerned about confidentiality. Will there be other people getting therapy at the same time as me?

We offer individual sessions only. You may see other clients in the parking lot prior to, or following, your session. This is a fully functioning farm, although most of the work is done before and after therapy sessions, just as you would at an office-based therapist. Privacy and confidentiality are part of our client agreement, and are expected from every client. You may see farm staff occasionally, but they are very aware of the sensitive and private nature of therapy, and are very respectful. We do have an equine specialist, Sue Hooper, who may be present during work with the horses.

Will I have to wear a helmet?

We require helmets for everyone under age 18 during the entire time that they are on the farm. We provide helmets here. Clients over age 18 can always choose to wear helmets at any time. Helmets are required for everyone during all mounted work.

Do I need to buy my own helmet?

You are welcome to purchase your own helmet. We provide helmets. All helmets must meet ASTM / SEI certified equestrian standards.

What happens if there is bad weather?

We operate all year round, in most weather conditions. However, safety is our number one priority, so in the case of severe weather, we may have to cancel sessions. We will contact you as soon as possible to let you know if this happens, and you’re welcome to reach out if you have any questions about whether sessions will be proceeding normally.

What if I’m allergic to horses?

We do not have medical staff on the premises so please consult your physician about whether you can safely participate in equine assisted psychotherapy.

I don’t know anything about horses and I’m a bit afraid. Can I still participate in EAP?

Yes! Prior horse experience is not at all required. Being nervous or scared about being around horses can actually provide a great starting place for progress in therapy. We will work together to help you with this.

I experienced a trauma and I don’t want to talk about it. Will EAP help?

The therapist will need basic information about your current functioning in order to create an appropriate treatment plan, and you are welcome to talk to the therapist or the horse about anything you want to during sessions. However, one of the most unique aspects of EAP is that you can experience healing from your trauma and improvement in your functioning without ever actually expressly describing your traumatic experience. In traditional office therapy, treatment often includes “talking the trauma to death”, which can be uncomfortable, at best. In EAP, you can progress without ever having to actually talk specifically about your trauma.

I want to take riding lessons. Should I do EAP instead?

Absolutely not. EAP is NOT riding lessons. We do not teach horsemanship simply for the sake of horsemanship. We teach the basics of safety in interactions horses in order for you to be safer during therapeutic sessions but everything we teach will directly relate to your therapy. If you are looking for riding lessons, there are many excellent riding facilities in the area.

I have tried therapy and it didn’t work. Will EAP help me?

EAP is unlike any other kind therapy you will ever experience. It is science-based, effective and can be lots of fun. You will experience real-life, real-time feedback from the horse which cannot be replicated in an office setting. We provide Trauma-Focused Equine Assisted Psychotherapy, which is a model developed by Tim and Bettina Jobe of Natural Lifemanship™. TF-EAP is a complete and comprehensive therapy model that addresses multiple facets of a person’s functioning and allows for profound healing. Therapy is a highly individualized experience, and you get out of it what you put into it. If EAP is a good fit for you, you will likely experience very positive healing.

I don’t have PTSD. Can I still benefit from Trauma-Focused EAP?

In TF-EAP, “trauma” is loosely defined as a past or present circumstance that negatively impacts a person’s functioning. A diagnosis of PTSD is not a necessary requirement. Everyone with mental health concerns can benefit from TF-EAP.

I have a lot of experience with horses. Can I get anything out of EAP?

Absolutely. We interact with horses in a way that you are not likely to have experienced before and will be engaging in exercises that will allow you to interact with the horses in a unique and therapeutic fashion.

You don’t accept my insurance. How do I advocate for myself with my insurance company to get out-of-network coverage?

It is important that you understand the rights and benefits of your individual health plan. There is a wide variety of coverage scope throughout the industry and aspects of your policy may vary from others who have insurance, even if it is with the same company. Please remember that if you determine an out-of-network direct reimbursement rate and plan with your insurance company, this is between you and that company. While we do our best to accommodate your financial situation, this does not constitute an agreement with you/your insurance company and Adirondack EAP. We do not have the staff to negotiate with insurance companies on your behalf so if you wish to seek direct reimbursement for sessions, you will need to contact your insurer directly.

Here are some tips to help you navigate the system.

  • Most insurance cards will have a customer service number on the card. Please contact them BEFORE you start therapy so that you are well informed. Be aware that mental health benefits can vary from medical benefits. Have the insurance company send you written confirmation of any agreements made and bring them to your first session.
  • When you call, make sure you have paper and pen to take notes about which number you called, who you spoke with, their direct line and extension and what they said. Record the time and date that you called, so that if there is ever a problem, you have good records. It can also make it easier when you have to call back if you write down the “option” numbers so that you can enter them more quickly next time.
  • Ask to speak with someone about coverage for mental health (some insurers call it “behavioral health” or “psychotherapy”) benefits.
  • Explain that you wish to receive mental health therapy from an out-of-network provider and ask them what they will do about reimbursing you directly.  If you need my NPI number or CPT codes that we use, please contact me directly.
  • Request written requirements for clinical information that your insurer will require for reimbursement. I will provide a Superbill for you to submit to the company and I need to know if they need additional information than what is normally included on a Superbill.
  • Ask if an “out-of-network” benefit exists on your plan.
  • Make sure you write down the person you are speaking with and their direct call back information!
  • If you have trouble or feel you are entitled to further information or coverage, feel free to ask for a supervisor.
  • Your insurance company is in the business of making the consumer happy. They are much more likely to want to please you than to want to please me, so use this to your advantage in advocating for yourself. Be persistent! If you are persistent, you are much more likely to get what you want.
  • If you receive your insurance through an employer, the Human Resources department may be helpful in helping you with negotiating services through your insurance carrier. The insurance carrier wants to keep your employer happy so they continue to use them for insurance and your employer wants to have happy and healthy employees, so both will be motivated to see you satisfied.
  • When they ask you why you do not want to use other services, let them know if your doctor has specifically recommended you to AEAP. Also, explain that the therapy model provided by us includes treatment options not offered by others in this area. Our equine assisted psychotherapy program is unique and offers experiential therapy which has yielded promising results in many scientific studies.
  • If they have further questions about EAP, please direct them to me at (518) 573-0239.
  • Ask questions, explore option and request reviews of decisions if at first you don’t get the outcome you’re seeking.
  • If you do get an agreement, please have your insurance company send you written documentation and bring it to your first session. Additionally, you may also have them fax a copy to me at (518) 747-2194.