Where are you located?

We are located at Haven Oaks Farm in Moreau, NY. The address is 46 Reynolds Rd. Fort Edward, NY 12828. My email address is info@AdirondackEAP.com. My phone number is (518) 573-0239 and my fax number is (518) 747-2194.

What makes Adirondack Equine Assisted Psychotherapy different from other therapy experiences?
At Adirondack EAP, a licensed mental health therapist with over 17 years of education and clinical experience, who is also trained in equine assisted psychotherapy, Shannon Myles, LCSWR, teams with horses to provide a unique, effective counseling experience to children, adults, and families.
While horses are often considered inherently therapeutic, it is vital that any model of mental health therapy be provided by a trained and board-certified (human) clinician, and that equine assisted psychotherapy be provided by a therapist trained specifically in EAP. Those of us who work with horses know their ability to soothe and heal, and they make awesome therapeutic teammates!

What is Equine Assisted Psychotherapy?

Equine Assisted Psychotherapy is a cognitive-behavioral therapy, provided by a licensed therapist with the assistance of horses, that engages the client to improve their ability to function in their everyday lives.

EAP addresses many mental health concerns including, but not limited to, depression, anxiety, relationship issues, domestic violence, trauma-related symptoms (difficulty sleeping, difficulty focusing, intrusive thoughts, mood swings, etc), eating disorders, substance abuse and attachment issues. 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 especially beneficial.

If you are uncertain whether EAP may be an effective treatment for your situation, please feel free to contact me by phone at (518) 573-0239, via email at info@adirondackeap.com or via Facebook message at www.facebook.com/adirondackeap

Do you accept insurance?

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

Many  insurances will reimburse their consumer directly for a portion, or all, of the cost of service.

If you choose to attempt to get reimbursement for directly from your insurance, I highly recommend that you contact your insurance company PRIOR to beginning treatment so that you know what they are willing to reimburse. Most insurance companies REQUIRE preauthorization in order to reimburse you so it is very important that you call before your first session. I highly recommend getting that information in writing, for your records. Please bring a copy of this to your first session.

I will provide you with a Superbill at the time of your session. A Superbill includes all of the information that an insurance company is likely to require for direct reimbursement. You then will submit that to your insurance company and they may reimburse you, depending on their agreement with you. Please read below for more information about this process.

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.

Will insurance cover equine therapy if I have an office-based therapist?

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?

I have extensive training and experience, both in my professional field as an LCSWR, as well as in EAP. I have worked in a variety of settings, and with a variety of clientele, for many years. I 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.

How do I get a referral?

You can contact our offices directly via email at info@adirondackeap.com, via Facebook message at facebook.com/adirondackeap 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 this.

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

What is the cost of sessions?

I 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. EAP is covered the same way an office-based therapist is covered. 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 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.

How do I advocate for myself with insurance companies?

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 they ask for specific CPT codes, you can tell them it will typically be 90834 or 90837.
  • 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.

What can I expect in 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 this, so not everyone does this. 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?

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.  Not everyone needs this, so not everyone does this. 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 during all work with horses for everyone under age 18. Clients over age 18 can always choose to wear helmets during ground work. 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. If you have questions, we can help you find an appropriate helmet for your needs.

What happens if there is bad weather?

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. You can always try to contact me at (518) 573-0239 and I will try to leave notification on my voicemail if there is a change in normal operations.

What if I’m allergic to horses?

We do not have medical staff on the premises so please consult your physician about this. We can work with you to follow your physician’s recommendations.

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?

I 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?

EAP is NOT riding lessons. We do not teach horsemanship simply for the sake of horsemanship. We teach the basics of being around, and riding, horses in order for you to be safer during therapeutic sessions but everything we teach will directly relate to your therapy. There are many excellent riding facilities in the area and we will be happy to direct you to one if you’re looking for lessons.

I have tried therapy and it didn’t work. Why should I bother with EAP?

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 model that addresses multiple facets of a person’s functioning and allows for profound 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 and everyone 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. Even people who do EAP with their own horse find the treatment very useful and find that it opens them up to new aspects of their relationship with their horse, as well as the people in their lives.