563 Southlake Boulevard
Richmond, VA 23236

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Frequently Asked Questions

Didn't find your question below?  No problem! 

Email Adrienne directly: AdrienneLokerLCSW@gmail.com


How long does therapy last?

Therapy is an individualized process, based on the unique needs and experiences of each person.  Often times most people experience that they begin to feel worse before they begin to feel better.  This is usually because they are able to see their pain clearly for the first time.  Only then can we truly understand the scope of what they're wanting to work on.  Adrienne believes that the client sets the pace for therapy and core issues should only be worked on when the time is right.

It is most common that new patients will meet weekly for therapy the first month, and depending on the severity of symptoms, may be able to move to biweekly sessions afterwards.  Due to the intensity of Adrienne's clinical model of practice, it is the conservative goal to step  individuals down to biweekly sessions within three months, and monthly within six months of treatment.  Because Adrienne customizes her clinical interventions to meet the unique needs of each client, everyone’s process will look different.  Her vision is for her practice to become a primary emotional healthcare office where individuals can come in for a “tune up” visit when they feel an emotional upset coming on, the way one might visit their primary care physician when they feel symptoms of the flu. 

I don’t identify as having a substance use disorder, will you still treat my trauma?

The short answer is yes.  Adrienne's theoretical lens of each person she serves is that we all have an internal system of parts that either store our emotional pain or protect us from having access to our emotional pain.  These parts of self will go to any length to ensure we are cut off from our emotional past.  This may take place through impulsive behaviors like cutting, promiscuity, over eating, indulging in substances or pornography, acts of aggression, loss of memory, or complete dissociation.  It may also take place more proactively, such as being busy all the time, caretaking for other people, obsessing over cleanliness, perfectionism, fixating on getting the next “thing”, and other similar emotional numbing tools.  The bottom line is that substance use disorders are only one manifestation of trauma numbing.  Adrienne markets herself specific to this population because it is often missed by healthcare professionals and she feels called to be a safe space for those still struggling with these specific concerns.  However, overcoming trauma is her passion and you do not need to identify as having a substance use disorder to be a patient of hers.       

I identify as having addictive behaviors other than chemical dependency, can you still help me?

With Adrienne's lens of internal parts, she views compulsive behaviors as serving a purpose.  When we can identify the purpose it serves with an attitude of curiosity and compassion, then we can begin to put to rest internal conflict and begin to meet the needs of self.  Contact Adrienne to discuss your treatment needs, and she will be candid with you if she feel it is outside of her scope of practice.

Can you help me with trauma that I don't remember?

Adrienne is trained in the Implicit Memory Protocol and Early Childhood Trauma Protocol of EMDR that works on the brain’s natural inclination towards imagery to heal implicit trauma stored within the amygdala.  With this approach, she can treat trauma that took place preverbally.  This approach is also useful even for individuals who do have language that provides context for their trauma.    

How much do your services cost?

Adrienne does not accept insurance for a variety of reasons, one being that they do not cover intensive individual therapy sessions.  Additionally, it is Adrienne's belief that insurance companies often over-regulate and lack innate trust in mental health professionals.  Adrienne feels strongly in the services she provides.  It is her goal to lead the community into a structure of services that are clinically driven and not financially or insurance driven.  To move us in this direction, she has structured her fee schedule to ensure that vital clinical services are affordable to all those in need, taking into consideration that her model for treatment is that clients will need services for a shorter period of time and will get their lives back sooner with intensive experiential sessions. Adrienne provides a scaled fee structure that increases depending on household income bracket.  Within the bracket that you identify, you determine what you can afford to pay.  

Based on Adrienne's own interpersonal growth and utilization of the clinical interventions that she practices with clients, and the honor that she's had to work with hundreds of others, she deeply believes in the clinical work that she does.  Her time spent in the office with clients is only a small part of her dedication to client care.  In addition to daily tasks, Adrienne engages in ongoing trainings, supervision, consultations, and research that allows her to provide clients with the most sound, evidence-based service.