Therapy FAQs

  • I accept self-pay, Medicaid, Bluecross Blueshield, Ambetter, and self-pay

  • I have two office locations?

    Next Step Counseling, LLC is located in Neligh & Norfolk, Nebraska, Options to have online therapy or telehealth services.

  • Clients have the option to opt out of insurance if insurance is not covered under my license.

    Please contact my office for rates.

  • Clients complete and IDI or Initial diagnostic interview for insurance and for diagnostic purposes. An IDI covers history dynamics. It is good for one year.

  • I do see children ages 0-18 years of age.

  • At this time I do not accept Medicare or Medicare as a secondary insurance.

  • At this time my caseload is full.

  • Monday Through Friday

    Tuesday and Thursday In Neligh Location and Evening appointment TImes. Telehealth available.

    Monday and Wednesday in Norfolk Office . Telehealth options.

    Friday is if needed.

  • What’s the Difference Between Somatic Experiencing, Brainspotting, and EMDR?

    All three are effective, evidence-informed trauma therapies that help people process and heal from distressing experiences, but they each use different approaches and techniques:

    Somatic Experiencing (SE)

    • Focuses on tuning into the body’s sensations and nervous system responses.

    • Helps you become aware of and release trauma that is held physically in the body.

    • Uses gentle tracking of physical sensations to renegotiate survival responses like fight, flight, or freeze without needing to retell traumatic events in detail.

    Brainspotting

    • Uses eye positions (“brainspots”) to access deep areas in the brain where trauma is stored.

    • The therapist guides your eye focus while you attend to bodily sensations and emotions linked to trauma.

    • This method helps process trauma at a subconscious level by connecting eye positions to emotional experiences, facilitating natural healing.

    Eye Movement Desensitization and Reprocessing (EMDR)

    • Uses specific, rhythmic bilateral eye movements (or other bilateral stimulation) while recalling traumatic memories.

    • Helps the brain reprocess and integrate traumatic memories so they become less distressing.

    • Typically involves revisiting the trauma story in a structured way, with guided cognitive restructuring and emotional processing.