You have a right to expect professional confidentiality at all times. We may not release information to medical providers, schools, attorneys or other professionals unless you personally request it and you sign a Release Of Information form. The duty of a counselor to keep confidential information given by a client is required by law- except in very specific circumstances. Counselors are required to report to the appropriate authorities/parties information that leads them to believe that:
- The client presents a danger to him/herself
- The client presents a danger to the life, health and/or property of another
- When there is reasonable suspicion of child, dependent or elder abuse or neglect
- The client is gravely disabled and is judged to be incapable of making self-care decisions
Dual relationships (contact outside of therapy) are discouraged, but often unavoidable. It is important to recognize that our primary relationship and concern with you is as your therapist. We will discuss the appropriate protocol together for your particular situation, circumstances and concerns.
If cancelling an appointment, please give us as much notice as possible. Cancellations within 24 hours of your appointment will result in being charged for the appointment- with special considerations given for weather, illness or emergency circumstances. There is a $35.00 NSF charge for a returned check and unpaid accounts will risk being sent to collections.
To provide the best quality care, we occasionally consult with a select few professionals. Consultations are done with the full anonymity of the client preserved- no names or identifying circumstances are used. Please discuss with us any concerns you may have about consultations with other health care providers or professionals.
The Process of Therapy and Scope of Practice
Participation in therapy can result in a number of benefits to you, including improving interpersonal relationships and resolution of the specific concerns that led you to seek therapy. Working toward these benefits, however, requires effort on your part. Psychotherapy requires your very active involvement, honesty, and openness in order to change your thoughts, feelings, and/or behavior. We will ask for your feedback and views on your therapy, its progress, and other aspects of the therapy and will expect you to respond openly and honestly.
Sometimes more than one approach can be helpful in dealing with a certain situation. During evaluation or therapy, remembering or talking about unpleasant events, feelings, or thoughts can result in the experience of considerable discomfort or strong feelings of anger, sadness, worry, fear, etc., or experiencing anxiety, depression, insomnia, etc. We may challenge some of your assumptions or perceptions or propose different ways of looking at, thinking about, or handling situations, which can cause you to feel very upset, angry, depressed, challenged, or disappointed.
Psychotherapy may result in decisions about changing behaviors, employment, substance use, schooling, housing, or relationships. Sometimes a decision that is positive for one family member is viewed quite negatively by another family member. Change will sometimes be easy and swift, but more often it will be slow and even frustrating. If you are concerned by this, please bring it to our attention.
During the course of therapy, we are likely to draw on various psychological approaches according, in part, to the problem that is being treated and an assessment of what will best benefit you. These approaches include, but are not limited to, Gestalt, behavioral, cognitive-behavioral, cognitive, psychodynamic, existential, system/family, developmental (adult, child, family), humanistic or psycho-educational.
We do not provide custody evaluation, medication/prescription recommendations or legal advice, as these activities do not fall within our scope of practice. We may, however, discuss options for you to bring up with the appropriate professionals on your own or assist you with finding resources for these services.