Updated September 2023
The therapeutic relationship is unique in that it is a highly personal and at the same time, a contractualagreement. Given this, it is important for us to reach a clear understanding about how our relationship will work, and what each of us can expect. This consent will provide a clear framework for our work together. Feel free to discuss any of this with me.
Psychotherapy is a very personal journey. It varies depending on the personalities of the counselor andclient, and the particular problems you bring forward. There are many different methods we use to collaboratively identify and explore the concerns that come up in therapy. Psychotherapy is not like a medical doctor visit. Instead, what you put into it is what you get out of it with the educated guide (your therapist). Therefore, it calls for a very active effort on your part. In order for the therapy to be most successful, your work on concerns and therapy goals during and outside our sessions is often advisable. In fact, a lot of the work happens between sessions.
Psychotherapy can have benefits and risks. Since therapy often involves discussing unpleasant aspectsof your life, you may experience uncomfortable feelings like sadness, guilt, anger, frustration, loneliness,and helplessness. On the other hand, psychotherapy has also been shown to have benefits for people who go through it. Therapy often leads to better relationships, solutions to specific problems, and significant reductions in feelings of distress. However, it is important to understand that there are no guarantees of what you will experience.
Our initial sessions will involve an evaluation of your needs, the clinician’s impressions, and possible interventions. This also provides you the opportunity to evaluate this information along with your own opinions of whether you feel comfortable working with your clinician. At the same time, we will determine whether your presenting concerns fall within the scope of our services. If at any point during the initial assessment or during therapy, we assess that we cannot be effective in helping you, yourclinician will discuss this with you and, if appropriate, end treatment. In such a case, we will give you referrals to other qualified professionals. We offer a 45 min or 53 min session weekly or every other week (we rarely offer monthly sessions due to the time in between sessions to do the work efficiently). Therapy involves a commitment of time, money, and energy, so finding a good therapist fit is important.A strong therapeutic alliance is important for a successful process. If you or your therapist does not believe this is a good fit, it should be discussed so your therapist can help you with referrals for other options. If you have questions about any aspect of our work together, please discuss them with your clinician whenever they arise. In fact, talking about such concerns often serves as an important part of the therapy process. If doubts about our work together persist for you, we can help set up a meeting with another mental health professional upon request.
TERMINATION OF TREATMENT
Psychotherapy can end for a variety of reasons including but not limited to: the client has met their established treatment goals; the clinician believes a referral to another provider is needed due to service demands being out of the scope of clinician’s training/experience or expertise; or the client has stopped attending sessions. Most of the time services are terminated with mutual agreement and a termination plan that has been collaboratively agreed upon. Should this not be feasible, please be advised that we will make our best attempt to discuss with you why termination of treatment isrecommended.
We have the right to terminate treatment due to the following reasons:
- Repeated late cancellations and/or no shows to appointments. Your appointment time is reservedfor you only. Failure to (a) cancel within 24 hours and/or (b) no show to 2 or more consecutive or 3(or more) appointments in a 3 month period may lead to ending the therapy contract between youand your clinician. We will make every effort to notify you in advance if this is becoming an issue intherapy. If we are unable to make contact with you and/or do not hear from you, a letter or email willbe sent informing you that your case is closed. At this point, you will need to either find a newprovider or wait to schedule future appointments should we have availability. However, returning toservices with the practice will not be guaranteed.
- It has been more than 90 days since your last session and you have no scheduled futureappointments. we will not be able to hold an opening for future sessions if there have been noattended session within a 90 day period. If it has been more than 90 days since your lastappointment, a letter/email will be sent notifying you that your case is inactive, and that you willeither have to find a new provider and/or wait for an opening on the schedule, which can be up to 6months.