Common use of Psychotherapy Clause in Contracts

Psychotherapy. Psychotherapy is a process that has lifelong benefits. Therapy often leads to a significant reduction in feelings of distress, increased satisfaction in interpersonal relationships, increased personal awareness and insight, increased skills for managing stress and a greater overall sense of well-being. Because it is a process of change, it involves the willingness to take risks. These risks may include discussing unpleasant aspects of your life and experiencing uncomfortable feelings, such as sadness, guilt, anxiety, anger, frustration, loneliness and helplessness. Psychotherapy is an active process that requires the client to take full responsibility for his/her inner and outer life and decisions. New understandings and insights gained in session are only as valuable as their application to the “real time” experiences of your daily life. That is where the “rubber hits the road” and while I am here by your side, you have the privilege of creating the life and relationships you desire. Psychotherapy is a relationship between people that works in part because of the clearly defined rights and responsibilities held by each person. As a client in psychotherapy, you have certain rights and responsibilities that are important for you to understand. There are also legal limitations to those rights that you should be aware of. I, as your therapist, have corresponding responsibilities to you. These rights and responsibilities are described in the following sections. APPOINTMENTS Appointments will ordinarily be 50 minutes in duration, once per week at a time we agree on, although some sessions may be more or less frequent as needed. The time scheduled for your appointment is assigned to you and you alone. If you need to cancel or reschedule a session, I ask that you provide me with a notice of 48 business hours. If you miss a session without canceling, or cancel without giving me a 48 hour notice, I charge my standard fee. Cancellations within the first half of the fee period (48-24hours) are charged at half. Cancellations made within 24 hours of the appointment are charged at full fee. I will try to find another time to reschedule the appointment. You are responsible for coming to your session on time; if you are late, your appointment will still need to end on time. Finally, I reserve the right to adjust my fees bi-annually. When making a new appointment, if I have not seen you within 2 months of your last appointment the most current fee will apply.

Psychotherapy. Psychotherapy is not easily described in general statements. It varies depending on the personalities of the therapist and patient, and the particular issues you are addressing. There are different methods I may use to help address different issues. Psychotherapy is not like a process that typical health care provider visit. Instead, it calls for a very active effort on your part. In order for the therapy to be most successful, you will have to work in and outside of our sessions. Psychotherapy can have benefits and risks. Since therapy often involves discussing unpleasant aspects of your life, you may experience uncomfortable feelings like sadness, guilt, anger, frustration, loneliness, or helplessness. On the other hand, psychotherapy has lifelong also been shown to have many benefits. Therapy often leads to a improved relationships, solutions to specific problems, and significant reduction reductions in feelings of distress. But there are no guarantees on what you will experience. THE PROCESS OF THERAPY/EVALUATION During our first meetings, increased satisfaction in interpersonal relationships, increased personal awareness and insight, increased skills for managing stress and a greater overall sense I will assess whether I can be of well-being. Because it is a process of change, it involves the willingness to take risks. These risks may include discussing unpleasant aspects of your life and experiencing uncomfortable feelings, such as sadness, guilt, anxiety, anger, frustration, loneliness and helplessness. Psychotherapy is an active process that requires the client to take full responsibility for his/her inner and outer life and decisions. New understandings and insights gained in session are only as valuable as their application to the “real time” experiences of your daily life. That is where the “rubber hits the road” and while I am here by your side, you have the privilege of creating the life and relationships you desire. Psychotherapy is a relationship between people that works in part because of the clearly defined rights and responsibilities held by each person. As a client in psychotherapy, you have certain rights and responsibilities that are important for you to understand. There are also legal limitations to those rights that you should be aware of. I, as your therapist, have corresponding responsibilities benefit to you. These rights I do not accept clients who I believe I cannot be helpful to, and responsibilities if this is the case, I will refer you to others who work well with your particular issues. Within a reasonable period of time after starting treatment, we will discuss my working understanding of your issues, my proposed treatment plan, therapeutic objectives and possible outcomes of therapy. TERMINATION AND FOLLOW-UP Deciding when to stop our work together is meant to be a mutual process. Before we stop, we will discuss how you will know if or when to come back or whether a regularly scheduled “check-in” might work best for you. I recommend that we have closure on the therapy process with at least two termination sessions. Non-compliance with treatment recommendations may necessitate early termination of services. I will look at your issues with you and exercise my educated judgment about what treatment will be in your best interest. Your responsibility is to make a good faith effort to fulfill the treatment recommendations to which you have agreed. If you have concerns or reservations about my treatment recommendations, I strongly encourage you to express them so that we can resolve any possible differences or misunderstandings. If during our work together I assess that I am not effective in helping you reach your therapeutic goals, I am obliged to discuss this with you and if appropriate, terminate treatment and give you referrals who may be of help to you. Should you request it and give me written permission, I am more than willing to talk with the therapist of your choice in an effort to aid the transition. I am also willing to assist you in finding another qualified therapist with whom to consult if at any time you want another therapist’s professional opinion. Failure or refusal to pay for services after a reasonable time is another condition for termination of services. Please contact me any time your financial situation changes. PROFESSIONAL FEES My general individual session fee of 60 minutes is $190 (the initial Intake appointment is $300), group sessions are described $60 and couples sessions are $200. In addition to appointments, I charge for other professional services as well, though I will break down the hourly fee for periods of less than one hour. Examples of other services include report writing, frequent or lengthy telephone conversations, consulting with other professionals with your permission, and preparation of records or treatment summaries. If you become involved in legal proceedings that may require my participation, you will be expected to pay for my professional time, including preparation and transportation costs, even if I am called to testify by another party. I will not agree to court appearance unless we have discussed the matter thoroughly and both agree that such appearance will not interfere with the treatment relationship and that I will be able to participate in the following sectionslegal proceedings without unreasonable bias. APPOINTMENTS Appointments CONTACTING ME Due to the nature of my work, I am often not immediately available by telephone. While I am usually in my office during regular business hours, I do not answer the phone when I am in an appointment. When I am unavailable, my telephone is answered by confidential voice mail that I monitor frequently. I will ordinarily make every effort to return your call on the same day. If you find yourself in an urgent situation, make a judgment about the prudence of waiting for my call versus calling your primary care physician, 911, or the Southcentral Counseling Center’s 24-hour crisis line (563-3200) on whom I rely for emergency coverage when I am not immediately available. BILLING AND PAYMENTS Payment may be 50 minutes in durationmade by check, once per week credit card or cash. You will be expected to pay for each session at a the time it is held, unless we agree onotherwise. In most cases, although as a courtesy, I will be glad to file your insurance. In that case, you would only pay your deductible, co-payments, and amounts not covered by insurance. As the insured, you are ultimately responsible for determining what services are covered and to what degree. CANCELLATIONS AND LATENESS Missed and cancelled sessions pose some sessions may be more or less frequent as neededissues for both of us. The First, the work of psychotherapy is sometimes challenging and when we hit a difficult place together, it can feel easier to want to avoid coming in for treatment. I would prefer we speak about this with each other rather than you cancelling sessions. Also, I hold your scheduled appointment time scheduled specifically for your appointment is assigned to you and you alone. I see a limited number of clients and so am able to give you the focus and attention you deserve. It is extremely difficult for me to fill cancelled session on short notice. I therefore charge full session fee for appointments cancelled with fewer than 48 hours notice unless we can find another time that week that works for us both. If we are able to do so before the weekend, I will allow you to reschedule at no extra fee. If you need are running late for your appointment, please phone or email me as soon as you can to cancel or reschedule a let me know you will be late. If I do not hear from you by 20 minutes into your session, I ask that will call to check on you provide me with a notice of 48 business hoursand may assume you do not plan to attend your session. If you miss a session without cancelingare late for your session, or cancel without giving me a 48 hour notice, we will still end at our regular time so that I charge my standard fee. Cancellations within the first half of the fee period (48-24hours) are charged at half. Cancellations made within 24 hours of the appointment are charged at full fee. I will try to find another have time to reschedule the appointment. You are responsible prepare for coming to your session my next appointments and I can be on time; if you are late, your appointment will still need to end on time. Finally, I reserve the right to adjust my fees bi-annually. When making a new appointment, if I have not seen you within 2 months of your last appointment the most current fee will applytime for them.

Psychotherapy. Psychotherapy is a process that has lifelong benefits. Therapy often leads to a significant reduction in feelings of distress, increased satisfaction in interpersonal relationships, increased personal awareness and insight, increased skills for managing stress and a greater overall sense of well-being. Because it is a process of change, it involves the willingness to take risks. These risks may include discussing unpleasant aspects of your life and experiencing uncomfortable feelings, such as sadness, guilt, anxiety, anger, frustration, loneliness and helplessness. Psychotherapy is an active process that requires the client to take full responsibility for his/her inner and outer life and decisions. New understandings and insights gained in session are only as valuable as their application to the “real time” experiences of your daily life. That is where the “rubber hits the road” and while I am here by your side, it’s you have that has the privilege of creating the life and relationships you desire. Psychotherapy is a relationship between people that works in part because of the clearly defined rights and responsibilities held by each person. As a client in psychotherapy, you have certain rights and responsibilities that are important for you to understand. There are also legal limitations to those rights that you should be aware of. I, as your therapist, have corresponding responsibilities to you. These rights and responsibilities are described in the following sections. APPOINTMENTS Appointments will ordinarily be 50 minutes in duration, once per week at a time we agree on, although some sessions may be more or less frequent as needed. The time scheduled for your appointment is assigned to you and you alone. If you need to cancel or reschedule a session, I ask that you provide me with a notice of 48 business hours. If you miss a session without canceling, or cancel without giving me a 48 hour notice, I charge my standard fee. Cancellations within the first half of the fee period (48-24hours) are charged at half. Cancellations made within 24 hours of the appointment are charged at full fee. I will try to find another time to reschedule the appointment. You are responsible for coming to your session on time; if you are late, your appointment will still need to end on time. Finally, I reserve the right to adjust my fees bi-annually. When making a new appointment, if I have not seen you within 2 months of your last appointment the most current fee will apply.

Psychotherapy. Psychotherapy My hourly fee for psychotherapy is a process that has lifelong benefits$150. Therapy often leads The initial appointment is $200. In addition to a significant reduction in feelings weekly appointments, I charge this amount for other professional services you may need, though I will break down the hourly cost if I work for periods of distressless than one hour. Other services include report writing, increased satisfaction in interpersonal relationships, increased personal awareness and insight, increased skills for managing stress and a greater overall sense of well-being. Because it is a process of change, it involves the willingness to take risks. These risks may include discussing unpleasant aspects of your life and experiencing uncomfortable feelings, such as sadness, guilt, anxiety, anger, frustration, loneliness and helplessness. Psychotherapy is an active process that requires the client to take full responsibility for his/her inner and outer life and decisions. New understandings and insights gained in session are only as valuable as their application to the “real time” experiences of your daily life. That is where the “rubber hits the road” and while I am here by your side, attendance at meetings with other professionals you have the privilege authorized, and preparation of creating the life and relationships you desire. Psychotherapy is a relationship between people that works in part because of the clearly defined rights and responsibilities held by each person. As a client in psychotherapy, you have certain rights and responsibilities that are important for you to understand. There are also legal limitations to those rights that you should be aware of. I, as your therapist, have corresponding responsibilities to you. These rights and responsibilities are described in the following sections. APPOINTMENTS Appointments will ordinarily be 50 minutes in duration, once per week at a time we agree on, although some sessions may be more records or less frequent as needed. The time scheduled for your appointment is assigned to you and you alonetreatment summaries. If you need become involved in legal proceedings that require my participation, you will be expected to cancel or reschedule a pay for my professional time even if I am called to testify by another party. Because of the difficulty of legal involvement, I charge $350.00 per hour for preparation and attendance at any legal proceeding. Psychological and Psychoeducational Assessment My hourly fee for psychological and psychoeducational testing is $200. This fee is applied to all work completed through the testing process including the intake interview, administration of assessments, report writing, and the feedback session, . I ask that you provide me with keep a notice credit card on file so that I may charge you as services are rendered. After each testing session, you will be charged for the work that was done on that day. The final balance is due when the final report is delivered to you. INSURANCE PATIENTS I will bill your insurance company and collect a copay at the time of 48 business hourseach visit. I have a 24-hour cancellation policy. If you miss do not cancel within the 24 hours, you will be charged a session without cancelingfee as determined by your insurance company’s rate of reimbursement. If you have not met your in- network deductible, you will be required to pay out-of-pocket until your deductible is met. The fee will be based on your insurance company’s rate of reimbursement, or cancel without giving me a 48 hour noticewhat they will pay for your sessions after the deductible is met. CONTACTING ME I am often not immediately available by telephone. While I am usually in my office between 9 AM and 5 PM, I charge probably will not answer the phone when I am with a patient. When I am unavailable, my standard fee. Cancellations within the first half of the fee period (48-24hours) are charged at half. Cancellations made within 24 hours of the appointment are charged at full feetelephone is answered by a voice mail that I monitor frequently. I will try make every effort to find another time to reschedule return your call on the appointmentsame day you make it, with the exception of weekends and holidays. You are responsible for coming to your session on time; if If you are latedifficult to reach, please inform me of some times when you will be available. If you are unable to reach me and feel that you can’t wait for me to return your appointment call, contact your family physician or the nearest emergency room and ask for the psychologist/psychiatrist on call. If I will still need to end on be unavailable for an extended time. Finally, I reserve will provide you with the right name of a colleague to adjust my fees bi-annually. When making a new appointmentcontact, if I have not seen you within 2 months of your last appointment the most current fee will applynecessary.