Common use of PSYCHOTHERAPY SERVICES Clause in Contracts

PSYCHOTHERAPY SERVICES. Psychotherapy is a relationship between people that works in part because of the clearly defined rights and responsibilities held by each person. This frame helps to create the safety to take risks and the support to become empowered to create change. As a client in psychotherapy, you have certain rights and responsibilities that are important for you to know about. There are also legal limitations to those rights that you should be aware of. I, as your therapist, have corresponding responsibilities to you. These respective rights are described in the following sections. Psychotherapy has both benefits and risks. Risks sometimes include experiencing uncomfortable feelings, such as sadness, guilt, anxiety, anger, frustration, loneliness and helplessness. Psychotherapy often requires discussing unpleasant aspects of your life. However, psychotherapy has been shown to have benefits for individuals who undertake it. Psychotherapy often leads to a significant reduction in feelings of distress, increased satisfaction in interpersonal relationships, greater personal awareness and insight, increased skills for managing stress, and resolutions to specific problems. But, there are no guarantees about what will happen. Psychotherapy requires a very active effort on your part. In order to be most successful, you will have to work on things that we discuss outside of sessions. The first few psychotherapy sessions will involve a comprehensive evaluation of your needs. By the end of the evaluation, I will be able to offer you some initial impressions of what our work may include. At that point, we will discuss your treatment goals and create a personalized, initial treatment plan, if you decide to continue. You should evaluate this information as well as your own assessment about whether you feel comfortable working with me. Therapy involves a large commitment of time, money, and energy, so you should be very careful about the therapist you select. If you have questions about my procedures, we should discuss them whenever they arise.

PSYCHOTHERAPY SERVICES. Psychotherapy is a relationship between people that works in part because of varies depending on the clearly defined rights and responsibilities held by each person. This frame helps to create therapist, the safety to take risks client, and the support to become empowered to create change. As a client in psychotherapy, you have certain rights client’s particular situations and responsibilities that are important for you to know aboutgoals. There are also legal limitations many different methods I may use to those rights that deal with your particular situations and goals. In order for therapy to have the best outcome, you should be aware of. I, as your therapist, will have corresponding responsibilities to you. These respective rights are described invest energy in the following sectionsprocess and work actively on things we talk about both during and between our sessions. Psychotherapy has both can have benefits and risks. Risks sometimes The risks may include experiencing uncomfortable feelings, such as feelings like sadness, guilt, anxiety, anger, frustration, loneliness and helplessness. Psychotherapy often requires anxiety or frustration when discussing unpleasant aspects of your life. However, psychotherapy Psychotherapy has been shown to have benefits for individuals who undertake it. Psychotherapy often leads that can include better relationships, solutions to a specific problems, increased life satisfaction, improved physical/mental health, and significant reduction reductions in feelings of distress, increased satisfaction in interpersonal relationships, greater personal awareness and insight, increased skills for managing stress, and resolutions to specific problems. ButHowever, there are no guarantees about of what you will happenexperience. Psychotherapy requires can involve a very active effort on significant investment of time, energy, and money, so it is important that your parttherapist is someone with whom you are comfortable working. In order to be most successful, you will have to work on things that we discuss outside of sessions. The Our first few psychotherapy sessions will involve a comprehensive an evaluation of your situation and needs, and we will discuss goals you want to work towards. By the end of the evaluationDuring this time, I we will be able to offer you some initial impressions also develop a better idea of what our work together will be like, which may include. At that point, we will discuss help us both to determine whether the services I can provide to you are sufficient for your treatment goals and create a personalized, initial treatment plan, if you decide to continue. You should evaluate this information as well as your own assessment about whether you feel comfortable working with me. Therapy involves a large commitment of time, money, and energy, so you should be very careful about the therapist you selectneeds. If at any time you have questions about my proceduresany aspect of our work together, please discuss them with me. If you decide that you do not want to continue in therapy with me, please tell me, and I can help you find another therapist or other appropriate resources if you desire them. Sessions: I schedule 50-minute sessions with clients, which usually occur once per week at a time on which we agree. If you arrive late for an appointment, we should discuss them whenever they arisewill only be able to meet for the remaining time of our scheduled 50 minutes, though the full session fee will still apply. Occasionally I will meet clients more or less than once per week if that is consistent with a treatment plan on which we both agree. Sessions will occur in my office unless the nature of your concern(s) or situation warrants sessions occurring somewhere other than my office and at a location at which we agree. If you ever need to cancel a scheduled therapy session, please do so at least 24 hours in advance. If you do not cancel a scheduled appointment with at least 24 hours notice, or if you fail to attend a scheduled session, you will be expected to pay the full fee for that session. If your insurance provider is reimbursing you for the fees related to my services, many insurance policies will not reimburse for late cancellations or missed appointments, so you may be responsible for all charges associated with such missed sessions.

PSYCHOTHERAPY SERVICES. Psychotherapy Therapy is a relationship between people that works in part because of the clearly defined rights and responsibilities held by each person. This frame helps to create the safety to take risks and the support to become empowered to create change. As a client in psychotherapy, you have certain rights and responsibilities that are important for you to know aboutunderstand. There are The first session is an initial intake evaluation and provides an opportunity to define the problem areas to be worked on and to develop a treatment plan for therapy. In our treatment plan, we will identify the areas to work on, our goals, the methods we will use, the time, money and commitment we will make. I expect us to agree on a plan that we will both work hard to follow. From time to time, we will look together at our progress and goals. If we think we need to, we can change our treatment plan and goals. Psychotherapy requires your active involvement. It requires your best efforts to change thoughts, feelings and behaviors. It also legal limitations requires you to those rights practice new skills that you should be aware ofwill learn in our sessions, and we will work together to set up action plans for you. IWe will decide on the frequency with which we will meet. The social work code of ethics, as your recommends suspension and termination of services, or referral to another therapist, have corresponding responsibilities if treatment reflects lack of participation, lack of commitment, or for any unresolved conflict or impasse that develop between therapist and client where the client is not benefiting from services or needs are not being met. If therapy ends informally or prematurely without an exit session, a letter of discharge may be mailed to you. These respective rights By signing this document, you agree to a letter being sent by post office mail. As with any treatment, there are described some risks as well as many benefits with therapy. For example, in the following sections. Psychotherapy has both benefits and risks. Risks sometimes include experiencing uncomfortable feelingstherapy, such as clients may experience levels of sadness, guilt, anxiety, anger, frustration, loneliness and helplessnessor other negative feelings. Psychotherapy often requires discussing unpleasant aspects Sometimes, even with my best efforts, there is a risk that therapy may not work out well for you. While you consider the risks, you should also know that the benefits of your life. However, psychotherapy has therapy have been shown in research studies. For instance, people have reported a decrease in negative mood and feelings as a result of being in therapy. If for some reason treatment is not going well or if you could benefit from a treatment I cannot provide, I might suggest you see another professional. As a responsible person and ethical therapist, I cannot continue to have benefits treat you if my treatment is not working for individuals who undertake ityou. Psychotherapy often leads to As a significant reduction in feelings of distress, increased satisfaction in interpersonal relationships, greater personal awareness and insight, increased skills for managing stress, and resolutions to specific problems. But, there are no guarantees about what will happen. Psychotherapy requires a very active effort on your part. In order to be most successful, you will have to work on things that we discuss outside of sessions. The first few psychotherapy sessions will involve a comprehensive evaluation of your needs. By the end of the evaluationprofessional, I will be able use my best knowledge and skills to offer you some initial impressions help you. This includes following the standards of what our work may includethe National Association of Social Workers (NASW). At that pointIn your best interest, we will discuss your treatment goals the NASW puts limits on a the relationship between a therapist and create a personalized, initial treatment plan, if you decide to continue. You should evaluate this information as well as your own assessment about whether you feel comfortable working with me. Therapy involves a large commitment of time, moneyclient, and energyI will abide by these. Let me explain these limits, so you should be very careful about the therapist you select. If you have questions about my procedures, we should discuss them whenever will not think they ariseare personal responses to you.

PSYCHOTHERAPY SERVICES. Psychotherapy is a relationship between people that works in part because of the clearly defined rights and responsibilities held by each person. This frame helps to create the safety to take risks and the support to become empowered to create change. As a client in psychotherapy, you can have certain rights and responsibilities that are important for you to know about. There are also legal limitations to those rights that you should be aware of. I, as your therapist, have corresponding responsibilities to you. These respective rights are described in the following sections. Psychotherapy has both benefits and risks, though there are no guarantees of what you will experience. Risks sometimes include experiencing uncomfortable Here are some of the ways therapy can help you: • Gain insight into your own thoughts, feelings, such as sadnessand behaviors. • Improve your relationships. • Uncover solutions to specific problems you bring forward during therapy. • Decrease symptoms of distress. For therapy to be beneficial, guiltyou must be willing to attend consistently, anxietyput in mental work during and after sessions, anger, frustration, loneliness and helplessnessbe open with me. Psychotherapy Since therapy often requires involves discussing unpleasant aspects of your life. However, psychotherapy has been shown to have benefits for individuals who undertake it. Psychotherapy often leads to a significant reduction in you may experience feelings of distresssadness, increased satisfaction in interpersonal relationshipsanger, greater personal awareness and insight, increased skills for managing stresshelplessness, and resolutions so on. When these feelings come up, it is important for us to specific problemstalk about them. ButThey may be expected reactions to our therapeutic work and tolerable. But if the feelings become too uncomfortable or do not improve over time, there are no guarantees about what will happenwe may decide to adjust your pace of therapy. Psychotherapy requires a very active effort on your part. In order to be most successful, you will have to work on things that we discuss outside of sessions. The Treatment Plan Our first few psychotherapy sessions will involve a comprehensive an evaluation of your needs. By the end of the evaluation, Evaluation is ongoing and allows us to assess your goals for therapy. You and I will be able work together to offer you some initial impressions of understand where your problems come from and what our work may includefactors are contributing to them. At that point, The insight we gain from ongoing evaluations will discuss guide us in resolving your treatment goals and create a personalized, initial treatment plan, problems. Please ask if you decide to continue. You should evaluate this information as well as your own assessment about whether you feel comfortable working with me. Therapy involves a large commitment of time, money, and energy, so you should be very careful about the therapist you select. If you have questions about any of the procedures we use during therapy, possible risks, my proceduresexpertise in employing them, or the treatment plan in general. You also have the right to inquire about other treatments for your condition. My professional code of ethics mandates that I provide treatment that is 1) within my scope of expertise and 2) appropriate to you. Should either of us determine at any time that I am not a good fit for you, I will offer recommendations for other providers or treatments that may be more suitable for you. Therapy may also entail referrals to services outside my scope of practice (psychiatrist, physician, etc.). In some cases, concurrent treatments with other providers are vital to your wellness, and I cannot ethically continue providing therapy without them. Ignoring referral recommendations may result in impaired treatment progress, suicidal thoughts or actions, deteriorating medical condition, termination of treatment with me, or even death. My Qualifications I earned my Masters in Counseling (Marriage and Family Therapy) from San Diego State University, and my associate license is registered with the California Board of Behavioral Sciences. In a former career, I also earned a PhD in Biology from the University of California, San Diego, though I’m admittedly mentioning this more for academic credibility than to showcase relevant clinical experience. Please visit XxxxxxXxxxXXX.xxx/xxxxxxxxxx for details about my services and professional background. Limitations of Online Psychotherapy I offer online therapy via video or audio calls. Online therapy may have limitations compared to in-person sessions. If you believe these limitations may impact your therapeutic progress, you may wish to select an in-person provider instead. In some clinical situations, such as suicidal or homicidal thoughts, in-person treatment may be the most appropriate treatment option. For safety reasons, I will always ask for your physical address before an online session. If we should discuss them whenever they arisedetermine that you pose a risk to yourself during a session, I may need to call your local police department’s Psychiatric Emergency Response Team to assess your safety in person. In my clinical practice, I follow the laws and professional regulations of the state of California, and our sessions will be considered to take place in California.

PSYCHOTHERAPY SERVICES. Psychotherapy is The nature and course of psychotherapy depends on a relationship between people that works in part because number of factors, to include the clearly defined rights and responsibilities held by each person. This frame helps to create the safety to take risks and the support to become empowered to create change. As specific concerns a client in psychotherapypresents with, you have certain rights client readiness for change, external stressors/supports, and responsibilities that are important for you to know aboutclient-therapist fit variables. There are also legal limitations many different methods we may use to those rights deal with the problems that you should be aware of. I, as your therapist, have corresponding responsibilities hope to you. These respective rights are described in the following sectionsaddress. Psychotherapy has calls for a very active effort on your part as the client. In order for the therapy to be most successful, you may be advised to work on issues talked about both benefits during the sessions and risksat home. Risks sometimes include experiencing Psychotherapy can have risks as well as benefits. Since therapy often involves discussing unpleasant aspects of life, you may experience uncomfortable feelings, such as feelings like sadness, guilt, anxiety, anger, frustration, loneliness loneliness, and helplessness. Psychotherapy often requires discussing unpleasant aspects of your life. However, psychotherapy has also been shown to have benefits for individuals who undertake itmany benefits. Psychotherapy Therapy often leads to a better relationships, solutions to specific problems, and significant reduction in feelings of distress, increased satisfaction in interpersonal relationships, greater personal awareness and insight, increased skills for managing stress, and resolutions to specific problems. But, But there are no guarantees about of what will happen. Psychotherapy requires a very active effort on your part. In order to be most successful, you will have to work on things that we discuss outside of sessionsexperience. The first few psychotherapy sessions will involve a comprehensive include an evaluation of your needs. By the end of the evaluation, I Your therapist will be able to offer you some initial first impressions of what our the work may include. At that point, we will discuss your treatment goals and create a personalized, initial treatment plan, include if you decide to continuecontinue with therapy. You should evaluate this information as well as along with your own assessment about opinions of whether you feel comfortable working with meyour therapist. Therapy involves a large commitment of time, money, and energy, so you You should be very careful about the therapist you select. If you have feel free to ask questions about my procedures, we should discuss them therapy procedures whenever they arise. You can ask about referrals to another mental health professional and your therapist can offer those referrals if it becomes apparent that this would be beneficial to your progress. PROFESSIONAL FEES Therapy Services: • Initial Interview - $200.00 per hour • 60 Minute Session - $160.00 • 45 Minute Session - $120.00 • 30 Minute Session - $85.00 • Client Session with Family Present - $140.00 • Interactive Add On - $20.00 Testing Services: These fees may not be reimbursable by the insurance carrier. • Initial Interview - $200.00 per hour • Testing/Consultation - $150.00 per hour • Scoring and Written Report - $150.00 per hour Other Services: These fees are not billable to your insurance carrier and a retainer may be requested in advance of court-related services. • Telephone calls, summary or referral letters pertaining to treatment, school and hospital visits, and outside consultations are billed at $120.00 per hour. • Court testimony and depositions - $200.00 per hour • Court-related work, including travel and preparation - $150.00 per hour.

PSYCHOTHERAPY SERVICES. Psychotherapy Therapy is a relationship between people that works in part because of the clearly defined rights and responsibilities held by each person. This frame helps to create the safety to take risks and the support to become empowered to create change. As a client in psychotherapytherapy, you have certain rights and responsibilities that are important for you to know aboutunderstand. There are also legal limitations to those rights that you should be aware of. I, as your therapist, have corresponding responsibilities to you. These respective rights and responsibilities are described in the following sections. Psychotherapy has both benefits and risks. Risks sometimes may include experiencing uncomfortable feelings, such as sadness, guilt, anxiety, anger, frustration, loneliness and helplessness. Psychotherapy , because the process of psychotherapy often requires discussing the unpleasant aspects of your life. However, psychotherapy has been shown to have benefits for individuals who undertake it. Psychotherapy Therapy often leads to a significant reduction in feelings of distress, increased satisfaction in interpersonal relationships, greater personal awareness and insight, increased skills for managing stress, stress and resolutions to specific problems. But, there are no guarantees about what will happen. Psychotherapy requires a very active effort on your part. In order to be most successful, you will have to work on things that we discuss outside of sessions. The first few psychotherapy 2-4 sessions will involve a comprehensive evaluation of your needs. By the end of the evaluation, I will be able to offer you some initial impressions of what our work may might include. At that point, we will discuss your treatment goals and create a personalized, an initial treatment plan, if you decide to continue. You should evaluate this information as well as and make your own assessment about whether you feel comfortable working with me. Therapy involves a large commitment of time, money, and energy, so you should be very careful about the therapist you select. If you have questions about my procedures, we should discuss them whenever they arise. If your doubts persist, I will be happy to help you set up a meeting with another mental health professional for a second opinion should that be requested. 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. Appointments for couples are between 60 and 75 minutes. 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 24 hours notice. If you miss a session without canceling, or cancel with less than 24 hour notice, my policy is to collect the amount of your full session fee. It is important to note that insurance companies do not provide reimbursement for cancelled sessions; thus, you will be responsible for the portion of the fee as described above. If it is possible, I will try to find another time to reschedule the appointment. In addition, you are responsible for coming to your session on time; if you are late, your appointment will still need to end on time. PROFESSIONAL FEES The standard fee for the session is $150.00 (and $200 for couples). You are responsible for paying at the time of your session unless prior arrangements have been made. Payment must be made by cash, check, or credit card. Any checks returned to my office are subject to an additional fee to cover any bank fee that I may incur as a result. If you refuse to pay your debt, I reserve the right to use an attorney or collection agency to secure payment. In addition to weekly appointments, it is my practice to charge this amount on a prorated basis (I will break down the hourly cost) for other professional services that you may require such as report writing, telephone conversations that last longer than 15 minutes, attendance at meetings or consultations which you have requested, or the time required to perform any other service which you may request of me. If you anticipate becoming involved in a court case, I recommend that we discuss this fully before you waive your right to confidentiality. If your case requires my participation, you will be expected to pay for the professional time required even if another party compels me to testify.

PSYCHOTHERAPY SERVICES. Psychotherapy is The nature and course of psychotherapy depends on a relationship between people that works in part because number of factors, to include the clearly defined rights and responsibilities held by each person. This frame helps to create the safety to take risks and the support to become empowered to create change. As specific concerns a client in psychotherapypresents with, you have certain rights client readiness for change, external stressors/supports, and responsibilities that are important for you to know aboutclient-therapist fit variables. There are also legal limitations many different methods we may use to those rights deal with the problems that you should be aware of. I, as your therapist, have corresponding responsibilities hope to you. These respective rights are described in the following sectionsaddress. Psychotherapy has calls for a very active effort on your part as the client. In order for the therapy to be most successful, you may be advised to work on issues talked about both benefits during the sessions and risksat home. Risks sometimes include experiencing Psychotherapy can have risks as well as benefits. Since therapy often involves discussing unpleasant aspects of life, you may experience uncomfortable feelings, such as feelings like sadness, guilt, anxiety, anger, frustration, loneliness loneliness, and helplessness. Psychotherapy often requires discussing unpleasant aspects of your life. However, psychotherapy has also been shown to have benefits for individuals who undertake itmany benefits. Psychotherapy Therapy often leads to a better relationships, solutions to specific problems, and significant reduction in feelings of distress, increased satisfaction in interpersonal relationships, greater personal awareness and insight, increased skills for managing stress, and resolutions to specific problems. But, But there are no guarantees about of what will happen. Psychotherapy requires a very active effort on your part. In order to be most successful, you will have to work on things that we discuss outside of sessionsexperience. The first few psychotherapy sessions will involve a comprehensive include an evaluation of your needs. By the end of the evaluation, I Your therapist will be able to offer you some initial first impressions of what our the work may include. At that point, we will discuss your treatment goals and create a personalized, initial treatment plan, include if you decide to continuecontinue with therapy. You should evaluate this information as well as along with your own assessment about opinions of whether you feel comfortable working with meyour therapist. Therapy involves a large commitment of time, money, and energy, so you You should be very careful about the therapist you select. If you have feel free to ask questions about my procedures, we should discuss them therapy procedures whenever they arise. You can ask about referrals to another mental health professional and your therapist can offer those referrals if it becomes apparent that this would be beneficial to your progress. PROFESSIONAL FEES Therapy Services: Initial Interview - $200.00 per hour 60 Minute Session - $160.00 45 Minute Session - $120.00 30 Minute Session - $ 85.00 Client Session with Family Present - $140.00 Interactive Add On - $ 20.00 Updated 05/28/14 Testing Services: These fees may not be reimbursable by the insurance carrier. Initial Interview - $200.00 per hour Testing/Consultation - $150.00 per hour Scoring and Written Report - $150.00 per hour Other Services: These fees are not billable to your insurance carrier and a retainer may be requested in advance of court-related services. Telephone calls, summary or referral letters pertaining to treatment, school and hospital visits, and outside consultations are billed at $120.00 per hour. Court testimony and depositions - $200.00 per hour Court-related work, including travel and preparation - $150.00 per hour.

PSYCHOTHERAPY SERVICES. Psychotherapy is a relationship between people broad term, and describes a process that works in part because of varies depending on the clearly defined rights clients and responsibilities held by each person. This frame helps to create the safety to take risks and the support to become empowered to create change. As a client in psychotherapy, you have certain rights and responsibilities that are important for you to know abouttherapist involved. There are also legal limitations to those rights that many different techniques and methods I may use depending on your needs and goals. Therapy is an active process on your part as well; it will not be helpful for you should be aware of. I, as your therapist, have corresponding responsibilities to you. These respective rights are described if you do not take action both in the following sectionsand outside of sessions. Psychotherapy has can have both benefits and risks. Risks sometimes include experiencing At times we will discuss some difficult aspects of your life, which can lead to feeling uncomfortable feelings, emotions such as sadness, anxiety, guilt, anxiety, anger, frustrationloneliness, loneliness and hurt, or helplessness. Psychotherapy often requires discussing unpleasant aspects of your lifeTherapy is a process, and my job is to facilitate that process in a way that will help you. However, psychotherapy Therapy has also been shown to have many benefits. These benefits for individuals who undertake it. Psychotherapy often leads can include improved relationships, solutions to a specific problems, and significant reduction reductions in feelings of distress, increased satisfaction in interpersonal relationships, greater personal awareness and insight, increased skills for managing stress, and resolutions to specific problemsdistress - such as depression or anxiety. But, there There are no guarantees about for what you will happenexperience; please feel free to discuss any concerns you may have with me regarding your experience at any time. Psychotherapy requires a very active effort on your partThere are three primary stages in therapy. In order to be most successful, you will have to work on things that we discuss outside of sessions. The the first few psychotherapy sessions will involve a comprehensive evaluation of your needs. By the end of the evaluationstage, I will be able gathering information as I get to offer know you some initial impressions and we identify a plan for your treatment. This assessment phase can vary in length, though it typically takes at least 3-4 sessions. The second stage varies the most in length. This is the stage where most of what our the work may includeof therapy is done and we will be addressing each of your goals. I will continue gathering information throughout treatment, but the focus here will be more on change and exploring areas of your life to make progress. The final stage of therapy, the termination phase, is where we make preparations for you to complete your therapy. At that this point, you should feel successful in reaching your goals satisfactorily. While it is often both exciting and difficult to contemplate completing therapy, we will discuss take this in steps to help you continue your treatment goals success outside of therapy. We will review the therapy process and create a personalizedidentify ways for you to continue progressing upon completion. Many clients find it difficult to complete this phase; I recommend to my clients to both be honest with yourself and me in how you are feeling regarding the end of treatment, initial treatment plan, if you decide to continue. You should evaluate this information as well as to give yourself the time to process the end of treatment carefully. This phase may only take a couple sessions, or it may be useful to stretch out the time and sessions to help you adjust. I received my Masters in Marriage and Family Therapy from the University of Rochester’s School of Medicine and Dentistry. I am licensed to independently practice marriage and family therapy in the State of New York by the NYS Department of Professions. You can verify this online by going to <xxxx://xxx.xx.xxxxx.xxx/opsearches.htm> and searching for my name and profession (Licensed Marriage and Family Therapist). For more information on the Profession of Marriage and Family Therapy, please visit <xxx.xxxxx.xxx>. Home-Based Therapy Due to the nature of home-based therapy, it is important for you to understand that the time we schedule needs to be set aside in the same manner it would be if you were to receive therapy in an office. Please minimize distractions (tv, phone calls, people coming and going, etc.) and plan your own assessment about whether you feel comfortable working with me. Therapy involves a large commitment of time, money, personal duties and energy, so you should be very careful about the therapist you select. If you have questions about my procedures, we should discuss them whenever they ariseroutines around our appointments.

PSYCHOTHERAPY SERVICES. Psychotherapy Therapy is a relationship between people that works in part because of the clearly defined rights and responsibilities held by each person. This frame helps to create the safety to take risks and the support to become empowered to create change. As a client in psychotherapy, you have certain rights and responsibilities that are important for you to know aboutunderstand. There are also legal limitations to those rights that you should be aware of. I, as your therapist, have corresponding responsibilities to you. These respective rights and responsibilities are described in the following sections. Psychotherapy has both benefits and risks. Risks sometimes may include experiencing uncomfortable feelings, such as sadness, guilt, anxiety, anger, frustration, loneliness and helplessness. Psychotherapy , because the process of psychotherapy often requires discussing the unpleasant aspects of your life. However, psychotherapy has been shown to have benefits for individuals who undertake it. Psychotherapy Therapy often leads to a significant reduction in feelings of distress, increased satisfaction in interpersonal relationships, greater personal awareness and insight, increased skills for managing stress, stress and resolutions to specific problems. But, there are no guarantees about what will happen. Psychotherapy requires a very active effort on your part. In order to be most successful, you will have to work on things that we discuss outside of sessions. The first few psychotherapy 1-2 sessions will involve a comprehensive evaluation of your needs. By the end of the evaluation, I will be able to offer you some initial impressions of what our work may might include. At that point, we will discuss your treatment goals and create a personalized, an initial treatment plan, if you decide to continue. You should evaluate this information as well as and make your own assessment about whether you feel comfortable working with me. Therapy involves a large commitment of time, money, and energy, so you should be very careful about the therapist you select. If you have questions about my procedures, we should discuss them whenever they arise. If your doubts persist, I will be happy to help you set up a meeting with another mental health professional for a second opinion. APPOINTMENTS Appointments will ordinarily be 55 minutes in duration, once per week at a time we agree upon, 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 24 hours notice. If you miss a session without canceling, or cancel with less than 24 hour notice, my policy is to collect the full amount for the session. (I am aware and willing to work with you on true emergency situations). It is important to note that insurance companies do not provide reimbursement for canceled sessions; thus, you will be responsible for the portion of the fee as described above. If it is possible, I will try to find another time to reschedule the appointment. In addition, you are responsible for coming to your session on time; if you are late, your appointment will still need to end on time. PROFESSIONAL FEES The standard fee for the initial intake is $100.00 and each subsequent session is $100.00. You are responsible for paying at the time of your session unless prior arrangements have been made. Payment may be made by card, check or cash. Any checks returned to my office are subject to an additional fee of up to $25.00. If you refuse to pay your debt, I reserve the right to use an attorney or collection agency to secure payment. In addition to weekly appointments, it is my practice to charge this amount on a prorated basis (I will break down the hourly cost) for other professional services that you may require such as report writing, telephone conversations that last longer than 15 minutes, attendance at meetings or consultations which you have requested, or the time required to perform any other service which you may request of me. If you anticipate becoming involved in a court case, I recommend that we discuss this fully before you waive your right to confidentiality. If your case requires my participation, you will be expected to pay for the professional time required even if another party compels me to testify.

PSYCHOTHERAPY SERVICES. Psychotherapy is The nature and course of psychotherapy depends on a relationship between people that works in part because number of factors, to include the clearly defined rights and responsibilities held by each person. This frame helps to create the safety to take risks and the support to become empowered to create change. As specific concerns a client in psychotherapypresents with, you have certain rights client readiness for change, external stressors/supports, and responsibilities that are important for you to know aboutclient-therapist fit variables. There are also legal limitations many different methods we may use to those rights deal with the problems that you should be aware of. I, as your therapist, have corresponding responsibilities hope to you. These respective rights are described in the following sectionsaddress. Psychotherapy has calls for a very active effort on your part as the client. In order for the therapy to be most successful, you may be advised to work on issues talked about both benefits during the sessions and risksat home. Risks sometimes include experiencing Psychotherapy can have risks as well as benefits. Since therapy often involves discussing unpleasant aspects of life, you may experience uncomfortable feelings, such as feelings like sadness, guilt, anxiety, anger, frustration, loneliness loneliness, and helplessness. Psychotherapy often requires discussing unpleasant aspects of your life. However, psychotherapy has also been shown to have benefits for individuals who undertake itmany benefits. Psychotherapy Therapy often leads to a better relationships, solutions to specific problems, and significant reduction in feelings of distress, increased satisfaction in interpersonal relationships, greater personal awareness and insight, increased skills for managing stress, and resolutions to specific problems. But, But there are no guarantees about of what will happen. Psychotherapy requires a very active effort on your part. In order to be most successful, you will have to work on things that we discuss outside of sessionsexperience. The first few psychotherapy sessions will involve a comprehensive include an evaluation of your needs. By the end of the evaluation, I Your therapist will be able to offer you some initial first impressions of what our the work may include. At that point, we will discuss your treatment goals and create a personalized, initial treatment plan, include if you decide to continuecontinue with therapy. You should evaluate this information as well as along with your own assessment about opinions of whether you feel comfortable working with meyour therapist. Therapy involves a large commitment of time, money, and energy, so you You should be very careful about the therapist you select. If you have feel free to ask questions about my procedures, we should discuss them therapy procedures whenever they arise. You can ask about referrals to another mental health professional and your therapist can offer those referrals if it becomes apparent that this would be beneficial to your progress. PROFESSIONAL FEES Therapy Services:  Initial Interview - $200.00 per hour  60 Minute Session - $165.00  45 Minute Session - $120.00  30 Minute Session - $85.00  Client Session with Family Present - $140.00  Interactive Add On - $20.00 Testing Services: These fees may not be reimbursable by the insurance carrier.  Initial Interview - $200.00 per hour  Testing/Consultation - $165.00/hour Psychological Testing, $190.00/hour Neuropsychological Testing  Scoring and Written Report - $165.00/hour Psychological, $190.00/ hour Neuropsychological Other Services: These fees are not billable to your insurance carrier and a retainer may be requested in advance of court- related services.  Telephone calls, summary or referral letters pertaining to treatment, school and hospital visits, and outside consultations are billed at $120.00 per hour.  Court testimony and depositions - $200.00 per hour  Court-related work, including travel and preparation - $150.00 per hour.