Confidentiality: Dialogue between you and the counselor is held in strict confidence. No information about your therapy (discussions and written records) can be released without written consent from you the client(s).

 

Exceptions to Confidentiality: State law requires that all mental health workers must report suspected child abuse, suspected elder abuse, suspected dependent adult abuse, and serious threats of physical violence to another person. All mental health workers have the right to break confidentiality to prevent a threatened suicide or when a client presents a general danger to self, to others, to property, or is gravely disabled.

 

The Process of Therapy: 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. I work in a collaborative style and consider you the expert on your life.  As such, I will ask about your personal strengths and times a problem wasn’t a problem in order to build on what is working well. I also feel it is important to look at how societal and cultural expectations may be impacting the problem. I will ask for your feedback and views about your therapy and its progress. During therapy, remembering or talking about unpleasant events, feelings, or thoughts can sometimes result in your experiencing considerable discomfort or strong feelings. I may propose different ways of looking at, thinking about, or handling situations, which may cause you to feel upset, disappointed, hopeful, or relieved. Attempting to resolve issues that brought you to therapy in the first place may result in changes that were not originally intended. Psychotherapy may result in decisions about changing behaviors, employment, substance use, or relationships.  Sometimes a decision that is viewed as positive for one family member may be viewed differently by another family member. Change will sometimes be easy and quick, but it also may be slow. There is no guarantee that psychotherapy will yield positive or intended results. Sometimes more than one approach can be helpful in dealing with a certain situation and during the course of therapy I am likely to draw on various psychological approaches according, in part, to the issue(s) being addressed in therapy. These approaches include Post-modern (solution-focused and narrative), object-relations, family systems, developmental, psycho-educational, and behavioral.