Matlock CBT/EMDR Therapy Contract
This is an agreement between the Therapist and Client prior to the commencement of treatment. Its sets out the Therapist's responsibilities and those of the Client.
CBT
As an accredited CBT therapist I am required to operate within the BABCP “Standard of Conduct, Performance and Ethics” these can be found at www.babcp.com, along with other useful information about CBT.
CBT Sessions are 50 minutes, with the exception of the first session which may last up to 1.5 hours.
At the end of the first or second session we will agree on your goals for therapy and a set number of sessions that we want to arrange, usually 4 – 6. At the end of these sessions we review therapy and decide upon further sessions. A course of cognitive behavioural therapy usually lasts between 8 and 20 sessions. If you have been referred via another source e.g. Insurer's / CBT Providers etc. it will depend upon their criteria. Sessions are generally weekly.
EMDR
As an EMDR Therapist I am a member of EMDR Europe and work to their Ethical Guidelines which can be found at www.emdr-europe.org/ along with other useful information about EMDR.
Sessions are often between 50 to 90 minutes.
At the end of the first or second session we will agree on goals for therapy and a set number of sessions that we want to arrange, usually 4 – 6. At the end of these sessions we review therapy and decide upon further sessions. A course of EMDR can vary in length depending on severity and complexity of history and this will be discussed as part of the assessment process. If you have been referred via another source e.g. Insurance Provider / CBT Providers etc. it will depend upon their criteria. Sessions are generally weekly.
Either party is free to terminate therapy at any point (see cancellation details below). However, if you have any concerns or doubts about any aspect of your therapy I would encourage you to discuss this with me so that we can try to work through any issues together.
Confidentiality
This is an important aspect of the therapeutic relationship and everything discussed will be kept in strictest of confidence. As a member of BABCP I am required to have regular supervision and will need to discuss the work. However I will not disclose your name or anything that would enable you to be identified.
All personal information will be stored securely and kept strictly confidential. In cases where you have been referred by another source e.g. Insurers, CBT Providers etc limited will be reported back. This will be discussed in your first session.
However, there are certain circumstances when it may be necessary for me to share additional information e.g:
If required by a court of law.
If you disclose that either you or another person is at risk of serious harm.
In the case of risk of suicide or serious self-harm, I will seek to contact your G.P and /or other Mental Health Services. It would also be useful if you could identify a trusted person in your life who you would be happy for me to contact in such circumstances.
In all of the above cases I will aim to discuss with you the need for me to breach confidentiality and to whom, unless to do so would increase risk.
We have a policy of informing GPs of the start and end date of your time with us but this is the limit of information shared unless we have to share more due to the circumstances described above or you request this.
There may be other reasons / circumstances in which you would like me to share information about your therapy / mental health with another person, in which case we will agree what information you would like to be shared and you will be asked to give your signed consent, which can be withdrawn at any point.
Specific Issues relating to under 18 year olds –
The same rules relating to confidentiality apply to young people under the age of 18 who are deemed to have capacity. However, the threshold for what constitutes significant harm is generally lower than for adults. Information regarding what constitutes serious harm in children and young people can be found on the Derbyshire Safeguarding Children’s Board website. The circumstances under which I would share information are as follows –
* If I have reason to believe that you or another person is at risk of serious harm from yourself or another person/person
* If I have reason to believe that you are at risk of significant deliberate self-harm or suicide or from reckless behavior.
Before sharing information I would seek to discuss the concerns with you unless to do so would increase risk.
If you are under 18 years old it is a requirement that a parent or guardian brings you to therapy and any information relating to significant risk would ordinarily be shared with that person, unless it would increase
risk to do so. Any information relating to risk of serious harm may also be passed to the local children social care department (safeguarding).
A parent or guardian must also agree to the terms and conditions as stated.
For children and young people who are not assessed as having capacity, a parent or guardian will be required to attend therapy sessions and provide consent to the terms and conditions as stated.
Fees / Cancellation
Sessions are £40, payable by cash or cheque at the end of each session.
If you know that you cannot attend a session please let me know, giving me as much warning as possible. If a session if cancelled with less than 8 days notice I would require a £15 fee to cover basic costs. Once we have arranged a session this time is yours and even if you arrive late we will have to finish on time.
I shall inform you well in advance of any times that I plan to be away. I will make all possible efforts to avoid canceling an appointment at short notice. If I do have to cancel due to unforeseen circumstances I will aim to give you as much notice as possible.
Therapist’s signature……………………………………………………………………………
Client signature………………………………………………………………………………….
Parent/Guardian signature (if required)……………………………………………………….
GP Name:………………………………….GP's Address…………………………………………………………………………………………..
GP Telephone Number……………………………………………………………………………………………………………………………….
This is an agreement between the Therapist and Client prior to the commencement of treatment. Its sets out the Therapist's responsibilities and those of the Client.
CBT
As an accredited CBT therapist I am required to operate within the BABCP “Standard of Conduct, Performance and Ethics” these can be found at www.babcp.com, along with other useful information about CBT.
CBT Sessions are 50 minutes, with the exception of the first session which may last up to 1.5 hours.
At the end of the first or second session we will agree on your goals for therapy and a set number of sessions that we want to arrange, usually 4 – 6. At the end of these sessions we review therapy and decide upon further sessions. A course of cognitive behavioural therapy usually lasts between 8 and 20 sessions. If you have been referred via another source e.g. Insurer's / CBT Providers etc. it will depend upon their criteria. Sessions are generally weekly.
EMDR
As an EMDR Therapist I am a member of EMDR Europe and work to their Ethical Guidelines which can be found at www.emdr-europe.org/ along with other useful information about EMDR.
Sessions are often between 50 to 90 minutes.
At the end of the first or second session we will agree on goals for therapy and a set number of sessions that we want to arrange, usually 4 – 6. At the end of these sessions we review therapy and decide upon further sessions. A course of EMDR can vary in length depending on severity and complexity of history and this will be discussed as part of the assessment process. If you have been referred via another source e.g. Insurance Provider / CBT Providers etc. it will depend upon their criteria. Sessions are generally weekly.
Either party is free to terminate therapy at any point (see cancellation details below). However, if you have any concerns or doubts about any aspect of your therapy I would encourage you to discuss this with me so that we can try to work through any issues together.
Confidentiality
This is an important aspect of the therapeutic relationship and everything discussed will be kept in strictest of confidence. As a member of BABCP I am required to have regular supervision and will need to discuss the work. However I will not disclose your name or anything that would enable you to be identified.
All personal information will be stored securely and kept strictly confidential. In cases where you have been referred by another source e.g. Insurers, CBT Providers etc limited will be reported back. This will be discussed in your first session.
However, there are certain circumstances when it may be necessary for me to share additional information e.g:
If required by a court of law.
If you disclose that either you or another person is at risk of serious harm.
In the case of risk of suicide or serious self-harm, I will seek to contact your G.P and /or other Mental Health Services. It would also be useful if you could identify a trusted person in your life who you would be happy for me to contact in such circumstances.
In all of the above cases I will aim to discuss with you the need for me to breach confidentiality and to whom, unless to do so would increase risk.
We have a policy of informing GPs of the start and end date of your time with us but this is the limit of information shared unless we have to share more due to the circumstances described above or you request this.
There may be other reasons / circumstances in which you would like me to share information about your therapy / mental health with another person, in which case we will agree what information you would like to be shared and you will be asked to give your signed consent, which can be withdrawn at any point.
Specific Issues relating to under 18 year olds –
The same rules relating to confidentiality apply to young people under the age of 18 who are deemed to have capacity. However, the threshold for what constitutes significant harm is generally lower than for adults. Information regarding what constitutes serious harm in children and young people can be found on the Derbyshire Safeguarding Children’s Board website. The circumstances under which I would share information are as follows –
* If I have reason to believe that you or another person is at risk of serious harm from yourself or another person/person
* If I have reason to believe that you are at risk of significant deliberate self-harm or suicide or from reckless behavior.
Before sharing information I would seek to discuss the concerns with you unless to do so would increase risk.
If you are under 18 years old it is a requirement that a parent or guardian brings you to therapy and any information relating to significant risk would ordinarily be shared with that person, unless it would increase
risk to do so. Any information relating to risk of serious harm may also be passed to the local children social care department (safeguarding).
A parent or guardian must also agree to the terms and conditions as stated.
For children and young people who are not assessed as having capacity, a parent or guardian will be required to attend therapy sessions and provide consent to the terms and conditions as stated.
Fees / Cancellation
Sessions are £40, payable by cash or cheque at the end of each session.
If you know that you cannot attend a session please let me know, giving me as much warning as possible. If a session if cancelled with less than 8 days notice I would require a £15 fee to cover basic costs. Once we have arranged a session this time is yours and even if you arrive late we will have to finish on time.
I shall inform you well in advance of any times that I plan to be away. I will make all possible efforts to avoid canceling an appointment at short notice. If I do have to cancel due to unforeseen circumstances I will aim to give you as much notice as possible.
Therapist’s signature……………………………………………………………………………
Client signature………………………………………………………………………………….
Parent/Guardian signature (if required)……………………………………………………….
GP Name:………………………………….GP's Address…………………………………………………………………………………………..
GP Telephone Number……………………………………………………………………………………………………………………………….