Psychotherapy is a very private process in which information is shared only between you and your therapist. The few exceptions to client confidentiality include: When the client is a danger to him/herself and others, when a client is facing a medical emergency, when there is abuse to a child, elder or someone who is developmentally delayed, if the court subpoenas documents, or orders a therapist to testify, or if you have signed a release of information with other providers. You may revoke a release at any time. In addition, a client may request that someone else attend a therapy session with him/her.
CSWA therapists work under the supervision a licensed clinical social worker. In such cases CSWA confidentiality extends to include the licensed supervisor.
A client can cancel or reschedule a session up to 24 hrs before that session at no charge. Given that extreme circumstances may be out of the client’s control, one exemption is allowed every 3 months of therapy. Outside of the one exemption, when a client cancels within 24 hours of the session the client will be charged one half the session amount. Payment will be due prior to the beginning of the clients next scheduled session.
In a professional therapeutic relationship, sexual intimacy between a therapist and client is never appropriate. If sexual intimacy occurs, it should be reported to the Department of Regulatory Agencies, Mental Health Section. Hakomi work may include the use of therapeutic touch, you have the right to refuse physical contact at any time.
The duration of the psychotherapeutic process varies from person to person. Psychotherapy can be terminated at any point during the therapeutic process. Often it can be helpful to take a break during the therapeutic process to integrate material learned during sessions. At other times it can be beneficial to sit through a difficult period in therapy in order to work through personal issues.
Generally, termination is the clients decision. Cases where the therapist may decide to terminate include If a therapist does deem him/herself able to help the client, either because of the nature of the problem or because of a lack training and skills. Under such circumstances, your therapist will inform the client of this fact and refer the client to another therapist who may meet needs.
Other cases include If there is violence, threats, verbally or physically harrassment of a therapist, the office, or a therapists' family. Portland Community Counseling LLC reserves the right to terminate a client unilaterally and immediately from treatment in the case of harm.
If a therapist must discontinue a relationship because of illness, disability, or other presently unforeseen circumstances, the therapist will ask the client to agree to transferring records to another therapist who will assure their confidentiality, preservation, and appropriate access.