Therapy contract agreement
Contracts are subject to regular review by the Psychotherapist and the client
Contract between:
Psychotherapists-
Client-
Date-
Therapist and Psychotherapist responsibilities
To be available at the agreed time
To start and end on time
To offer a quiet appropriate and undisturbed space
To maintain safe, professional boundaries
To regard all contact and information as confidential unless he has reasonable doubt
concerning actual safety of the client or others
To encourage client autonomy
To work within the BPS Ethical Framework (available upon request) including
regular supervision
To review therapeutic work and relationship regularly
In the unlikely event of the therapist cancelling, an alternative appointment offered
ASAP
Client responsibilities
To attend punctually
To give a minimum of 48 hours notice when cancelling/changing an appointment (or
the full fee becomes payable)
To pay 1 session in advance * then (£50) per session in full at each
appointment
Communicating with the therapist outside agreed counselling sessions to be limited
to making, changing or cancelling an appointment unless by prior arrangement.
To be respectful to the Psychotherapist and his property
To agree to give permission to contact GP if the therapist has serious concerns about
risk to self (client) or others
To discuss with the therapist when you feel you are ready to end therapy
To let the therapist know if you are in or are considering entering another therapeutic
relationship.
* this may be paid half now and half at the first session: by paying two sessions fees at the
first appointment or dividing the in hand session fee over the first two sessions. This will be
used as payment for your final session
Signed Client………………………………………….. Date……………………………
Signed Psychotherapist…………………………………….. Date……………………………
Contracts are subject to regular review by the Psychotherapist or the client
What the therapist offers
What is on offer is counselling of a Person Centred nature. This means you are empowered
to discover solutions to issues in a supportive environment. As a Psychotherapist I offer you my honesty and respect while we explore issues you feel you would like to bring to counselling at the times that we have agreed.
Confidentiality
There are boundaries and limits to confidentiality in certain cases.
Confidentiality may be broken if:
- You or others are, in the opinion of the therapist. Seem to be in danger or at serious risk of
- being harmed
- The therapist is required to do so by subpoena
- The client infers involvement in or knowledge of an act of terrorism or of money laundering
- The client infers knowledge of or involvement in drugs trafficking
- The client infers knowledge of or involvement in behaviours that may, in the therapists
- opinion, lead to harm or neglect to children and vulnerable adults.
Supervision and confidentiality
I monitor my own practice by attending regular supervision for myself and am committed to
my own self-development. There are times where aspects of our sessions will be taken to
supervision to monitor my practice; at no time will your name or any identifiable information
be mentioned and my supervisor is also committed to our contracted confidentiality.
Records of sessions
The therapist may record sessions (audio recording) for purpose of self evaluation and
supervision. The client will always be consulted before a recording is made and the client
has the right to refuse that the session be recorded.
Face-to-Face contact outside sessions;
Should you happen to meet your Psychotherapist outside of your session please be aware that they will not greet you. This is to protect your privacy and maintain confidentiality. This is especially important if you are with other people. If you acknowledge them openly, then they will respond in an appropriate, professional manner. Should you find yourself in a situation where you and your Psychotherapist are part of the same group, either social or professional, serious consideration will be given to the complications of this dual role relationship. Where appropriate, and possible, your Psychotherapist will withdraw.
Facebook, Twitter, Linked in and all social media;
Please do not invite your Psychotherapist to join you on any social media. They are not permitted to do so under their strict Codes of Ethics, and refusal can cause offense where none is intended.
Contacting you
I will contact you if necessary e.g. to re-arrange an imminent appointment. Where and how
would you prefer I contact you in this unlikely event?
………………………………………………………………………………………………
Should you not attend on time, would you like me to contact you? If so, how?
…………………………………………………………………………………………………
Contacting the therapist
You may use the above telephone number to reach me or send an email to [email protected]. It is not possible to leave a voice mail on my phone so if I am
unable to answer, please email or send a text and I will get back to you as soon as I can.
Non attendance
Should you cancel within less than the 48 hours notice agreed, or fail to attend an
appointment: the full session fee will be charged.