Psychological Therapy Contract

 

 

This therapeutic contract is between:

 

Psychologist -  Dr. Deepak Sankhla

 

and                                        

 

Client –

 

What the Psychologist offers:

 

  • Once weekly 50 minute sessions for an agreed period of time.

  • Sessions will aim to develop a professional therapeutic relationship and support the client to develop a psychological understanding of their presenting issue(s)

  • Psychological support for a range of mental health problems, life stress and interpersonal issues.

  • The Psychologist will use one or more evidence based psychological model(s)/approach dependent on client’s presenting issue(s)

Psychologist responsibilities:

  • To be available at the agreed date and time

  • To start and end on time

  • To offer a quiet, appropriate and undisturbed space

  • To maintain a safe and professional relationship with the client

  • To regard all contact and information as confidential unless there is reasonable doubt concerning actual safety of the client or others (refer to confidentiality and supervision sections)

  • To encourage client autonomy

  • To work within the Health and Care Professionals Council (HCPC) and British Psychological Society (BPS) professional and ethical framework

  • To review therapeutic work and relationship regularly

  • To arrange an alternative appointment ASAP in the unlikely event of the Psychologist cancelling a session

Client responsibilities:

  • To be honest and transparent about their financial circusmtances when agreeing a session rate on the sliding scale and provide proof of income.

  • To maintain a professional relationship with the Psychologist and attend sessions punctually

  • To make a commitment to attending sessions regularly and completing agreed homework tasks

  • To pay for one session in advance (£--) then (£--) per session in full at the start of each session. The advance payment will be used to pay for your last session. Therefore, there is no session fee due for the client’s last session.

  • To give a minimum 48 hour notice when cancelling/changing an appointment

  • To pay the full fee (£--) if the session is cancelled in less than 48 hours

  • To give consent for the Psychologist to contact client’s GP if there are serious concerns about risk to self (client) or others

  • To discuss with the Psychologist when you feel you are ready to end therapy

  • To let the Psychologist know if you are in or are considering entering another therapeutic relationship

Confidentiality

There are boundaries and limits to confidentiality in certain cases:

  1. The Psychologist feels you are in danger or at serious risk of being harmed

  2. The client infers involvement in or knowledge of an act of terrorism or of money laundering

  3. The client infers knowledge of or involvement in drugs trafficking

  4. The client infers knowledge of involvement in behaviours that may, in the Psychologist’s opinion, lead to harm or neglect to children and vulnerable adults.

Supervision

 

In order for the Psychologist to maintain objectivity, verify psychological formulation/treatment and/or obtain a second opinion, aspects of the client’s sessions will regularly be taken to another Psychologist for clinical supervision. At no time will client names or any identifiable information be used. The Psychologist’s supervisor is also committed to the terms of confidentiality laid out in this contract.

Records of sessions

The Psychologist will keep written records of client session that will be stored securely and treated in accordance to the principles detailed in the Data Protection Act (1998).

Client records will contain:

  • Client information, attendance, dates of sessions, goals, outcomes, etc.

Client records may contain:

  • Process notes (personal response to the client)

  • Clinical supervision notes

  • Practice issues for reflection in supervision

Audio/video recordings of session will only be undertaken with the client’s consent and only for training/supervision purposes and will be treated the same as a client record, as outlined above.  

Non- attendance

 

Should you cancel within less than the 48 hours’ notice agreed, or fail to attend an appointment without any notice, the full session fee of £-- will be chargeable. Extenuating circumstances will only be considered at the discretion of the Psychologist

 

Contacting the Psychologist

 

Mobile:           07598520024

 

Email:             contact@shantipsychology.co.uk

 

Signed Client…………………………………………..     Date……………………………

 

Signed Psychologist…………………………………    Date……………………………

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