(Only by appointment- NO WALK-INS).

The aim of this form is to collect some baseline information about you. This will help me understand whether I am able to understand your concerns and how to proceed. Please read the questions carefully before answering them. All information shared via the form will remain confidential.

Please note: I specialise in working with adults. The filling-up of this form does not guarantee a session confirmation. It is variable depending on slots and availability.  

THERAPY BOOKING & CONSENT
                   
TERMS OF THERAPY- PLEASE READ THE BELOW INFORMATION FOR ALL BOOKING & SESSION DETAILS

Each session is for 50 minutes, Fee Per Session  ₹2500 Individuals /₹3500 for Couples + Family.
For clients living outside India, fees are USD 50/- per session - for individuals, 

USD 75/- per session for couples

A session will be considered booked only upon receipt of payment via NEFT Wire Transfer or Google Pay.
Each session is booked at a mutually convenient time and date. (GPAY on 9892634918)

SESSION DETAILS:
We can agree to do a telephonic or a video session. Each session lasts 50 minutes. Any good psychotherapy takes 12 to 14 sessions. You may, or may not need as many sessions. The number of sessions depends upon the severity of the problem and how well you are taking to therapy. We take a session every 7 to 10 days depending upon your need.

SELF HARM / SUICIDE:
We will need to inform your emergency contact in case of self-harm or suicidal thoughts for your safety and care. IN CASE YOU DO HAVE THOUGHTS OF SUICIDE PLEASE INFORM US IMMEDIATELY> WE WILL RECOMMEND APPROPRIATE HELP TO YOU.

CONFIDENTIALITY:
All therapy is confidential and may be discussed or reproduced without clients personal identification details, only for the purpose of teaching or research.

POSTPONE OR RESCHEDULE:
You can postpone the session or reschedule to another date or time by informing us 24 hrs before the scheduled session. You can choose to reschedule to up to 5 days of the original booking. Please be mindful that sessions with a Psychologist are pre-booked time slots and do not work like regular OPDs, hence last-minute changes to sessions are not accommodated. (a notice of 24 hrs is a MUST for postponing / rescheduling a session). 

If you are more than 10 minutes late, the session will be deemed cancelled and you will need to pay the entire fees.

YOU WILL NEED TO RE-BOOK A NEW TIME SLOT BY PAYING NEFT OR GPAY IN CASE OF LAST-MINUTE SESSION CHANGES OR YOU DO NOT SHOW UP FOR THE SESSION.
THERE IS NO REFUND OR ACCOMMODATION OF THE FEE FOR NEW SESSION BOOKING

Please Note: Psychotherapy is not a replacement for any Pharmacological or Medical help that you are seeking. If you are seeing a Psychiatrist or a Medical practitioner please continue doing so.

LIMITATION AND POTENTIAL OF THERAPY:
Therapy works with time, patience, self work and following through with plans we might agree on during our sessions. It's a process of healing and working towards improving and thereby achieving what you set out for.  A therapist works with you to help you help yourself. You're investing your time, emotions and money in a healing process, and we're with you. But remember remember this is a journey you're taking for yourself where a therapist is an aid and your ally. Therapy works when you make it work. Limitations and potential of therapy are determined by these factors in your control.

MEDICATION:
You might be referred to a Psychiatrist/ Clinical Psychiatrist for evaluation If you have depression or anxiety, and are not seeing someone already. Please note that if you have a diagnosed condition that requires medication, and you choose not to follow this recommendation, the effectiveness of therapy alone may be limited, especially in cases of severe diagnoses. Medication and therapy often complement each other, providing the best results when used together.

Please fill the registration form in the next page and send a copy of the same, if you agree to the terms. Account details will be provided on receipt of the same.

In case of further query please feel free to email at hello@prithasaha.com or WhatsApp at 8169977077



Thank you!
Hugs and Healing!