GENERAL INFORMATION

The therapeutic relationship is unique in that it is a highly personal and at the same time, a contractual agreement. Given this, it is important for us to reach a clear understanding about how our relationship will work, and what each of us can expect. This consent will provide a clear framework for our work together. Feel free to discuss any of this with me. Please read, indicate that you have reviewed this information and agree to it by filling in your typed name at the end of this document.

THERAPEUTIC PROCESS

You have taken a very positive step by deciding to seek therapy. The outcome of your sessions depends largely on your willingness to engage in this process which may, at times, result in considerable discomfort. Remembering unpleasant events and becoming aware of feelings attached to those events can bring on strong feelings of anger, depression, anxiety, etc. There are no miracle cures. I cannot promise that your behavior or circumstance will change. However, I can promise to support you, do my best to understand repeating patterns, as well as to help you clarify what it is that you want for yourself.

CONFIDENTIALITY

The session content and all relevant materials to the your treatment will be held confidential unless you, the client, request in writing to have all or portions of such content released to a specifically named person or practice. Below are itemized limitations of confidentiality:

1. If a client threatens or attempts to die by suicide or otherwise conducts him/her/themself in a manner in which there is a substantial risk of incurring serious bodily harm.

2. If a client threatens grave bodily harm or death to another person.

3. If the therapist has a reasonable suspicion that a client or other named victim is the perpetrator, observer of, or actual victim of physical, emotional or sexual abuse of children under the age of 18 years.

4. Suspicions as stated above in the case of an elderly person who may be subjected to these abuses.

5. Suspected neglect of the parties named in items #3 and # 4.

6. If a court of law issues a legitimate subpoena for information stated on the subpoena.

7. If a client is in therapy or being treated by order of a court of law, or if information is obtained for the purpose of rendering an expert’s report to an attorney.

Occasionally I may need to consult with other professionals in their areas of expertise in order to provide the best treatment for you. Information about you may be shared in this context without using your name. 

If we run into each other outside of the therapy office, I will not acknowledge you first. Your right to privacy and confidentiality is of the utmost importance to me, and I do not wish to jeopardize your privacy. However, if you acknowledge me first, I will be more than happy to speak briefly with you, but feel it appropriate not to engage in any lengthy discussions in public or outside of the therapy office.

About the therapist

Silvina Duchini is Licensed as a Clinical Social Worker in Pennsylvania (LCSW) and has expertise in working with Trauma/ PTSD, Anxiety, and Somatic Therapy. To find more information about Silvina’s background and her approach please visit her website.