Professional Disclosure Statement
The purpose of this document is to provide you with information about my qualifications, practice, and the rights you have, as the client of a Licensed Professional Counselor under Oregon Law (ORS 675.755 and OAR 833-050-0020).
Philosophy and Approach
My general approach to counseling draws from Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT). Both of these approaches require active participation from you, the client. I work collaboratively with my clients to understand their symptoms and goals and then we approach changing thoughts and actions through techniques that are supported by current evidence. This approach to therapy is often called “Evidence-Based Practice.”
Formal Education and Training
I hold a Masters Degree in counseling psychology from the Pacific University School of Professional Psychology and a Bachelors Degree in psychology from the University of California at Berkeley. My coursework and clinical training have focused on counseling adults, older adolescents, and couples, using behavioral approaches, in individual and group settings. The States of Oregon and Washington (I'm dually licensed) require I participate in regular training and other activities to maintain and improve my clinical skill. I exceed requirements for continuing education each period.
Licensing, Ethics and Supervision
I am a Qualified Mental Health Professional and a Licensed Professional Counselor with the Oregon Board of Licensed Professional Counselors and Therapists and I abide by its Code of Ethics and that of the American Counseling Association. I regularly participate in supervision and consultation groups and although I do not share identifying information about my clients in those sessions, it's important for you to know that I do consult with colleagues to ensure I'm providing my clients with top-notch ethical service!
Fees and Payment Policies
I offer one free 20-minute consultation session via phone for new clients, so that we can explore whether my skills match the challenges the client faces. Thereafter my fees are governed by my current fee schedule. Appointments cancelled with less than 24 hours of notice will result in the client being charged the full session fee.
As the client of an Oregon Licensed Professional Counselor, you have the following rights:
To expect that a Licensee/Intern has met the minimal qualifications of training and experience required by state law;
To examine public records maintained by the Oregon Board of Professional Counselors and Therapists and to have the Board confirm credentials of a Licensee;
To obtain a copy of the Code of Ethics for Professional Counselors;
To report complaints to the Oregon Board of Professional Counselors and Therapists;
To be informed of the cost of professional services before receiving the services;
To be assured of privacy and confidentiality while receiving services as defined by rule and law, excluding the following exceptions:
Reporting suspected child abuse;
Reporting imminent danger to client or others;
Reporting information required in court proceedings or by client’s insurance company, or other relevant agencies;
Providing information concerning licensee case consultation or supervision;
Defending claims brought by client against licensee;
Freedom from discrimination on the basis of race, religion, gender, or other unlawful category while receiving services.
You may contact the Board of Licensed Professional Counselors and Therapists at 3218 Pringle Rd SE #250, Salem, OR 97302-6312. Telephone: (503) 378-5499 Email: firstname.lastname@example.org Website: www.oregon.gov/OBLPCT