About My Practice
dreamlake

Many of my clients are new to psychotherapy and unfamiliar with not only its process but the general procedures and policies of my particular practice.   In hopes of encouraging those of you who have not yet experienced the benefits of therapy, please take a minute to read the information below.  If you still have questions or concerns, please call me at 303-756-6110 so we can discuss how you might best take advantage of this creative and life-changing endeavor.

First of all, your privacy and my desire to uphold the highest standards of ethical professional care and treatment are of the utmost importance to me.  You will find my Privacy Policy following my Disclosure Statement in the "Forms" section of this site.  I respect and follow federal and state laws regarding the practice of psychotherapy.  This includes the HIPPA law, and I am always available to discuss the ways in which this somewhat complicated set of laws and regulations may impact you.  I am required to keep your Protected Health Information (hereinafter referred to as "PHI")  in your clinical record, and my Privacy Policy details how and when it may disclosed.

Additionally, during a session with you I may take and keep my own set of working psychotherapy notes that are not a part of your PHI, as allowed by law.  These generally consist of working notes to myself about our discussion, and would not be very helpful or meaningful to others.  They could contain sensitive information that you or someone else has provided to me about our work together.  These notes are kept separate from your PHI, and are not available to you or anyone else, unless mandated by a court.  Insurance companies cannot require you to release them as a condition of coverage and they cannot penalize you in any way for your refusal to do so.

Upon occasion I may find it helpful to consult with other health and mental health professionals about a case.  During this consultation I will make every effort to keep your identity confidential.  Please know that other health care professionals are required by law to keep any information I give them confidential also.  Unless I feel it relevant or important to our work together, I may not discuss this consultation with you.  However, I will note these consultations in your PHI.

Privacy in therapy is also important to clients under age 18.  The law allows parents to examine the records of a child who has not been emancipated, unless we agree otherwise or I believe that such examination could endanger the health or well-being of the child.   If we agree, I will provide only general information about the child’s therapy process to parents.   Otherwise, I will require the child’s authorization for further information unless, of course, I feel the child represents a danger to himself or another person, in which case I will immediately notify the parents and other authorities as necessary and as mandated both by law and professional standards of ethical professional duty.  Before beginning therapy I will discuss all issues surrounding privacy with the child.  It is important to also be mindful that in the State of Colorado a child over the age of 15 can initiate therapy without parental consent.

So with your privacy protected we can begin our 50 minute sessions.  The first several sessions will involve you describing the problems you hope to address while I evaluate your needs and determine what our work together might involve.   At this time you should be evaluating me and my ideas, and deciding whether you feel comfortable working with me as your therapist.   While it’s hard to describe exactly how your therapy process might work, know it is an active one.  I will use different conventional and accepted psychotherapy methods to help you talk about the problems you want to address.  You will need to work not only in our time together but outside of the office.  You might experience emotional discomfort during your process, but addressing these feelings can lead to solutions for your problem.

Different situations require different amounts of time to work on or treat.  After our first few sessions, I should be able to give you an estimate of the amount of time we may need to create coping skills for ongoing hardships or to resolve the primary issue.  

And because of our partnership, and other support services, you won’t be alone as you do your work.  If you have an urgent need, my phone number is 303-756-6110.  While I may not be immediately available due to my schedule, you may leave a message on my confidential voicemail that I monitor frequently during the day, night, weekend and holidays.  Please be sure to speak clearly and slowly, and leave your phone number twice.  I do not carry a beeper, so if you are unable to reach me immediately and feel that you are in crisis, please contact your family physician or the nearest emergency room, knowing I will be in contact with you as soon as possible.  If I will be unavailable for an extended time, I will always give you the name of a colleague to contact.

Please don’t let unaddressed questions, concerns or fears keep you from seeking help to improve the quality of your life. Anxiety, depression, relationship issues, substance abuse, work or career issues, crisis management and grief can all be better managed or treated with therapy.