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Therapy Disclosure Statement

General Information

The therapeutic relationship is unique in that it is 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 and indicate that you have reviewed this information and agree to it by signing at the end of this document.

The Therapeutic Process

I think about therapy as a process that supports the natural movement of one’s body and mind toward wholeness. As a part of human development, we pick up conditioning from our culture, society, family, and adverse and traumatic events. This conditioning walls parts of ourselves out of our conscious awareness. These parts can include thoughts and feelings that our family or society told us were unacceptable to think and feel, overwhelming emotions we faced during traumatic events, our authentic values and passions, and even the core truth of our nature. The process of becoming whole involves making contact with these lost parts of ourselves, which can at times result in considerable discomfort, as we begin to contact emotions we are unaccustomed to feeling, beliefs we did not realize were optional, and find ourselves in unknown territory of our being. Engaging in this work can lead to more authentic and fulfilling relationships with oneself, one’s loved ones, one’s career or calling, and life itself.

The outcome of therapy depends largely on the degree to which you engage in this process. In other words, you tend to get out what you put in. You do not need to have a clear understanding of what “engaging in the process” means prior to beginning therapy. You will discover what this means again and again as the work continues. My hope is that you bring yourself as truthfully to the work as you are able, foster a sense of curiosity about yourself and the world, and follow your own intuition. I cannot guarantee any specific outcome of therapy, but I promise to support you and your process to the best of my ability, to guide the process in accordance with my training and education in psychotherapy, to hold you with respect, and to be honest and authentic with you.

About the therapist

I hold a Master of Arts in Counseling Psychology from Pacifica Graduate Institute, and a Mental Health Counselor Associate license with the State of Washington (Credential Number: MC 61440781). Prior to beginning my private practice, I did my clinical training at Greater Lakes Mental Healthcare in Tacoma, WA, counseling adult clients on mental and behavioral health. My clinical supervisor is Jeremy Hulley, a Licensed Mental Health Counselor in Washington State.

Therapeutic Approach

When I work with people I try to set my preconceived notions aside and meet them as they are. People will often tell us the “right” way to be, but I have come to lose faith in the idea that there is a “right” way. I don’t know who you will grow to be, but it is a great joy to be on this journey of discovery together. When it is helpful, I have the following bases of knowledge and experiential practice to draw on:

  • Cognitive Therapy: By looking directly at our pre-programmed patterns of thought, we can discover that what we thought was reality was actually just a story, and our world can open up, allowing us more freedom to express our authentic self.

  • Somatic Therapy: Simple techniques including mindfulness, breath work, and easy movement to help regulate the nervous system, and support the body and mind in recovering from trauma.

  • Relational Therapy: I can help you study the patterns present in your meaningful relationships, which can reveal where you have the power to change relational patterns that cause you distress.

  • Jungian Psychology: Jungian work involves forming relationships with the unconscious parts of ourselves, and with the archetypal forces in our life that connect us with all of humanity. For interested clients, this work can include working with dreams, visionary and mystical experiences, and the imagination.

  • Buddhist Psychology (Rooted in Dzogchen Tibetan Buddhism and radical Nonduality): Recognizing the already-existing mysterious perfection of this moment, in which our mind appears to already be untangling and freeing itself.

Fee Information

My fee ($130/hour) is payable at the end of session. I do not bill insurance. Clients who do want to use insurance can request an invoice from me to submit to their companies themselves, if their policies have a provision that allows for out-of-network providers.

Appointments and Cancellation Policy

Regular therapy appointments are 50 minutes in length. Longer appointments can sometimes be arranged. If I begin late, your time will be extended so that you receive your full time. If you are late, your time will not be extended. If you must cancel your appointment, please let me know at least 48 hours in advance. This allows me to see other clients in the opening and plan accordingly. You will be responsible for the fee when cancellations are received less than 48 hours in advance, with the sole exception of medical emergencies.

Client communication

To provide maximum privacy and security to my clients, my preferred method of client communication is over the Signal app, which is an end-to-end encrypted messaging and phone/video conferencing service. You can reach me on Signal at (206) 605-6460. You can also reach me by phone at the same number, and by email at I do my best to return messages within 24 business hours, but please be aware that there may be times when I am unable to receive or respond to messages, such as when out of cellular range or out of town. Occasionally I offer phone consultations, but only in special circumstances. I do not usually charge for brief (less than 10 minutes) phone conversations. I do charge for extended or multiple phone calls. Because normal text messages and email are insecure methods of communication, I will not discuss therapeutic issues at length over these mediums.


I will hold your session content and all materials relevant to your therapy confidential unless you request in writing to have all or portions of such content released to a specifically named person/persons. However, there are limitations to such client-held privilege of confidentiality. These are itemized below:

  1. If a client threatens or attempts to kill themself or otherwise conducts themselves 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 person is the perpetrator, observer of, or 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 or dependent adult 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 by order of a court of law.

In accordance with best professional practice standards, I regularly consult with a clinical supervisor as well as a small consultation group of other therapists to discuss challenging cases, changes in the field, and ethics issues. If/when I consult with other professionals about my work with you, I will provide only as much information about you as is necessary to meet my consultation goals, with the sole exception of my clinical supervisor who is required by law to have access to your entire treatment record.

If we see each other accidentally 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.


Client Rights

If you have any concerns about your experience, please discuss it with me. If you feel I have been unethical or unprofessional, you can contact the Washington State Department of Health, Health Professions Quality Assurance Division, P.O. BOX 47869, Olympia, WA 98504-7869 to file a complaint. You may also call (360) 236-4902 Mondays through Fridays, 8am to 5pm.

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