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This document contains information about my professional services, business policies and confidentiality policies. Please read it and discuss any questions/concerns you have with me.
Assessment and Treatment: I will provide an assessment of your difficulties and available treatment options. If I recommend and you agree, I will provide psychotherapy for you. I will provide rationale for the psychotherapy approach or other treatment options I recommend for you. I will try to provide an estimate of the number of treatment sessions that it will take to achieve your treatment goals, although this is only an estimate. For many patients, treatment may range from 10 to 50 sessions. No guarantees can be made regarding the success of treatment. There is a small risk that your condition may worsen during treatment. Treatment can be time consuming and stressful. It can bring up many strong feelings. It may result in changes that were not originally intended. Treatment decisions for you will be made collaboratively, between you and me.
Alternative Options: There are often various treatment options: various individual psychotherapy approaches, group/couple/family/self-help therapies, medication treatment, etc. Testing and other diagnostic procedures may be helpful in some cases. I may recommend or you may wish to explore treatment options other than treatment with me. You are entitled to ask questions about all aspects of treatment. At times, I may recommend that you obtain a 2nd opinion with another professional. I will tell you my rationale for any treatment recommendations I make for you.
Training and Experience: I am certified by the Academy of Cognitive Therapy as a Cognitive-Behavioral Psychotherapist. I am also licensed and certified by the State of California as a Registered Nurse, as a Nurse Practitioner in Psychiatry and as a Psychiatric and Mental Health Nurse. I am certified by the American Nurses Credentialing Center as a Clinical Specialist in Adult Psychiatric and Mental Health Nursing. I have been a practicing psychotherapist since 1988, and have worked in clinical psychiatry research and treatment settings since 1979. Since 1984, I have specialized in the treatment of anxiety and mood disorders. I am currently an Assistant Clinical Professor in Psychology at the University of California – Berkeley, and have held previous positions as Assistant Clinical Professor in Psychiatry at the University of California-San Francisco, and as a Clinical Instructor at Columbia University.
The Patient's Role: You are expected to play an active role in your treatment with me. This includes working with me to outline treatment goals, and includes completing symptom assessment questionnaires to monitor your symptoms. You will probably be asked to complete homework assignments between sessions. If at any point you are unhappy about the progress, process or outcome of your treatment, please discuss this with me so that we may attempt to resolve any difficulties and arrive at a treatment plan that better meets your needs.
Hours/Availability: I am generally available for psychotherapy sessions on Monday, Wednesday, Thursday and Friday between 9am and 5pm. Therapy sessions are 50 minutes. Sessions typically occur 1-2x/week during the initial phase of treatment, and may taper to 1-2x/month during the final phase of treatment. I will discuss my recommendation for frequency of sessions with you after I complete the assessment/evaluation of your treatment needs.
One goal of the assessment/evaluation is for you and I to determine if my level of availability is suitable for your treatment needs.
In between our in-person sessions, I am available to you by telephone appointment, if you need to discuss something with me before we meet again. This is something that may be useful on an occasional basis. However, if you need more than occasional telephone contact with me between our in-person sessions, you may actually benefit from more frequent individual therapy sessions, or you may need a higher level of care. You and I will try to determine at our first meeting whether or not my availability will meet your treatment needs.
To try to get a telephone message to me urgently, please leave me a message on my voicemail (925-377-0410) stating the urgent matter and the phone number where I may reach you. When you have finished leaving me a voicemail message, press the "4" key. This will place your message at the top of my voicemail queue and will send a text message to me telling me to check my voicemail.
I usually check my voicemail messages at least twice per day, often more frequently. I will respond to your call as soon as possible upon receiving the message, usually within a few hours or less on weekdays and usually within 12 hours or less on weekends.
I do not have hospital admitting privileges, do not prescribe medication and am not available on an emergency basis.
For medication emergencies:
For other emergencies:
___ Option #1 (Give Permission): I DO give Lynn Martin my permission to discuss my clinical situation with colleagues at her two colleague consultation seminars, without giving them my name of other identifying information about me. The purpose of this is for Lynn Martin to enhance my treatment by obtaining a 2nd opinion/consultation about me. This possible 2nd opinion/consultation is free of charge to me.
Signature: _____________________________ Date: ___________
___ Option #2 (Decline Permission): I DO NOT give Lynn Martin my permission to discuss my clinical situation with colleagues.
Signature: _____________________________ Date: ___________
61 Avenida de Orinda #100 Orinda, CA 94556 | (925) 377-0410 | firstname.lastname@example.org