Home situation; Please list the people you are living with spouse/partner, children, relatives, friends, and so forth. Please also list any children who are not living with you.
EMDR is a form of therapy utilizing Bilateral Stimulation (BLS) – usually in the form of eye movements, tapping, or auditory tones in order to accelerate the brain’s capacity to process and heal a troubling memory, thought, feeling, phobia, etc. BLS stimulates the same eye movements which occur during Rapid Eye Movement (REM) or dream sleep. BLS causes two parts of the brain to work in conjunction in order to reintegrate a memory. Some clients can experience relief or positive effects in just a few sessions. EMDR is effective in alleviating trauma-related symptoms, whether the traumatic event occurred many years ago or yesterday. It often yields desired results with little talking, without the necessity of pharmaceuticals, and does not require “homework” in between sessions. I have also been specifically advised of the following: (1) Distressing unresolved memories may be brought to the surface through the use of the EMDR procedure. (2) Some clients experience reactions during the treatment sessions that neither they nor the administering clinician may have anticipated, including but not limited to, high level of emotional or physical sensations. Subsequent to the treatment session, the processing of incidents and/or material may continue and dreams, memories, flashbacks, feelings. etc., may surface. (3) Those with limiting or special medical conditions (pregnancy, heart condition, ocular difficulties, etc.) should consult their medical professionals before participating in this therapeutic method. For some people, this method may result in sharper memory, for others fuzzier memory following the treatment. If you are involved in a legal case and need to testify, please discuss this with your therapist. Before commencing EMDR treatment, I have considered all of the above and I have obtained whatever additional input and/or professional advice I deemed necessary or appropriate. By my signature below I hereby consent to participating in EMDR treatment and acknowledge my consent is free from pressure. I understand that I may stop treatment at any time before or during any EMDR session and that more than one EMDR session is usually necessary in the treatment.
Please read each statement carefully. If you agree with the statement, please check off the box provided. If you have any questions or concerns, please talk with your therapist before completing this checklist.
Our Goal is to collaborate with our clients to provide meaningful help as effectively and efficiently as possible in a compassionate, non-judgmental client centered environment. Successful counselling requires commitment, openness, and honesty from clients. We may introduce various tools and interventions if we believe they will facilitate the client’s treatments goals. However, the client always has the right, and is encouraged to communicate if they would prefer to try another strategy.
Confidentiality:
All communication between yourself and your counsellor is held in strict confidence and will not be released to anyone without your written consent. The limit to confidentiality includes legal requirements to report circumstances wherein a client states an intention to harm themselves or another, in cases of child, elder, or vulnerable persons abuse. In order to provide the best care possible, your counsellor may consult with a supervisor or other professional, wherein the same rules of confidentiality apply.
Benefits and Risks:
The counselling process is intended to provide relief from distressing symptoms, introduce new coping skills and problem-solving strategies, and provide a new perspective on challenging issues. Personal growth and change can be a stressful and difficult process for many individuals where an increased awareness of your patterns, feelings, behaviors, and values could lead to stressful life changes.
Cancellation, Payment, and Termination Policy:
We require 24-hour notice for canceled appointments. Any missed appointments or last-minute cancellations are billed at the regular fee. Sessions are required to be paid at the time of the session. Payments can be made by cash, credit card or etransfer. The following session will not be undertaken until the previous session has been paid in full. Services can be terminated by either the client or the counsellor. It is best for both parties to participate in the termination process as this provides an opportunity for constructive feedback, integration of work to date, and appropriate referrals, where necessary. Electronic audio or video recordings are strictly prohibited, with the exception of training purposes. If recording is required for training purposes, written consent will be obtained prior to the session.
Fees:
We do not direct bill insurance companies. However, we are registered with the Canadian Counselling and Psychotherapy Association, Member # 10010417, as a Certified Canadian Counselor, which is covered by many insurance companies.
Service Type: EMDR Counselling: 60 Min session $145.00 90 Min session $217.50
