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Steps To Rational Living Psychotherapy Services


Adult Psychotherapist-Patient Contract:

Please read the following document with care and make a note of any questions you may have. Your Therapist will be happy to discuss anything you are unsure of at your next meeting

Welcome to our practice. This document contains important information about our professional services and business policies. Although these documents are long and sometimes complex, it is very important that you understand them. When you sign this document, it will also represent an agreement between us. We can discuss any questions you have when you sign them or at any time in the future.

There are two different methods I may use to deal with the problems that you hope to address, the approaches are Eye Movement Desensitization and Reprocessing (EMDR) and Cognitive behavioural therapy (CBT). Psychotherapy is not like a medical doctor visit. Psychotherapy is a relationship between people that works in part because of clearly defined rights and responsibilities held by each person. As a client in psychotherapy, you have certain rights and responsibilities that are important for you to understand. There are also legal limitations to those rights that you should be aware of. I, as your therapist, have corresponding responsibilities to you. These rights and responsibilities are described in the following sections.

Psychotherapy has both benefits and risks. Risks may include experiencing uncomfortable feelings, such as sadness, guilt, anxiety, anger, frustration, loneliness and helplessness, because the process of psychotherapy often requires discussing the unpleasant aspects of your life.  However, psychotherapy has been shown to have benefits for individuals who undertake it.  Therapy often leads to a significant reduction in feelings of distress, increased satisfaction in interpersonal relationships, greater personal awareness and insight, increased skills for managing stress and resolutions to specific problems.  But, there are no guarantees about what will happen.  Psychotherapy requires a very active effort on your part. In order to be most successful, you will have to work on things we discuss outside of sessions.

The first 1-2 sessions will involve a comprehensive assessment of your needs. By the end of the assessment, I will be able to offer you some initial impressions of what our work might include. At that point, we will discuss your treatment goals and create an initial treatment plan. You should evaluate this information and during this time, we can both decide if I am the best person to provide the services you need in order to meet your treatment goals. Additionally during this time you can decide whether you feel comfortable working with me. If you have questions about my practice, we should discuss them whenever they arise. If your doubts persist, I will be happy to help you identify another mental health professional for a second opinion.

Appointments will ordinarily be 50 minutes in duration for a CBT sessions. EMDR sessions may be longer, and sessions may be more or less frequent as needed. The time scheduled for your appointment is assigned to you and you alone. If you need to cancel or reschedule a session, I ask that you provide me with 24 hours’ notice. If you miss a session without cancelling, or cancel with less than 24 hour notice, my policy is to collect the amount of your session [unless we both agree that you were unable to attend due to circumstances beyond your control]. If it is possible, I will try to find another time to reschedule the appointment. In addition, you are responsible for coming to your session on time; if you are late, your appointment will still need to end on time.

Initial assessment fee is £120.00 for one and half hours. The standard fee for Cognitive Behavioural Therapy  (CBT) subsequent sessions is £75.00 and £ 95.00 for Eye Movement Desensitisation Reprocess Therapy (EMDR) Sessions. You will be expected to pay for each session at the time it is held, unless we agree otherwise or unless you have insurance coverage and/or your legal representatives have requested the instruction, then this agreement will be discussed with them. Payment must be made by check or cash; I am not able to process credit card charges as payment. Any checks returned to my office are subject to an additional fee of up to £25.00 to cover the bank fee that I incur. If your account has not been paid for more than 30 days and arrangements for payment have not been agreed upon, I have the option of using legal means to secure the payment. This may involve hiring a collection agency or going through small claims court. (If such legal action is necessary, its costs will be included in the claim.) In most collection situations, the only information I release regarding a client’s treatment is his/her name, the nature of services provided, and the amount due.

I will charge the same hourly rate on a prorated basis for other professional services you may require. Other services may include telephone conversations exceeding 10 minutes, attendance at meetings, consultations with other professionals upon your request, and preparation of records or treatments. Please note that I don’t provide expert witness assessment and reports for the courts.)

In order for us to set realistic treatment goals and priorities, it is important to evaluate what resources you have available to pay for your treatment. If you have a health insurance policy, it will usually provide some coverage for mental health treatment. With your permission, my billing service and I will assist you to the extent possible in filing claims and ascertaining information about your coverage, but you are responsible for knowing your coverage and for letting me know if/when your coverage changes.

Due to the rising costs of health care, insurance benefits have increasingly become more complex. It is sometimes difficult to determine exactly how much mental health coverage is available. These plans are often limited to short-term treatment approaches designed to work out specific problems that interfere with a person’s usual level of functioning. It may be necessary to seek approval for more therapy after a certain number of sessions. While a lot can be accomplished in short-term therapy, some patients feel that they need more services after insurance benefits end. Some managed-care plans will not allow me to provide services to you once your benefits end. If this is the case, I will do my best to find another provider who will help you continue your psychotherapy.

You should also be aware that most insurance companies require you to authorize me to provide them with a clinical diagnosis. (Diagnoses are technical terms that describe the nature of your problems and whether they are short-term or long-term problems.)  All diagnoses come from a book entitled the DSM-IV. If your presenting problems are complex I may provide you with a referral to a psychiatrist for a diagnosis and medication if I believe medication might be appropriate. In order for me to provide you with the best treatment, I may need to seek advice from other mental health professionals. For example, this could be my Clinical Supervisor as all psychotherapists and psychologists consult with a Clinical Supervisor on a regular basis for the duration of their career to ensure best practice is maintained. If I need to talk with my clinical supervisor or colleagues about your case in order to help you, this will be done with your best interests in mind. Your identity will always be kept confidential. Furthermore, the content of what I discuss will also be treated with the same level of confidentiality and the same exceptions to confidentiality will apply to other professionals as well.

 Sometimes I will have to provide additional clinical information such as treatment plans or summaries, or copies of the entire record (in rare cases). This information will become part of the insurance company files and will probably be stored in a computer. Though all insurance companies claim to keep such information confidential, I have no control over what they do with it once it is in their hands. In some cases, they may share the information with a national medical information databank. I will provide you with a copy of any report I submit, if you request it. By signing this Agreement, you agree that I can provide requested information to your carrier if you plan to pay with insurance.

If I am not a participating provider for your insurance plan, I will supply you with a receipt of payment for services, which you can submit to your insurance company for reimbursement. Please note that not all insurance companies reimburse for out-of-network providers.  If you prefer to use a participating provider, I will refer you to a colleague.

I am required to keep appropriate records of the psychological services that I provide. Your records are maintained in a secure location in the office. I keep brief records noting that you were here, your reasons for seeking therapy, the goals and progress we set for treatment.

My policies about confidentiality, as well as other information about your privacy rights, are fully described in a separate document entitled Notice of Privacy Practices. You have been provided with a copy of that document and we have discussed those issues. Please remember that you may reopen the conversation at any time during our work together.

I am often not immediately available by telephone. I do not answer my phone when I am with clients or otherwise unavailable. At these times, you may leave a message on my confidential voice mail and your call will be returned as soon as possible. If, for any number of unseen reasons, you do not hear from me or I am unable to reach you, and you feel you cannot wait for a return call or if you feel unable to keep yourself safe, 1) Make an urgent appointment to see your General Practitioner, 2) go to your Local Hospital Emergency or 3) or call 999. I will make every attempt to inform you in advance of planned absences.

If you are unhappy with what is happening in therapy, I hope you will talk with me so that I can respond to your concerns. Such comments will be taken seriously and handled with care and respect. You may also request that I refer you to another therapist and are free to end therapy at any time. You have the right to considerate, safe and respectful care, without discrimination as to race, ethnicity, colour, gender, sexual orientation, age, religion, national origin, or source of payment. You have the right to ask questions about any aspects of therapy and about my specific training and experience. You have the right to expect that I will not have social or sexual relationships with clients or with former clients.

Your signature below indicates that you have read this Agreement and the Notice of Privacy Practices and agree to their terms.

Signature of Patient or Personal Representative

Printed Name of Patient or Personal Representative _________________________________________

Date _____________________________________

Description of Personal Representative’s Authority:_____________________________


Should you require further information please do not hesitate the service director Mrs Gean Viriri on 07853192177



1. file Assessment Form- Steps to Rational Living Psychotherapy Intial Intake form (pdf)


2. file CBT Overcoming Fear & Anxiety Group treatment manual (pwt)




4. file Cognitive Behavioural Therapy- Value Clarification Exercisest (pdf)


5. file Cognitive Behavioural Therapy- Value Clarification Exercises (pdf)


6. file Cognitive Behavioural Therapy- Some Important Points to Remember (pdf)


7. file Cogntive Behavioural Therapy Is A Personal Change Process (4) (pdf)


8. file Cogntive Behavioural Therapy- How to Get the Most from Your Therapy Sessions (pdf)


9. file EMDR-How Traumatic Experiences Causes Injury To The Brain Causes PTSD (pdf)


10. file How Our Past Experiences Influences Our Present And Our Future (pdf)


11. file Over Coming Fear Of Death With The Power Of Cogntive Behavioural Therapy (pdf)


12. file Pian Manangement Techniques (pdf)


13. file The Client Handbook- Steps To Rational Living Psychotherapy Services (pdf)


14. file The Client Handbook- Steps To Rational Living Psychotherapy Services (pdf)


15. file The Victim And The Blame Game Mental Mistakes (pdf)


16. file Treatment Consent- Steps To Rational Living formed Consent for Therapy Services (pdf)


17. file Understanding Trauma, Its Impact on brain and body and its Treatment- (pdf)




Where: 1 Wood Street, Bolton, BL1 1EB
When: To be determined based on the availability of the greater number of interested participants.
Sessions are of a 90-min duration.
Starting: January 2017
Duration: Workshops are of a 90-min duration


Please note: If you are thinking about harming yourself or someone else, please call 999 for immediate assistance.