...
Psych Therapy, 128, Avtar Enclave, Paschim Vihar, New Delhi 110063

Psych Therapy Counseling Informed Consent Form

We value our relationship with our clients and believe that such relationship is the beacon in the counselling & therapy process. We believe that each individual is unique and has his own way of addressing resolutions. Thus, we believe in a wellness model that helps our clients empower themselves by focusing on what works for them and not in a systematic approach that provides a generic procedure on working on a treatment. One’s journey is not the same as the other.

Client's Rights

The client may ask questions on what to expect during and end result of the therapy. The client may decline to proceed the therapy as to the techniques which may be conducted by the therapist. The client may cease to continue therapy anytime, without any impediment and may return to therapy anytime. The therapist has the right to dismiss the client from the course of therapy. The client has the right to review his or her records from the therapist.

Right to confidentiality:

Within limits provided for by law, all records and information acquired by the therapist shall be kept strictly confidential in accordance to the principles of a psychologist-patient relationship. All information will not be shared or revealed to any person, agency, or organization without the prior written consent of the client. The client can raise any concerns and to speak with the therapist immediately of any concerns provided that the therapist is likewise available to discuss matters with the client. I understand that my privacy and confidentiality are of utmost importance. However, I also understand that if I express an intention to harm myself, the therapist is legally obligated to take necessary steps to ensure my safety, which may involve breaking confidentiality.

Emergency Contacts: I agree to provide my therapist with emergency contact information and consent to these contacts being notified if my safety is at imminent risk.

Disclaimer:

Our assessments and counselling are based on the information you choose to share with us. While counsellor will make every effort to assist you with the issues or problems you identify – you are in the best position to determine how relevant this information is to your situation. Online Counselling Services provided are not a substitute for independent professional advice from your own or another health professional.

We do not accept any liability for any injury, loss or damage incurred by use of or reliance on the information.

Also, the undersigned understands and acknowledges that Psych Therapy, its therapists, including Gunjan Arya, are providing counseling and psychological services for the purpose of emotional and mental health support. I agree that any advice, discussions, or therapeutic interventions provided during free teleconsultations or paid sessions are solely intended for personal mental health and well-being.

I further acknowledge that:

  1. Psych Therapy and Gunjan Arya do not provide legal advice or representation.
  2. Any statements made during consultations or therapy sessions are not to be construed as legal advice, and will not be used in any legal proceedings.
  3. Psych Therapy and its therapists, including Gunjan Arya, will not participate in any legal matters, court cases, or disputes, nor will they serve as expert witnesses.
  4. I understand that the therapy provided is confidential but is not protected from legal disclosure if ordered by a court.

By signing this consent form, I confirm that I have read, understood, and agreed to these terms.