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Components of the therapeutic contract
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Components of the therapeutic contract
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● Components of the therapeutic contractD
Time: the time of the day and when the therapy session will be conducted and
provision of change in exigencies
IE
• Duration: duration of each session (say 40 min)
• Frequency of sessions: Frequency of the sessions will be______ per week.
This should be mutually agreed between the client and therapist depending on
IF
the type of problems and symptoms and the psychotherapy planned
• What happens when someone is late to the session: In case therapist is
getting late, they will try to inform the client about the same in advance,
R
irrespective of the duration of delay. In case the session starts late due to the fact
that the therapist was late, and the client can stay longer, then the therapy
session would be conducted for the stipulated decided time. If the client arrives
late, then the session may still end at the scheduled time, however if it is feasible
VE
on the part of the therapist, then the session may go to the full time. If either the
therapist or the client is late by more than 15 min and don’t inform the other
party than the session will stand cancelled. However, in such a situation the
party responsible for the “no show” will have to bear the financial liability
• Cancellation: In the event of either the client or therapist is not available for
the predetermined appointment, they are required to provide at least 24 h notice
of cancellation or they will have to make payment for the session
, • Fees: The fee for each session need to be predetermined. The contract can read
as “the client is supposed to pay Rupees ____ for each 50 min session. It can be
mentioned that the client is expected to make the payment prior to the beginning
of the session. Further, it can be mentioned, after mutual negotiation that, if the
duration of the session extends beyond the stipulated time frame than an
additional fee may be/will be charged
D
• Emergency contact: If the client needs to contact the therapist in between the
sessions, they can call/send message at _____number and leave the message and
also mention that it is an emergency. If the therapist doesn’t call back the client
IE
in _____ time (say 30 min), patient should attend the emergency outpatient
department of the hospital or the nearest health care facility
• Issues of confidentiality: The therapeutic contract needs to mention that the
IF
therapist will maintain confidentiality of the information revealed during the
psychotherapy. However it also needs to provide the provisions under which the
information would be disclosed to others, for example the confidentiality clause
can be worded as
R
• Information shared by the client will be maintained strictly confidential
except in the following situations
VE
• To ensure the best treatment, therapist will at times discuss the case with
his colleagues or supervisor, without disclosing the identity of the client
• In case the client is being seen by a team of doctors, then the details of the
therapy will be discussed with the team members to seek supervision
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