Nature of Services
I understand that I am engaging in psychotherapy services that may include, but are not limited to:
Talk-based psychotherapy
Emotional processing and self-exploration
Psychoeducation
NLP-based techniques and interventions
Support for personal growth, self-understanding, and behavioural change
I understand that psychotherapy is a collaborative process and that outcomes cannot be guaranteed.
Scope and Limitations of Practice
I acknowledge and understand that:
My practitioner holds an undergraduate degree in psychoanalysis and NLP certification.
My practitioner is not a registered psychologist or psychiatrist and does not provide medical diagnosis, psychiatric assessment, or medication management.
Services provided are non-medical and non-clinical in nature and are not a substitute for psychiatric care, crisis services, or medical treatment.
If at any time my needs fall outside the practitioner’s scope of practice, I understand that appropriate referrals may be suggested.
Mental Health and Crisis Support
I understand that psychotherapy is not suitable for acute crisis situations.If I experience thoughts of self-harm, harm to others, or am in immediate distress, I understand that I should contact:
Emergency services (000 in Australia), or
A local crisis support service (e.g., Lifeline 13 11 14)
Confidentiality
I understand that my information will be kept confidential except in the following circumstances:
If there is a risk of serious harm to myself or others
If disclosure is required by law
If required for professional supervision (with identifying details removed wherever possible)
Client Responsibility
I understand that:
I am responsible for my own choices, actions, and wellbeing.
Psychotherapy involves emotional work that may be challenging or uncomfortable at times.
I am free to pause, question, or discontinue therapy at any time.
Consent to Participate
I confirm that:
I have read and understood this consent form
I have had the opportunity to ask questions
I consent to participate voluntarily in psychotherapy services provided by the above practitioner