The whole spiel:
“Did you have any questions about the forms? No? Well, yes- they are pretty straight forward, but I always like to give my quick verbal summary… Everything we talk about is totally confidential, with a few exceptions… If I have a client who plans on trying to kill themselves, I have to act on that. Or if a client plans on trying to hurt someone else, I have to act on that. Or situations where elderly, disabled people, or minors are being abused, I have to act on that. It’s been pretty rare that this stuff pops up, and when it has, I’ve typically been able to support the client as they act. Also, because Bozeman’s a smaller town than other places I’ve practiced, it’s not uncommon for me to run into clients around town. When that happens, I follow the clients lead. If you feel like saying ‘hello,’ that’s fine. Or if not, that’s fine too. I’ll follow your lead. Last but not least, regarding cancellations and rescheduling… Occasionally, you may need to cancel or reschedule. More notice is better, and ideally we can reschedule for the same week. If you give me less than 24 hours notice, I have to call that a ‘no-show,’ and that ends up being out of pocket. Unfortunately, insurance won’t reimburse those, so we want to avoid that. Any questions about any of this?”
The bullet summary:
Confidentiality exceptions
Suicide
Homicide, etc.
Vulnerable populations
Small town
Saying hello
No-show policy
Sample Solution
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