Professional Disclosure Statement

Professional Disclosure Statement and Informed Consent

This document is designed to provide information concerning your counselor’s competency, philosophy, and chosen techniques and to ensure that you understand the professional relationship of counselor and client. This consent will be explained to you verbally and I will explain the benefits and risks of counseling and the limits of confidentiality.

Education and Qualifications

My name is Connie Curry, I am a Mental Health counseling student at Lamar University. I am working towards my Master’s degree. In May of 2016, I received my Bachelor’s degree in Family Studies from Lamar University.

I understand that clients who seek therapy come for various reasons that range from one end of the

The teenager would have to give informed consent if this action is to occur. The parents of this client may not be happy with me, because they cannot get the information they are seeking. The parent may even think I can go behind the clients back and release the personal information. I must protect the client’s well-being as well as their confidentiality. If this minor is underaged it up to a responsible party (parent, guardian, court appointed) must give permission for them to seek treatment. The responsible party can be take place in the minor children treatment. Explaining to a parent that this could hinder the treatment process because the minor client may not want to be expressive with their parents attending and it may be hard for a counselor and minor child to build a bond if said parent was

No one should pass judgment, talk about a group member behind their backs. If there is a disagreement between any group members it should be settled during group time. If anyone break their contract agreement on confidentiality they will no longer be able to attend group sessions. Please extend the respect of keeping group conversations confidential.

Personally no one has ever repeated my secrets and if they have it never affected me. I have seen it happen to other people and it got pretty ugly. If those same people are in the same circle we know not to tell them our secrets. When I was an undergraduate student I stayed clear of the cliques and mined my own business. If it was not a study group their gossip did not interest me. If one of my friends would bear my secrets it will be a lesson well learned and I would treat that friend with a long handle