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YOU:
There is not a person in the world who has not needed to reach out for help at some point in life.
To a life partner. To a mother or father. To a trusted friend. A family doctor or minister or teacher. And sometimes, to a total stranger. You've heard it said that the troubles in the world are not new - it is how you manage your way through them that makes all the difference. Because you're here, connecting with my web site, I will assume you need help, for yourself or for someone you care about. I'm here to help.

 

Genogram
Confidentiality

My questions about you:
This is the short form of the kind of questions I will be asking you:
• Past history, family history
• Psychiatric history

• Eating and exercise history
• Drug and alcohol history
• Sexual functioning
• Trauma history
• Mood and anxiety symptoms
• Birth, places lived, time line of important events
• Development history, childhood milestones, adolescence
• Education, work, employment history
• History of violence
• Financial status

Relationships, children, social history
• Self description, skill, coping skills and strengths
• Values

 

 
 

This is a Genogram.

It is Doctor Jody's way of taking a graphic look at you and your most significant relations and life incidents.



  Confidentiality:
You have the absolute right to the confidentiality of your therapy. There are a few exceptions, which I describe below. I cannot and will not tell anyone else what you have told me, or even that you are in therapy with me without your prior written permission. I will always act so as to protect your privacy even if you do release me in writing to share information about you. You may direct me to share information with whomever you choose, and you can change your mind and revoke that permission at any time.
The following are legal exceptions to your right to confidentiality. I would inform you should I, at any time, think I will have to put these into effect:

1. If I have good reason to believe that you will harm another person, I must attempt to inform that person and warn them of your intentions. I must also contact the police and ask them to protect your intended victim.

2. If I have good reason to believe that you are abusing or neglecting a child or vulnerable adult, or if you give me information about someone else who is doing this, I am by law required to report this to Children’s Aid Society (CAS).

3. If I believe that you are in imminent danger of harming yourself, I may legally break confidentiality and call your family doctor and the police, and make arrangements for you to be assessed by a psychiatrist in a local mental health facility that could provide inpatient psychiatric services. I would explore all other options with you before I took this step.

4. In addition, it is my responsibility as a therapist to consult professionally with other therapists about my work. This is done in a way that protects the anonymity of my patients and they remain unidentifiable. If you inform me that there is a particular person with whom you would not wish even this anonymous consultation to occur, I will respect your wishes.

5. If you are filing a complaint or are a plaintiff in a lawsuit, it is possible that I or my notes may be subpoenaed. Please let me know if you are in this kind of situation so that I can take the utmost care possible to protect your privacy in my records.

6. Others may request information such as insurance companies who provide long term disability (LTD) reports, Ontario Disability Support Program and Workman’s Compensation Board (WCB). All of these agencies can be provided information in a timely fashion with full consultation with you as my patient.
 

 

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