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Couple Therapy Agreement

The Couples Therapy Agreement outlines the commitment required for therapy, including weekly sessions, cancellation policies, and confidentiality rules. Clients must attend sessions regularly, with fees payable in advance, and any changes or emergencies must be communicated promptly. The agreement emphasizes the importance of working through feelings that may arise during therapy and the collaborative process of ending therapy when appropriate.

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Minahil Taimur
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34 views3 pages

Couple Therapy Agreement

The Couples Therapy Agreement outlines the commitment required for therapy, including weekly sessions, cancellation policies, and confidentiality rules. Clients must attend sessions regularly, with fees payable in advance, and any changes or emergencies must be communicated promptly. The agreement emphasizes the importance of working through feelings that may arise during therapy and the collaborative process of ending therapy when appropriate.

Uploaded by

Minahil Taimur
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Momina Ahmad

03334849282
momina.ma15@gmail.com

COUPLES THERAPY AGREEMENT

Therapy:
Your being in couples therapy is one of the most important commitments that
you can make to the relationship as a couple. It requires time, money, courage
and a great deal of honest self-searching. Essentially you are examining your own
experience, past and present so that eventually you will be able to come to a
point of greater freedom and choice. I will help you in that process, supporting
you, perhaps challenging you, enabling you to hear yourself clearly and helping
you to integrate what you discover within yourself and the couple relationship.

Following our initial session, if we decide to work together, we will commit to


ongoing weekly therapy till we mutually decide to end therapy.

Commitment:
Sessions are once a week and it’s for 55mins. Regularity and continuity are
important for the work; they keep the process moving and underline the
commitment that you’ve made to yourself.

If you arrive late for an appointment we will still have to stop at the pre-arranged
time.

Cancellations:
I keep the space that we agree on just for you. You can cancel your
appointment 24 hours in advance without charge. All unattended
appointments (no-shows/cancellations less than 24 hours of appointment) for
whatever reason, will be liable for the full fee.

However, I know that sometimes in emergency you or I may need to move a


session. If this is the case, I will do my utmost to arrange a different time in the
same week.

I will give you notice of any holidays that I will have and I hope you will too.

Confidentiality:
Anything that is said in our sessions together is confidential. The clients
understand the information discussed in couples therapy is for therapeutic
purposes and is not intended for use in any legal proceedings involving partners.
Please note that for couples work the “client” is the couple and if the counselor
sees either member of the couple for individual sessions or has contact between
sessions with either member of the couple, the contents of those contacts will be
brought up in the next session with both partners present. No secrets will be
kept.
In discussing my work with my clinical supervisor anonymity is preserved.
Other professionals (e.g. a Doctor) would only be consulted with permission. In
extreme circumstances where I may consider someone to be a danger to
themselves or others, I may need to break confidentiality and take appropriate
action.

and that sharing information without consent of the partner may not be possible.
I am not able to keep information disclosed by one party confidential.

Confidentiality means that I cannot enter into any other form of contact with you,
such as a social or business relationship, outside our sessions, in order to
preserve the unique and special quality of our therapy relationship. If a situation
should ever arise where we encounter each other in another setting, we will
need to discuss this within the therapy hour.

I do not engage in discussions in any form of media outside our session times,
except in order to re-arrange appointments. If you are experiencing difficulties
or an emergency, we can discuss the support you may need.

If for any reason our paths were to cross outside of the therapy session, in the
interest of discretion I would only acknowledge you if you acknowledge me first.
This is to ensure confidentiality.

Fees:
My fees is payable in advance (before) each session. I review my fees bi-
annually and will always give notice of any increase.

Online Sessions:
Please make arrangements in advance for our online sessions.
As best as possible, please make sure you are sitting in a disturbance free zone
with a good internet connection for a smooth session and clear video.

Ending therapy:
It is possible that at times you may experience difficult feelings about our work,
or towards me, and if so, it is very important that we work together to
understand and work with these feelings effectively. Please tell me if you should
experience any difficulties in our work.

Ending therapy is something that we would talk about and decide together and
then work towards a planned ending date.
In starting couples therapy, it is understood that you agree to the above. If
you have any questions or concerns regarding these statements I will be
glad to discuss them.

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