INFORMED CONSENT FORM

This document contains important information about the therapy services which you will receive through [INSERT NAME OF PLATFORM] (the “Platform”).

1. Nature of Therapy: Therapy involves a professional therapeutic relationship where you, the client, work collaboratively with our listed therapist to address your mental health concerns and gain insight. Therapy may include discussions of thoughts, feelings, and behaviors, as well as the development of coping strategies.
2. Risks and Benefits: While therapy can be beneficial, it may also involve discussing difficult aspects of your life that could evoke strong emotions. It is important to be aware that therapy is not a guaranteed cure, and progress may vary. The therapist will work to provide support and guidance, but it is essential to recognize that results cannot be guaranteed.
3. Voluntary Participation: Your participation in therapy is entirely voluntary. You have the right to ask questions, express concerns, and terminate therapy at any time. The therapist will respect your decision and discuss any concerns you may have about ending therapy.
4. Emergency Procedures: In the event of a mental health emergency or crisis, please contact emergency services or go to the nearest emergency room. Your therapist will discuss emergency procedures and crisis intervention plans with you during the initial sessions.
5. Emotional Discomfort: Discussing and exploring emotions and experiences in therapy may lead to feelings of sadness, anxiety, guilt, or anger. It is common for therapy to evoke strong emotions as part of the healing process.
6. Exploration of Challenging Topics: Therapy may involve discussing sensitive or challenging topics, such as trauma, abuse, or difficult life experiences. While this exploration is intended for therapeutic benefit, it may initially cause emotional distress.
7. Unintended Consequences: As therapy progresses, changes in thoughts, feelings, and behaviors may occur. While these changes are typically positive, there could be unforeseen consequences in other areas of your life.
8. Resistance or Lack of Progress: Some individuals may initially resist therapy or experience periods of slow progress. It is important to communicate openly with your therapist about any concerns or difficulties you may be facing during the therapeutic process.
9. Reliance on Therapy: There is a risk of becoming overly dependent on therapy as a coping mechanism. Your therapist will work with you to establish a healthy and independent approach to managing challenges.
10. Cultural and Social Factors: Differences in cultural background, values, or social context between you and your therapist may impact the therapeutic relationship. Open communication about these factors is encouraged to ensure effective collaboration.
11. No Immediate Resolution: Therapy is a process that takes time, and there may not be immediate resolutions to your concerns. It requires commitment and patience to see lasting positive changes.
12. Technology Risks: If therapy is conducted through digital means (e.g., video conferencing), there is a risk of technical issues, such as connectivity problems or breaches in confidentiality due to unforeseen technology failures.

Acknowledgment:

I have read and understand the information provided in this Informed Consent document. By signing below, I voluntarily consent to participate in therapy services through the Platform with the listed therapists. I agree and acknowledge that the Services and Content on the Platform is provided for general information and purpose only. It is not intended to amount to medical advice on which I should rely. I understand and agree that any information or service obtained through the Platform is done at my own discretion and risk and that I will be solely responsible for any damage resulting from any transaction. before taking, or refraining from, any action on the basis of the content or services on the Platform.

Client's Full Name: [INSERT CLIENT NAME]

Client's Signature:

Date: [INSERT DATE]