General Information for Clients
1. Assessment and Psychotherapy
The nature of your difficulties will determine what form of psychotherapy would be most appropriate and who should attend. A thorough assessment is therefore needed to determine the nature of the problems and the best way to address them.
Assessment and Evaluation: The first two sessions focus on an assessment of your problems and concerns, for which I will need detailed background information. I may ask you to complete a time line and some sets of questionnaires. After that I will share with you my formulation of the problems. We will then agree on goals you may want to work towards.
Assessments may include assessment of Depression, Anxiety, Bi-Polar disorder, ADHD, ADD, Dissociation, Psychosis, Family functioning, etc. as it seems appropriate.
2. Individual And Couples Psychotherapy And Family Therapy
I offer all of the above therapies which are based on my training and experience in Narrative Therapy, Schema Therapy, Cognitive Behaviour Therapy and Systemic Therapy, Family therapy. All these approaches are integrative in that they draw from a variety of interventions which can be tailored to address specific problems of each individual. If you would like to know more, please visit the Therapeutic Models section on my website: www.lenemalan.co.za. I will discuss with you my formulation of your problem/s and what research indicates as the most appropriate treatment method.
Psychotherapy:The number of sessions you may need will depend on whether you want to resolve some specific issue or if you want to address broader and more long standing issues in your life. Specific problems may be resolved in about 6 sessions; some problems call for 10 to 25 sessions. In this case you will have to do some reading and actively monitor and change thinking and behaviour patterns.
In less structured therapy sessions may be more open ended and exploratory, depending on your needs. Your progress will be evaluated at regular intervals and you are encouraged to express any concerns you may have about your progress.
Review, maintenance and follow-up: Regardless of how many sessions you have had, the final session/s will be structured to provide a review and maintenance plan. You may want to come for some booster sessions after a few weeks or months to discuss any difficulties to maintain your progress.
Often clients find that changes occurring in their feelings or behaviour could have an impact on relationships with family or friends. If this happens to you, please bring this to your session to enable us to decide how best to deal with the situation.
You are at any time welcome to ask me questions about the therapeutic approach I’m using, questions I’m asking or any other concerns you may have.
3. Fees, Accounts And Length Of Sessions
My fees are in line with the Department of Health’s Reference Price list (RPL) for Psychology and Medical Schemes. For member of Medical Aid Funds, invoices are sent directly to your Medical Aid. Payment of your account is however ultimately your responsibility.
For private clients, the first two sessions psychological assessment I charge R800. Thereafter the fee is R750 per hourand pro rate for shorter or longer sessions.
Sessions are normally 60 minutes. In the case of crisis management I will discuss with you beforehand if longer sessions are indicated. At times it might be appropriate to have shorter sessions of 30 or 45 minutes. In these cases I charge a fee based on the hourly rate
Missed sessions will be charged unless cancelled with 24 hour notice.
Your sessions will normally be 60 minutes. If you arrive late your session will end at the end of the hour you were booked for.
Sessions usually takes place at my home-based office in Fresnaye, Cape Town (See address above). By prior arrangement I can also do Home visits and hospital visits. I will charge AA tariff fees for traveling expenses and pro rate time for traveling. The sessions are charged at the same rate.
For Medical aid fund clients’ accounts are sent weekly to medical aid funds by PRAC-Admin Medical Bureau Services (Pty) Ltd which manages my practice administration.
Private clients pay in advance or on the day of your session, by EFTor cash.
If you have difficulty with payments, please discuss this with me. I may offer sessions at a reduced cost or spread the payments over a longer period on a no interest basis.
4. Your Right To Privacy And Confidentiality
The rights of clients are summarised in the National Patient’s Rights Charter which can be down loaded from http://hpcsa.co.za/conduct generic ethical rules.php.– select booklet 3. The following are aspects relating to your rights as a client seeking psychological assessment and/or psychotherapy.
Disclosing personal information: As part of the assessment and psychotherapy process I will ask you to disclose personal information of the kind which you may normally keep to yourself. The effectiveness of the process depends on you making these personal disclosures. However, note that you have the right to the privacy of all information of yourself and you are free to not disclose any information you don’t want to disclose. If this poses a problem for psychotherapy I will discuss this with you. Also, if you question the relevancy of any questions express this so that I can explain why I’m asking the questions
E-mail communications: e-mail is a useful way of communicating and is usually used for making appointments, sending accounts and sending and receiving documents which are part of the therapy process. However, it is not fully secure and may be intercepted by third parties. Although most people are comfortable with using emails, you should please express your concerns about your personal information by using e mails so that we can explore alternative methods of sharing documents such as Dropbox or iCloud. Please indicate on the agreement form the method of communication you prefer before we start your sessions.
Internet sessions: If you have sessions via Internet there are additional security concerns. If you select to have sessions via Skype, please look at the security measures Skype offers. If you agree to Skype sessions it is taken that you accept the security limitations.
Legal limits of confidentiality: the content of discussions during assessment and psychotherapy is confidential and will not be discussed with any other person without your consent. The following are exceptions:
- The court may issue an order that compels a psychologist to reveal information disclosed in therapy and in some cases, in terms of Acts of Parliament, a psychologist may have an statutory duty to disclose confidential information.
- Where a psychologist believe that a client is at risk for seriously harming him/herself or any other person they are ethically bound to act to prevent this or to protect third parties
- Medical aids require a diagnosis to be recorded on the account t in the form of a numerical code from the International Classification of diseases. (ICD10). The verbal form of the diagnoses e.g. Major Depression does not appear which means that anyone with access to your account could read this and know what your diagnosis is.
- I may share some of your information during supervision with my supervisor. Supervision ensures that a psychologist maintain professional standards and maintain a balanced perspective. I will not discuss any information with a colleague who knows you personally.
- I may present a paper at a conference and use examples from my practice. No identification information is included to protect the confidentiality of clients.
All these principles also apply to minors (children and n adolescents).When treating a minor, I will regularly inform parents or guardians about his/her therapeutic progress. I will however not disclose content of sessions without the consent of the minor. Exceptions may occur where sections 2.1, 2.2 and 2.3 apply. Please discuss with me concerns you may have in this regard.