Katherine McGinniss, PhD

Associates in Psychotherapy & Family Counseling : An Affiliation of Independent Practitioners

34 Patchen Road, South Burlington, VT 05403

(802) 503-8982

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Katherine McGinnis, PhD, LMFT

Katherine D. McGinniss, PhD

Associates in Psychotherapy & Family Counseling: An Affiliation of Independent Practitioners

34 Patchen Road, South Burlington, Vermont 05403

(802) 658-4208 x112

Education

PhD, Clinical Psychology, Wright Institute, Berkeley, CA

MA, Creative Arts Therapy, Wright Institute, Berkeley, CA

BA, University of Vermont, Burlington, Vermont

Licensure

State of Vermont: Licensed Marriage and Family Therapist (#100-0000022)

My Practice

For nearly 35 yearsI have helped clients across a wide spectrum of life experiences and challenges. My greatest pleasure as a helper is being a part of a process that enables an individual to overcome barriers and to thrive, no matter how slim the odds or how sad the story. My clinical expertise includes depression, mood disorders, anxiety, loss, transitions, trauma, and behavior problems with adolescents and young adults. I also bring my experience to bear in work with individuals and couples and families. Finally, I am well acquainted with the urgency and sensitivity required for crisis work and I am therefore qualified to make some types of emergency psychiatric evaluations for clients with whom I have an established relationship.

Confidentiality

Information disclosed in psychotherapy is confidential. This assurance is the cornerstone of trust between you and me. There may be times when you and I decide that it would be helpful for me to speak to someone else about your treatment, such as a physician. In these instances, information may be disclosed if you give me permission in writing. The limits to confidentiality are the following:

1)If you are using insurance, many insurance companies require treatment plans and diagnostic information before payment will be made. I do not use insurance or accept insurance.

2)If, in my clinical judgment, I determine that you are in imminent danger of hurting yourself or another person and no safety plan can be established, I am required to alert others.

3)I am legally required to report situations that may involve abuse or neglect of children, adults who are incompetent, or adults who are physically or mentally disabled.

Methods and Duration of Treatment

The duration of psychotherapy varies based on your history, current circumstances, the issues we explore, and our mutually established goals for treatment. My “home base” is cognitive behavioral, but I am interested in and incorporate elements of other modalities in my work such as DBT, Narrative Therapy, Internal Family Systems and Mindfulness. I also interested in the benefits of self help programs such as Alcoholics/Narcotics Anonymous in the treatment of clients in recovery.

Appointments

Appointments generally last for 50 minutes and are usually scheduled on a once a week or every other week basis. It is important that you arrive on time. If you are late, you will be unable to utilize your full appointment, but you will still be financially responsible for the whole session. I will wait the full hour for a late client, but will feel free to leave if I have not heard from you by then. My cancellation policy is as follows:

1)You are requested to notify me by voice mail at least 24 hours in advance if you are unable to keep your scheduled appointment.

2)Notification at least 24 hours in advance of your appointment will result in no charge for the appointment and you will not be billed.

3)Notification less than 24 hours in advance of your appointment will result in a charge for the FULL FEE [$150] which will be billed directly to the client or responsible party.

Fees and Payments

My fee is $150 for a 50-minute session of individual, couple, or family psychotherapy. The length of the session may be determined by your managed care insurance coverage. Please feel free to talk to me about this. Payment is expected at the time of service unless we have made other arrangements. In your first session we will agree upon your session fee and payment schedule. If you choose to use a charge or debit card to pay for services, there will be a $4 fee per transaction. This is a transaction fee and not a clinical service fee.

Please feel free to discuss payment questions or problems with me if you anticipate any difficulties. Should collection action ever be necessary I reserve the right to use a collection agency and/or pursue traditional court assisted collection methods. If this is necessary you will be responsible for my attorney fees and court costs.

Agreement and Confirmation of Disclosure

I agree to pay fees at the time of service, unless other arrangements have been made, and I will abide by the policies regarding fees and cancellations. This agreement will remain in effect until services have terminated and all payments for rendered services have been made. I also give permission for Katherine McGinniss, PhD to release medical and other information necessary to parties whom you may designate in writing or grant permission in the form of this consent for treatment document .A photocopy of this agreement is valid.

I have been given notification of the professional qualification and experience of Katherine McGinniss, PhD, a listing of actions that constitute unprofessional conduct according to Vermont statutes, and the method for making a consumer inquiry or filing a complaint with the Office of Professional Regulation.

I also understand and attest to acknowledging that Associates and Psychotherapy and Family Counseling is an affiliation of independent practitioners. This means that each therapist practicing at 34 Patchen Road has a legally independent and separate practice from every other therapist here at 34 Patchen Road or at any other location of practice.

Client Signature: ______Date: ______

Parent or Guardian Signature: ______Date: ______