Dr. Shari Geller 421 Eglinton Avenue West, Suite 4
Registered Psychologist Toronto ON, M5N 1A4
Tel: (416) 780-1791

INFORMATION LETTER AND CONSENT FORM

BACKGROUND AND QUALIFICATIONS:


Dr. Shari Geller is a registered psychologist and has been practicing psychotherapy for over 10 years. She received her M.A and Ph.D in Clinical Psychology from York University. She has also studied CranioSacral Therapy at both the Upledger Institute and privately. Her research interests are focused on therapeutic presence; that is the importance of presence for both the therapist and client. Shari's therapeutic approach is eclectic and includes experiential, client-centered, emotion-focused, cognitive-behavioural, and bodily-oriented psychotherapies, such as Focusing and CranioSacral Therapy. How she approaches therapy and the client is based on the needs and state of being of a particular person at a particular time. Shari also practices and facilitates mindfulness meditation including pain-management techniques.

Shari is currently practicing in both downtown Toronto and the Grey County area, offering individual, couples, and group psychotherapy for clients suffering from various difficulties including depression, post-traumatic stress disorder, motor-vehicle accidents, post-effects of sexual, physical and emotional trauma, grief and loss, separation and divorce, relationship issues, sexuality issues, chronic physical pain, insomnia, anxiety, stress and tension, and various other forms of physical and emotional illnesses. It is important to note that not everyone who comes to therapy is suffering with an "illness" or "disorder." She also works with people who desire personal or spiritual growth and wish to know and become more of who they are.

Shari's intention in therapy is to help people to help themselves, as well as to access the deep well of knowledge and wisdom that she believes is inherent in every human being. Often times we get stuck in various aspects of our life due to trauma or loss, or we suffer from inherent forms of emotional distress such as anxiety, panic or depression. Ideally, the goal in therapy is to help people to listen to their own body signals and needs, and to access their own inner resources for continued healing and growth.

WHAT HAPPENS IN THERAPY?


The first session typically involves generating an understanding of what brings you to therapy, your background and may involve a brief case history. It is also an opportunity for you to get to know your therapist and ask questions. The goals of therapy are then formed and based on a collaborative effort between your therapist and yourself, to help develop an understanding of what is troubling you, the source of that discomfort, and how to develop positive coping mechanisms to move beyond your difficulties to a more wholistic or at least non-harmful approach to balance and live your life. You are encouraged to talk about whatever issues you wish and it is equally important that you not talk about anything that you wish not to disclose. You are viewed as the expert on your self and the therapist is there to help uncover and deepen your expertise. You also have the choice to end therapy at anytime if you find that it is not working for you. However, it is encouraged that you discuss this first with your therapist, as sometimes a feeling of not working is actually an indicator of something important emerging in the therapy. If you still feel that therapy is not useful, the choice to leave is always an option.

Please note that you will get as much out of therapy as you are willing to put into it. Different exercises as well as discussion will be adapted to facilitate your growth and recovery (if applicable). This experience will be amplified by your willingness to spend time with your self and work on what has been discussed in therapy, between sessions. This way, you will develop the skills and ability to overcome difficult experiences and emotions and to deepen your self-knowledge and awareness when you are on your own, in between sessions, and long after therapy has ended.

WHAT ABOUT CONFIDENTIALITY?


Psychologists are bound by professional and ethical standards to maintain strict confidentiality. However, there are exceptions to confidentiality, which are as follows:
If you report harm to be done to yourself or someone else, if you report abuse of a child under the age of 16-years old, or if you report abuse you received by another regulated health practitioner (i.e., Medical doctor, Chiropractor, Massage Therapist, Occupational Therapist), then the information needs to be released for the protection of you or other people. The final exception to confidentiality is if the court subpoenas the information. If these situations emerge then an attempt would be made to speak with you first if possible.

If you have any questions that have not been answered by this information sheet then please feel free to ask.

I (we) have read the above and accept the conditions of the practice set out above:

Name_________________________________

Signature: _____________________________

Date: _________________________________


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