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You are here: Home / Informed Consent Form

Informed Consent Form

-By Timothy Lyons

This informed consent form is an example of one that might be used in a therapeutic setting. It is best that each individual create his or her own consent form. There are some basics that you should follow in order for it to be appropriate.

The APA ethics code in 3.10(a) discusses what informed consent to therapy is. In 10.01 (a) the code defines consent which must include information on the limits of confidentiality and that it should be done as early as is feasible. In 3.10(c) it states that if the therapy is court ordered or otherwise mandated then informed consent must be performed before proceeding. If it is the case that a child welfare worker can insist that a person attend therapy then it is tantamount to a mandate and thus the therapist must discuss this prior to going forward with any therapy.

If you are a client then this form is designed to protect you. The practitioner must document the informed consent form. It must allow you to make an informed decision so that you are a willing and active participant in your therapy

In any consent form the therapist has the ability to introduce and openly discuss issues that may arise during therapy. The most important function of the informed consent form is to safeguard the rights of the client. The client must have choices in treatment. In order to have informed consent, the client must have a clear understanding of the type of therapy, the theoretical approach, risks and benefits, and available alternatives.

Individuals have rights. The right to freedom, autonomy and human dignity. Clients possess these rights. These rights and cannot be denied as a result of mental health status or condition.

Informed Consent Form

The informed consent form should have several items within it to make things clear to the client. As a result, there should be some form of listing of the therapist qualifications. An approach statement should define the modality used. A discussion of finances must be clear. The client should understand the risks and benefits of therapy. As close to the beginning of the therapeutic relationship as possible, there should be a discussion of the limits of confidentiality. It is best to speak early about how the relationship will end. The document should contain a section on multiple relationships which can also include the therapists stance on social media. Last, the document should discuss The Health Insurance Portability and Accountability Act (HIPAA).

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References

American Psychological Association. (2010). Ethical principles of psychologists and code of conduct. Retrieved from http://apa.org/ethics/code/index.aspx

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  • Dr Tim Lyons, PsyD

Disorders

  • ADHD
    • Bipolar 2 Disorder
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    • Counselor Burnout
    • Don’t just say no
    • Drug Abuse and Social Learning Theory
    • Eating Disorder Research
    • Generalized anxiety disorder
    • Hoarding Disorder
    • Is Substance Abuse Self Induced
    • Major Sleep Disorders
    • Statements of Help
    • Substance abuse theory
    • Traumatic Brain Injury

Therapies and Techniques

  • ABC Model of Crisis Intervention
    • Brief Demo of Acceptance and Commitment Therapy
    • Brief Demonstration of Cognitive Behavioral Therapy
    • Brief Demonstration of Motivational Interviewing
    • Child Psychology Articles
    • Clinical Supervision versus Case Consultation
    • Cognitive Behavior Therapy
    • Dialectical Behavior Therapy
    • Integrated approach to Human Services
    • Mandated reporting
    • Motivational Interviewing in therapy
    • Open ended versus closed ended questions
    • Role of the psychotherapist in treatment of bipolar disorder
    • Screening for dual diagnosis
    • Terapia En Espanol
    • Terminating Therapy
    • Transference

Confidentiality and Informed Consent

  • Boundaries in Counseling
    • Confidentiality
    • Confidentiality agreement template
    • Informed Consent Form
    • Intake and Assessment
    • Limits of Confidentiality in Therapy
    • Tarasoff vs Regents
    • When to Make a Referral

Schools of Psychology

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    • B.F. Skinner and his influence on behaviorism
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    • Pharmacology in Personality Disorders

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    • Areas of the brain involved in Control of emotion
    • Areas of the brain involved in hearing
    • Areas of the brain involved in hunger
    • Areas of the brain involved in movement
    • Areas of the brain involved in origin of emotion
    • Areas of the brain involved in reading and writing
    • Areas of the brain involved in speech production and comprehension
    • Areas of the brain involved in visual function
    • Areas of the brain involved in thirst
    • Areas of the brain involved in visual learning
    • Circadian rhythms, the pineal gland and melatonin
    • Clinical Relevance of Physiological Psychology
    • Genetic differences in brain development
    • Lesions in areas of the brain that control movement
    • Major Structures of the Brain
    • Physiological problems of reading and writing
    • Physiological Changes from Substance Use Disorder

Psychology Education

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    • DSM-5 Changes
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General Psychology Info

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    • Canine Service Animals
    • Definition of physiological psychology
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    • Extreme Sports and Psychology
    • Marijuana relapse after psychotic episode
    • Memory Psychology
    • Psychologist versus Psychiatrist
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