Karen Maloney, MA, LPC, LMHC Professional Disclosure Statement 503-890-9762; kemcounsel@gmail.com www.kemcounsel.com Philosophy and Approach: My role as a therapist is to provide a safe, trusting environment in which your views as a client are respected and upheld as valuable and significant. I approach counseling in a collaborative manner, coming together to discover the changes and goals needed to reach the quality of living and functioning that you desire and hope for. I view people in holistic manner, taking into account their physical, psychological, social and spiritual needs. As we sift through all of these dimensions in life, my hope is for you to discover your uniqueness as an individual while balancing autonomy and connection with others. I utilize an integrative theoretical orientation taking into account your family background while using strengths-based approach, empowering you to discover unused resources and strengths in your life. I use motivational interviewing, Dialectical Behavioral Therapy and stages of change, while also incorporating techniques to assess and improve your thoughts, behaviors, and emotions. Education/Training: I hold a Masters Degree in Counseling from George Fox University. Major Coursework included: human growth and development, group dynamics, substance abuse, and marriage and family therapy. I also have completed a yearlong intensive training in Dialectical Behavioral Therapy. As a Licensee of the Oregon Board of Licensed Professional Counselors and Therapist, I abide by its Code of Ethics. To maintain my license I am required to participate in continuing education, taking classes dealing with subjects relevant to this profession. Termination of Treatment You have the right to decide when therapy will end. There are few exceptions. If I am not in my judgment able to help, either because of the kind of problem you have or because my training and skills are not sufficient, my ethics require that I inform you of this fact and refer you to another therapist who can meet your needs. I would continue to meet with you until you had established a relationship with a new therapist, and would assist you in finding this person. If you do violence to or harass myself, the office, or my family, I reserve the right to terminate you unilaterally and immediately from treatment. I will do all that I can to work with you to prevent such an episode from occurring if it appears possible. Consultations There are times when I consult with professional colleagues to gain greater insight and feedback for my work. If I consult on my work with you, I will not use your name or any information that can identify you. Emergencies: In case of a life-threatening emergency I ask that you cal 911 immediately or go to your nearest emergency room. For mental health crisis, please call the Multnomah County Crisis 24 hour hot line at 503-988-4888. Your responsibilities as a therapy client: I expect you to be responsible for the fee for any session you have missed without notifying me in advance. If you must cancel an appointment, I expect you to provide adequate notice (at least 24 hours in advance) or to be responsible for the session fee at our next scheduled meeting. The only exception to this rule is if you would endanger yourself by attempting to come (for instance, driving on icy roads without proper tires). If you expect some unusual or special circumstances regarding cancellation of appointments please discuss this with me so that we can negotiate a means of dealing with this between us as the necessity arises. Fees: Fees are to be paid by you at the time of each appointment. I accept cash or check. My fee is $70.00-$100.00 for a 50 minute session. I do offer a limited amount of slots on a sliding fee scale if needed. With prior notice, there may be charges for letters, reports and phone calls on behalf of clients; and for extended telephone consultations. As a client of an Oregon licensee you have the following rights: To expect that a licensee has met the minimal qualifications of training and experience required by state law: To examine public records maintained by the Board and to have the Board confirm credentials of a licensee; To obtain a copy of the Code of Ethics; To report complaints to the Board; To be informed of the cost of professional services before receiving the services; To be assured of privacy and confidentiality while receiving services as defined by rule and law, including the following exceptions: 1) Reporting suspected child abuse; 2) Reporting imminent danger to client or others; 3) Reporting information required in court proceedings or by client’s insurance company, or other relevant agencies; 4) Providing information concerning licensee case consultation or supervision; and 5) Defending claims brought by client against licensee; To be free from discrimination because of age, color, culture, disability, ethnicity, national origin, gender, race, religion, sexual orientation, marital status, or socioeconomic status. You may contact the Board of Licensed Professional Counselors and Therapists at: 3218 Pringle Rd SE #250, Salem, OR 97302-6312. Telephone: (503) 378-5499 Email: lpct.board@state.or.us Website: www.oregon.gov/OBLPCT For additional information about this counselor or therapist, consult the Board’s website.