Contact
LMFT – Licensed Marriage Family Therapist
VT License 100-0000054
CA License MFC-44173
Forms & Documents
Introductory questions – download PDF
Questions to help me understand how we might approach your situation together.
Informed consent – download PDF
This psychotherapy disclosure form explains some guidelines and will answer many of your questions about my therapy services. It will serve as an agreement between us.
New client packet – download PDF
Contains all forms rolled into one. Includes Introductory Questions, Informed Consent, Patient Bill of Rights, HIPAA and Notice of Privacy Practices, “No Secrets” Policy for Family Therapy and Couple Therapy (if applicable), and Consent to Release Confidential Information (if applicable).
Release of info – download PDF
Your authorization for me to break confidentiality for the purpose of consulting with other parties.
Relationship counseling – download PDF
Please read this document before our first meeting. It shares some of my perspectives and helps prepare you for how you might get the most out of couples therapy.
Book list for so-called “communication issues” – download PDF
“This will save you thousands of dollars in therapy”. – That’s a comment I read on Amazon about Patricia Love’s book that prompted me to find out what could possibly make my services irrelevant. I have learned so much from what we might think is pop psychology books & blogs written by real people.
Taking responsibility for your experience – download PDF
Some thoughts from folks all around the world about what it means to take responsibility for your experience.
This can potentially save you a lot of headaches.
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Additional Resources
Varied Walks
Poly-Friendly Professionals
Professionals who are open-minded about polyamory and polyamorous issues.
Resources and info
Local Resources for the LGBTQ Community for health, support, advocacy, social and community projects.
The AIDS Project of Southern Vermont
Services, support, groups. All are welcome, including shades of gender identification (Men, Women, Transgender, etc.) and sexual orientation (LGBTQ, and “… lipstick lesbians, butches, baby butches, stone butches, femmes, butchy femmes, bulldaggers, leather dykes, softball dykes, rugby dykes, dykes on bikes, klesbians, hasbians, dominatrices, fag hags, drag queens, opera queens, size queens, rice queens, bears, bottoms, tops, masters, slaves, leather men, vanilla boys, clones, daddies, friends of dorothy, and so on and so forth and (perhaps) infinitum”). [From an article written by S. L. Bem, titled “Dismantling gender polarization and compulsory heterosexuality: Should we turn the volume down or up?” Published in Journal of Gender Studies, 17, 1995, p. 66]
Legal & Ethical
Allied Mental Health Practitioners Board of Vermont
Laws and rules for mental health counselors.
Some habits are hard to break
Drug Abuse Hotline
Drug & Alcohol Addiction Rehab, Treatment & Recovery Resources in Vermont
Drug & Alcohol Support Groups
Find a meeting, get support
If at first you don’t succeed….
Women’s Resources
Women’s Crisis Center in Brattleboro
HOTLINE: 802-254-6954 (Collect Calls Accepted) Toll-Free In Windham Country, VT: 1-800-228-7395.
The Monadnock Center for Violence Prevention
24 Hour Crisis Lines: 603-352-3782 or 888-511-MCVP (6287) 12 Court St, Keene, NH 03431
The Women’s Program, Safe Talk
Gatherings to share and get info in a safe place, particularly about sexual issues, sponsored by The AIDS Project of Southern Vermont, 802-254-4444
Need More Help?
988 Suicide & Crisis Lifeline
Free and confidential, a new national number as of 2022.
Vermont 2-1-1
Free and confidential, this state-sponsored program (through United Ways of Vermont) offers a 24-hour hot line – Dial 211 or (866) 652-4636 – and a website to help steer Vermonters to a variety of resources to help meet basic needs.
For after-hours emergencies or if you need immediate assistance, you can also call the 24hr local crisis team at 1-800-622-4235. They cover southern Vermont, Windham and Windsor Counties. If you are feeling very out of sorts and need a soft place to land, you can also contact your medical group or your primary care physician, or visit the emergency department of your local hospital, and they will help direct you. If you are feeling suicidal, please call 1-800-622-4235.
Other therapists in the area
PsychologyToday.com
Comprehensive Therapist Directory
Therapy Route and My profile on Therapy Route
Therapy Directory with articles and blog entries on various health-related subjects.
APOV — Associated Psychotherapists of Vermont
Vermont Rostered Psychotherapists.
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