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Individual Therapy Contract

Terms & Conditions

Best Self Therapy : Wirral

Couples Counselling:

Practitioner Name: Delyth Cole

Practice Name: Best Self Therapy : Wirral

Professional Membership: British Association for Counselling and Psychotherapy

Membership Number: (MBACP) 403711​​

Best Self Therapy : Wirral
General Therapy
Individual E-Sign Consent Form

Psychotherapeutic Counselling Agreement:

1. Nature of Psychotherapeutic Counselling

Psychotherapeutic counselling is a confidential, collaborative process that supports the exploration of emotional, psychological, and relational difficulties. It may involve discussing past and present experiences, thoughts, feelings, and behaviours to increase self-awareness and promote change.

 

At times, the therapy may feel emotionally challenging. You are always welcome to ask for a pause or some grounding at any point during the session.

While counselling can be beneficial, there are no guarantees of specific outcomes.

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2. Voluntary Participation

  • I understand that participation in counselling is voluntary.

  • I may pause or end counselling at any time.

 

3. Client Responsibilities

I agree to engage as fully as I am able in the therapeutic process and to communicate any concerns, difficulties, or feedback to my therapist regarding the sessions or the therapeutic relationship.

4. Therapist Responsibilities

My therapist commits to providing a safe, respectful, and supportive therapeutic environment in accordance with professional and ethical standards.

My therapist will:

  • Work within the BACP Ethical Framework

  • Maintain appropriate professional boundaries

  • Seek regular professional supervision to support safe and ethical practice

5. Confidentiality

Everything discussed in sessions is treated as confidential. Confidentiality may only be broken where there is a legal or ethical duty to disclose information, including:

  • A serious risk of harm to myself or others

  • Safeguarding concerns involving children or vulnerable adults

  • Court orders or other legal requirements

Where possible and appropriate, any need to share information will be discussed with me in advance.

⟁ My therapist is LivingWorks ASIST trained (Applied Suicide Intervention Skills Training).

 

6. Session Details

  • Session length: 50 minutes

  • Day / Date / Frequency of sessions: as agreed

  • Fee per individual therapy session:  £60 

  • Payment method: bank transfer ​

7. Cancellation Policy

A minimum of 48 hours’ notice is required to cancel or reschedule an appointment.

  • Less than 48 hours’ notice: 50% of the session fee

  • Within 24 hours’ notice or non-attendance: 100% of the session fee

This policy is applied consistently to support fairness and sustainability.

Exceptional circumstances will be considered at the therapist’s discretion and in line with ethical practice.

8. Location of Individual Counselling

  • In-person: Therapy Room at Wellness, Argyle Street

  • Online: via Zoom

  • Outdoors: Walk & Talk therapy sessions around the Wirral Peninsula

 

9. Record Keeping & Data Protection (GDPR)

  • Brief session notes are kept as part of professional practice.

  • Records are stored securely and retained in accordance with legal and professional guidelines.

  • I have the right to access my personal data in line with GDPR legislation.

 

10. Informed Consent

  • I understand that I have the right to clear and honest information about the counselling process, including the nature of the therapeutic relationship, the approach used, and any potential risks and benefits.

  • This agreement forms my written consent and is required prior to commencing therapy.

  • Please note: counselling is not a replacement for medical, psychiatric, or emergency care, and no medical diagnoses are provided.

 

11. Supervision

  • My Therapist works under professional supervision as required by the BACP

  • My identity is always protected when cases are discussed in supervision

12. Ending Therapy (Termination)

  • Either I or my therapist may end the counselling relationship at any time.

  • Where possible, a discussion about the reasons for ending and the implications for my progress is encouraged.

  • Feedback is welcomed at any stage.

  • Any concerns may be raised directly with my therapist or through the professional complaints procedure with the BACP.

13. Emergency and Crisis Situations

  • In the event of an emergency, I understand that I should contact my GP, local mental health services, NHS 111, or emergency services (999).

  • My therapist is not available outside scheduled sessions, except for matters relating to cancellation or rescheduling.

 

14. Consent

By ticking the box below, I confirm that:

  • I have read and understood this information

  • I have had an initial consultation and have had the opportunity to ask any questions

  • I give my informed consent to engage in psychotherapeutic counselling

Your preferred method of contact:
Please tick all that apply to you ... Required

Thank you for submitting the consent form.

Deep dive into contract info

Walk & Talk

Extra Info 

Online via zoom

Extra Info 

Therapy Room Location

Best Self Therapy

... with Delyth Cole 

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