Stable Awakening

The services to be provided by me, Daniel Shkolnik, to you, the client, are in-person or online sessions, as agreed jointly. During these sessions and throughout the working relationship, I will engage in direct and personal conversations with you. The services provided may address specific personal life struggles, spiritual issues, or general conditions in your life. Additionally, you may be asked to reflect on difficult topics or situations which may result in an expression of emotions.

 

The services I offer are meant to help you identify the areas in your life and in your thinking that may be standing in your way. However, my services are not professional mental health care or medical care. If you feel psychologically stressed to the point that it is interfering with your ability to function, seek the help you need in the form of a professional counselor.

 

Confidentiality: Material revealed in sessions will remain strictly confidential except under the following circumstances, in accordance with State law:

• The client signs a written release of information indicating informed consent of such release.

• The client expresses intent to harm him/herself or someone else.

• There is reasonable suspicion of abuse/neglect against a minor child, elderly person (60 or older), or dependent adult

• A court order is received directing the disclosure of information.

Emergency Situations: I do not provide emergency services. In an emergency situation when an immediate response is necessary, you may call the NAMI mental health helpline at 1-800-950-NAMI (6264) or text "HelpLine" to 62640. You may also seek help through hospital emergency facilities or by calling 911. If during the course of our work I feel you are an immediate danger to yourself or others, I will call your emergency contact, issue a wellness check, and/or contact an appropriate crisis hotline.

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Client Responsibilities: You, the client are a full partner in this work. Your honesty and effort are essential to success. As we work together, if you have suggestions or concerns about your progress, I expect you to share these with me so that we can make the necessary adjustments. If I determine that you would be better served by another provider, I will refund the remainder of your unused sessions and help you with the referral process.

Potential Risk: The client should be aware that inner work poses potential risks. In the course of working together, additional problems may surface of which you were not initially aware. If this occurs, you should feel free to share these concerns with me.

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By agreeing to receive services from me, you confirm that you have read and agreed to each statement and that you wish to proceed.

 

• I understand that the services I will be receiving from Daniel Shkolnik are not offered as a substitute for professional mental health care or medical care and are not intended to diagnose, treat or cure any mental health or medical conditions. I also understand that Daniel Shkolnik is not acting as a mental health counsellor or a medical professional.

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• I understand that Daniel Shkolnik is not licensed by any nationally or internationally recognized regulator.

 

• I understand and agree that I am fully responsible for my well-being during and after my sessions, including my choices and decisions.

 

• I understand that all comments and ideas offered by Daniel Shkolnik are solely for the purpose of aiding me in achieving my defined goals.

 

• I understand that everything Daniel says is a suggestion and that I should use my own judgement whether it is, or is not, appropriate for me to follow his guidance in any given instance.

 

• If I believe that the services offered are not working as desired, I agree to communicate this with Daniel as soon as possible so that the strategy can be restructured to address my desired outcome.

 

• I understand that not all methods and mediums work for all clients, and that more than one trial may be required in order to find the best solution for me.

 

• In working together, I understand that Daniel Shkolnik is not promising any specific outcome.

 

• I understand that successful change requires personal action. It is my responsibility to enact or bring about change in my life by my own actions.

 

• I understand that Daniel Shkolnik will protect my information as confidential unless I state otherwise in writing. If I report child, elder abuse or neglect or threaten to harm myself or someone else, I understand that necessary actions will be taken and my confidentiality agreement is limited in this capacity. Furthermore, if Daniel Shkolnik is ordered by a court to provide information or to testify, he will do so to the extent that the law requires.

 

• I understand that the use of technology is not always secure and I accept the risks of confidentiality in the use of email, text, phone, Zoom, and other technology.