Monday, January 25, 2021

How Secret Are Sessions, and What Else Should I Know? Ready My Therapy Agreement

When you see a therapist, the paperwork can be overwhelming—or non-existent. I aim for clarity without the jargon.

I believe in informed consent: you should know what to expect, what’s private, and what happens in a crisis. We’ll go over the basics before we start, then I’ll send you this simple agreement so everything’s clear.

Important: Many big organisations sell or share your data without telling you. Click here to read how and why.

(Updated 23 June 2025. Occasionally I work with older teens—there’s a separate agreement for that. This version is a guide and may be updated.)

Therapy Agreement

Benefits and Risks of Therapy

Therapy is about helping promote understanding as well as healing and change. Therapy can help you like yourself more, understand and improve relationships, cope with stress and many other issues. However, talking about problems or remembering bad times can also be uncomfortable.

Therapy is not cut and dried.  Also, as satisfaction is a personal experience, it’s part of ethics to warn that outcomes are not guaranteed.

Furthermore, as therapy is a personal experience, it typically takes time before we learn to understand each other. So please don’t expect instant change.

Open communication is the bedrock of success.

If you want to change your goals or try another approach, just say so. Being flexible and adapting are part of therapy. In addition, if we talk regularly, I will ask for feedback on our sessions. Just say what you think. It all goes into maximising the process for your benefit.

Age and Consent

I work with adults, so you must be over 18 years of age. 

Notes

When we talk, we exchange a lot of information.  You will see me take notes. This is because I check our progress before and after we speak.

The notes are secret – but not from you. We are working together and so I share bits of the notes as we speak. Afterwards, I will send you all the notes along with the invoice.

If you are concerned that notes may violate your privacy or constitute a danger, and you don’t want me to take them or for you to receive them, I can do that too.

Confidentiality

I am invested in your privacy. You should know that:

·         I have an up-to-date firewall and anti-virus system in place

·         I keep my notes offline; I do not use cloud services

·         My backups are on an external hard drive, not on a server

·         I do not use therapy goal tracking software or apps

On your end, I suggest that to maintain your privacy, you avoid company phones and email; use your own private phone and email. But hey, if you want to share your journey with others, go ahead! I will be private about you, but you choose your own privacy path.

Exceptions to confidentiality

My first duty is to you. I look after your interests first. I also strive to guard your privacy. However, there are a handful of exceptions.

Active danger

·         If I believe you are actively suicidal, or

·         If I believe you will try and hurt someone else.

I must prevent deadly danger and serious harm to you and others. This is why we appoint an emergency contact.  Should you become dangerous to yourself or to others, we ask your emergency contact to help. 

Ideally, we see a crisis coming and we work out a plan together that gets you the help and support you need. Where possible, you and I talk to your emergency contact together.  

However, should you refuse, and should I deem there to be active danger, I will contact your emergency contact without your permission.

Should they not respond, I will take whatever action I deem suitable to prevent harm.

Third party disclosure.  Sometimes you may want me to talk to third parties like your doctor, lecturer, HR etc. I will not. The one thing I will do is write a letter for your medical doctor. I send it to you, and then you decide if you want to share it.

Legal enquiries.  If the police or a court judge demand information about our sessions, I will consult my legal team. I will only break privacy if they advise me to respond.

How We Talk

We talk over online voice or video WhatsApp, Messenger, Teams or Google Meet.  You pick what works best for you.

As services change, I reserve the right to add and drop methods. I will always do my best to ensure there’s a service that works for you. However, should your country block all access, our therapy relationship stops.

Our sessions are intensive, and there should be no interruptions. While we talk, our phones are off.

Be on time! Also, do not talk to me from bed. This is a professional session. Be up and dressed.

During office hours I will answer texts and email as soon as I can. Should you text me after hours, I will respond the next working day.

While I’m okay with a very short note or check-in outside of sessions, I do not offer a text-based therapy service. I also don’t read diaries, documentation etc outside of sessions. I keep my prices as low as possible, but I don’t work for free.

Scheduling Sessions

We schedule sessions in advance, either via text or email. We can also book ahead at the end of a session.

If you must cancel, do so at least 48 hours before our session. If you do not cancel in time, I will charge for the session.

You can email me at ellen.whyte@gmail.com and you can send me an SMS or WhatsApp to +44 751 440 8143. 

In the event of a lightning strike or other issue that kills our internet connection, I will use mobile data and communicate over WhatsApp. If you’re in a non-WhatsApp country, I can use Teams, Messenger, Telegram or other system.

Mid Therapy Termination

If you decide this isn’t working for you, or you’ve changed your mind, that’s perfectly okay. I have no set minimum or maximum sessions; it’s pay as you go.

There are no termination fees.  You also keep the notes so you can work with someone else.

You can tell me you’re not coming back, or that you’re taking a break, or you don’t have to tell me at all. You are an adult and you make your own decisions. It’s entirely up to you.

Although it’s a very rare event, I sometimes call a halt to a therapy relationship. I do this if:

·         I think you need to see a different professional.

·         I think you're not interested in the sessions.

·         You cancel too often, turn up late too often or are on your phone with others.

 

Fees

First 15-to-20-minute consultation: free

Notes service: free

Session: £45 to be paid by direct deposit to Halifax Bank, by Wise or PayPal.

I invoice immediately after the session. Please pay promptly on the day I invoice.

I love my work but will not be involved in hassles over payment. If you decide not to pay after a session, our relationship ends.

Fee Increases and Other Changes

I believe in affordable therapy but when my costs increase, so do my fees. From time to time, I also change my day off.  Whatever changes I make, I will give notice.

Note: when my fees increase existing clients typically get a discounted rate. However, you maintain their discount for one year only. If you have a gap between sessions that is longer than one year, I treat you as a new client. This means you lose your discount.

Insurance and Court Cases

Aside from a letter for a medical doctor, I will not be involved in outside paperwork. I do not work with insurance companies, HR, tribunals, or court cases.

Extensive paperwork, travel time, prepping, and constantly changing official schedules are too difficult for a single private practitioner. So if you want sessions to use for your divorce, custody, sexual harassment or other case, I am not the person for you. 

Complaints

I take ethical issues extremely seriously. If you think I am not following the ethics of my profession, talk to me.

You can also contact one of my professional associations. I belong to various groups, so check my website.  If you lodge a formal complaint, please note that I must immediately stop working with you. Also, you give up your privacy. I will hand over the notes to my legal team with instructions to use them as necessary. My professional organisations may also be given copies of your notes. As these parties may store, share, or publish your notes, this will have privacy implications.

I have had the opportunity to discuss any questions I have about this information and I agree to the terms.