Disclaimer:

Cynthia Ashley Counseling reserves the right to refuse any case which does not appear appropriate for counseling via telephone, internet, or in-office sessions.  This right is also reserved for any and all cases which are clearly not within the expertise of the therapist.

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Inappropriate Cases for Counseling
via Internet or Telephone.

• Individuals who are considered “at risk”.  Anyone who has suicidal tendencies or is actively considering hurting themselves is not appropriate for this type of service.  If you are in this category, you need to be under face to face supervised care by a therapist or physician in your immediate area.  If you are feeling this extreme, call 911 for immediate help or go to your emergency room of your nearest hospital.  In some areas, there is a crisis phone number in the front of your telephone book which will access a crisis intervention team.

• Individuals who have been diagnosed with a dual diagnosis: (e.g. mood disorders; ( bi-polar disorder), major depression ( not related to the anxiety disorder), psychotic disorders, schizophrenia, personality disorders, dissociative disorders, sexual disorders, delusional (paranoid) disorders, drug related disorders , etc.) in addition to their anxiety disorder need to be under the care of a therapist in your immediate area.   If uncertain, appropriateness  will be determined at the time of initial consultation.

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Confidentiality: 

Cynthia Ashley Counseling has taken every effort to protect confidentiality on the internet and through telephone sessions.  However, we can not guarantee that your information is 100% confidential.  We can only guarantee that every effort has been made to ensure our work together remain confidential.  We assume no responsibility for the action of outside parties.  You can be assured on this site that your therapist will hold your information in the strictest of confidence. 

Confidentiality may be broken under two conditions only: 

1. Should a client become suicidal and considered “at risk,” it becomes a reason to break confidentiality and inform family members and others for the life protection of the client.  (As previously mentioned, clients “at risk” are inappropriate for internet or telephone counseling.)

2. Should a client be “at risk” of hurting someone else, this also becomes a reason to break confidentiality and inform the person who is in eminent danger. The law authorities, in an effort to protect an innocent human being from being injured, may also be contacted.

3. Cynthia Ashley Counseling reserves the right to break confidentiality when one or both of the above conditions are met.  We reserve the right to make this judgment call based on information received from the client.

4. Cynthia Ashley Counseling reserves the right to terminate internet and telephone sessions with clients “at risk”.  Every effort will be made to find placement with a therapist within his or her immediate area to handle their crisis situation.

5. Cynthia Ashley Counseling reserves the right to determine whether a client who was previously “at risk, can resume internet or telephone counseling when they are no longer considered to be  “at risk”.