Professional Disclosure Statement & Agreement For Services
Philosophy and Approach
The desire to engage on a deeper level with families drove me to get a Masters degree in Counseling with a marriage and family therapist specialization at Portland State University. I am particularly interested in working with individuals, couples and families and believe that it is our family of origin and early attachment that lays the foundation for how well we are able to navigate our lives. I believe that families are systemic and that within the main family system are 'sub-systems'. I take a 'structural family systems' approach in working with clients in order to help identify what might be keeping them 'stuck', thus, preventing them from functioning at an optimal level. My theoretical orientation stems from Control Mastery Theory, which asserts that all individuals have a desire to reach their potential and that often, it is their perception of self, oftentimes rooted in their family of origin, that present obstacles in reaching their goals. My goal as a therapist is to facilitate self understanding, spiritual connection, and the process of reaching one's full potential. While this can be an extremely challenging task, I am very driven toward facing this challenge as a marriage and family therapist.
Formal Training and Education
Prior to entering the graduate counseling program at Portland State University, I earned my Bachelor of Science degree with a double major in psychology and social sciences in 1994. In 1995, I earned my M.Ed, also at Portland State University, and was an educator for 10 years. I taught special education and worked closely with students and their families who were severely emotionally disturbed, had learning disabilities and had health conditions such as ADHD, non-verbal and communication disorders at the elementary and middle school levels. I currently have an active State of Oregon Standard Teaching License with elementary, special education, and reading endorsements, as well as a State of Washington Continuing Teaching License with early childhood, elementary education, special education and psychology (grades 4-12) endorsements.
About the Therapy Process
It is my belief that therapists and clients are collaborative partners in the therapeutic process. My objective is to provide services to you that will facilitate you in reaching your goals. I will provide you with my assessment and recommendations in regard to your treatment based upon the information that you provide as well as my observations as a clinician. While psychotherapy does not provide the guarantee of a cure, the level of success achieved during your treatment relies in large part on your commitment to consistently work toward positive change in your life.
Confidentiality & Client Bill of Rights
I am currently a marriage and family therapist registered in the State of Oregon working as a counseling intern working toward licensure as a LMFT (Licensed Marriage and Family Therapist) at the Family Institute under the supervision of Bob Davidson, LMFT. At any time during your treatment, I will welcome any inquiries regarding my education, background, experience and professional orientation. The purpose of this document is to provide you with pertinent information regarding your therapy as well as to obtain your consent for therapeutic services. As a Registered Intern of the Oregon Board of Licensed Professional Counselors and Therapists, I am committed to and will abide by the Code of Ethics [OAR 833-060-0020(13)]. I am under the ongoing supervision of Bob Davidson, LMFT at the Family Institute, P.C.
As a client of an Oregon Registered Counseling Intern, you have the right:
A. To expect that a licensee has met the minimal qualifications of training and experience required by state law;
B. To examine public records maintained by the Board and to have the Board confirm credentials of a licensee;
C. To obtain a copy of the Code of Ethics;
D. To report complaints to the Board;
E. To be informed of the cost of professional services before receiving services;
F. To be assured of privacy and confidentiality while receiving services as defined by rule and law with the following exceptions: a) reporting suspected child abuse; b) reporting imminent danger to client or others; c) reporting information required in court proceedings or by client's insurance company, or other relevant agencies; d) providing information concerning licensee case consultation or individual supervision; e) defending claims brought by client against licensee.
G. To be free from being the object of discrimination on the basis of race, religion, gender or other unlawful category while receiving services.
You may contact the Board of Licensed Professional Counselors and Therapists at 3218 Pringle Rd. SE #250, Salem, OR 97302-6312. Telephone: (503) 378-5499 E-mail: lpc.lmft@state.or.us Website: www.oregon.gov/OBLPCT.
Kathy Hardie-Williams, M.Ed, MS, NCC, MFT
9600 SW Oak St. #280; M/W/F 1:00-9:00 PM
Tigard, OR 97223
4110 Pacific Ave. #102; Thurs 1:00-8:00 PM
Forest Grove, OR 97116
503.601.5428
kathy@westsidefamilytherapy.org
westsidefamilytherapy.org
The desire to engage on a deeper level with families drove me to get a Masters degree in Counseling with a marriage and family therapist specialization at Portland State University. I am particularly interested in working with individuals, couples and families and believe that it is our family of origin and early attachment that lays the foundation for how well we are able to navigate our lives. I believe that families are systemic and that within the main family system are 'sub-systems'. I take a 'structural family systems' approach in working with clients in order to help identify what might be keeping them 'stuck', thus, preventing them from functioning at an optimal level. My theoretical orientation stems from Control Mastery Theory, which asserts that all individuals have a desire to reach their potential and that often, it is their perception of self, oftentimes rooted in their family of origin, that present obstacles in reaching their goals. My goal as a therapist is to facilitate self understanding, spiritual connection, and the process of reaching one's full potential. While this can be an extremely challenging task, I am very driven toward facing this challenge as a marriage and family therapist.
Formal Training and Education
Prior to entering the graduate counseling program at Portland State University, I earned my Bachelor of Science degree with a double major in psychology and social sciences in 1994. In 1995, I earned my M.Ed, also at Portland State University, and was an educator for 10 years. I taught special education and worked closely with students and their families who were severely emotionally disturbed, had learning disabilities and had health conditions such as ADHD, non-verbal and communication disorders at the elementary and middle school levels. I currently have an active State of Oregon Standard Teaching License with elementary, special education, and reading endorsements, as well as a State of Washington Continuing Teaching License with early childhood, elementary education, special education and psychology (grades 4-12) endorsements.
About the Therapy Process
It is my belief that therapists and clients are collaborative partners in the therapeutic process. My objective is to provide services to you that will facilitate you in reaching your goals. I will provide you with my assessment and recommendations in regard to your treatment based upon the information that you provide as well as my observations as a clinician. While psychotherapy does not provide the guarantee of a cure, the level of success achieved during your treatment relies in large part on your commitment to consistently work toward positive change in your life.
Confidentiality & Client Bill of Rights
I am currently a marriage and family therapist registered in the State of Oregon working as a counseling intern working toward licensure as a LMFT (Licensed Marriage and Family Therapist) at the Family Institute under the supervision of Bob Davidson, LMFT. At any time during your treatment, I will welcome any inquiries regarding my education, background, experience and professional orientation. The purpose of this document is to provide you with pertinent information regarding your therapy as well as to obtain your consent for therapeutic services. As a Registered Intern of the Oregon Board of Licensed Professional Counselors and Therapists, I am committed to and will abide by the Code of Ethics [OAR 833-060-0020(13)]. I am under the ongoing supervision of Bob Davidson, LMFT at the Family Institute, P.C.
As a client of an Oregon Registered Counseling Intern, you have the right:
A. To expect that a licensee has met the minimal qualifications of training and experience required by state law;
B. To examine public records maintained by the Board and to have the Board confirm credentials of a licensee;
C. To obtain a copy of the Code of Ethics;
D. To report complaints to the Board;
E. To be informed of the cost of professional services before receiving services;
F. To be assured of privacy and confidentiality while receiving services as defined by rule and law with the following exceptions: a) reporting suspected child abuse; b) reporting imminent danger to client or others; c) reporting information required in court proceedings or by client's insurance company, or other relevant agencies; d) providing information concerning licensee case consultation or individual supervision; e) defending claims brought by client against licensee.
G. To be free from being the object of discrimination on the basis of race, religion, gender or other unlawful category while receiving services.
You may contact the Board of Licensed Professional Counselors and Therapists at 3218 Pringle Rd. SE #250, Salem, OR 97302-6312. Telephone: (503) 378-5499 E-mail: lpc.lmft@state.or.us Website: www.oregon.gov/OBLPCT.
Kathy Hardie-Williams, M.Ed, MS, NCC, MFT
9600 SW Oak St. #280; M/W/F 1:00-9:00 PM
Tigard, OR 97223
4110 Pacific Ave. #102; Thurs 1:00-8:00 PM
Forest Grove, OR 97116
503.601.5428
kathy@westsidefamilytherapy.org
westsidefamilytherapy.org