About Our Appointments

The very first time I meet with you, we will need to give each other much basic
information. For this reason, I usually schedule 1–2 hours for this first meeting.
Following this, we will usually meet for a 50-minute session once or twice a week,
then less often. We can schedule meetings for both your and my convenience. I
will tell you at least a month in advance of my vacations or any other times we
cannot meet. Please ask about my schedule in making your own plans.

An appointment is a commitment to our work. We agree to meet here and to be
on time. If I am ever unable to start on time, I ask your understanding. I also
assure you that you will receive the full time agreed to. If you are late, we will
probably be unable to meet for the full time, because it is likely that I will have
another appointment after yours.

I will reserve a regular appointment time for you into the foreseeable future. I also
do this for my other patients. Therefore, I am rarely able to fill a cancelled session
unless I have several weeks’ notice. You will be charged the full fee for sessions
cancelled with less than 24 hours’ notice excluding weekends/holidays, for other
than the most serious reasons.

I request that you do not bring children with you if they are young and need
babysitting or supervision, which I cannot provide.

By the end of our first or second session, I will tell you how I see your case at this
point and how I think we should proceed. I view counseling as a partnership
between us. You define the problem areas to be worked on; I use some special
knowledge to help you make the changes you want to make. Counseling is not like
visiting a medical doctor. It requires your very active involvement. It requires your
best efforts to change thoughts, feelings, and behaviors. For example, I want you
to tell me about important experiences, what they mean to you, and what strong
feelings are involved. This is one of the ways you are an active partner in therapy.

I expect us to plan our work together. In our plan we will list the areas to work
on, our goals, the methods we will use, the time and money commitments we will
make, and some other things. I expect us to agree on a plan that we will both
work hard to follow. From time to time, we will look together at our progress and
goals. If we think we need to, we can then change our treatment plan, its goals,
and its methods.

An important part of your therapy will be practicing new skills that you will learn
in our sessions. I will ask you to practice outside our meetings, and we will work
together to set up homework assignments for you. I might ask you to do exercises,
to keep records, and perhaps to do other tasks to deepen your learning. You will
probably have to work on relationships in your life and make long-term efforts to
get the best results. These are important parts of personal change. Change will
sometimes be easy and quick, but more often it will be slow and frustrating, and
you will need to keep trying. There are no instant, painless cures and no “magic
pills.” However, you can learn new ways of looking at your problems that will be
very helpful for changing your feelings and reactions.

Most of my clients see me once a week for 3 to 4 months. After that, we meet less
often for several more months. Therapy then usually comes to an end. The
process of ending therapy, called “termination,” can be a very valuable part of our
work. Stopping therapy should not be done casually, although either of us may
decide to end it if we believe it is in your best interest. If you wish to stop therapy
at any time, I ask that you agree now to meet then for at least one session to
review our work together. We will review our goals, the work we have done, any
future work that needs to be done, and our choices. If you would like to take a
“time out” from therapy to try it on your own, we should discuss this. We can
often make such a “time out” be more helpful.

I will send you a brief set of questions about 6 months after our last session.
These questions will ask you to look back at our work together, and sending them
to you is part of my duty as a therapist. I ask that you agree, as part of entering
therapy with me, to return this follow-up form and to be very honest about what
you tell me then.
Sometimes all we need is a listening
ear, a helping hand and a caring
heart to find balance in our lives.
Terry McVannel Erwin, Ph.D.
Dr. Erwin is a General Practitioner With a Special Interest in
Working with Women Survivors of Childhood Sexual Abuse
Certified Hypnotherapist
Qualified Supervisor, Florida
National Certified Counselor #78891
Licensed Mental Health Counselor #MH8591
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2506 Del Prado Boulevard South
Cape Coral, FL  33904-4750
Ph. (239) 242-0545
TErwin1@yahoo.com

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