Informed Consent

Informed Consent for Psychotherapy Services

Welcome. This document contains important information about psychotherapy services, confidentiality, office policies, and your rights as a client. Please read it carefully and ask any questions you may have before beginning treatment.

By signing this document, you acknowledge that you have read, understood, and agreed to the following information.

Nature and Purpose of Psychotherapy

Psychotherapy is a collaborative process intended to support emotional well-being, self-understanding, and personal growth. The therapeutic process may involve discussing personal experiences, emotions, relationships, thoughts, memories, and behavioral patterns.

Psychoanalytic psychotherapy seeks to explore conscious and unconscious emotional processes that may contribute to psychological distress or repeated patterns in relationships and daily life.

Psychotherapy can help with concerns such as:

• Anxiety

• Depression

• Stress and burnout

• Relationship difficulties

• Grief and loss

• Identity and life transitions

• Emotional regulation

• Self-esteem issues

• Trauma and emotional conflict

The effectiveness of therapy depends on many factors, including active participation, consistency, openness, and the therapeutic relationship itself.

Potential Benefits and Risks

Psychotherapy may lead to benefits such as:

• Greater self-awareness

• Emotional relief

• Improved relationships

• Increased coping skills

• Personal growth and insight

However, therapy may also involve emotional discomfort. Discussing painful experiences or emotions can sometimes increase feelings of sadness, anxiety, frustration, or vulnerability during the therapeutic process.

There are no guarantees regarding specific outcomes or results.

Confidentiality

All information shared during therapy sessions is confidential and protected according to professional ethical standards and applicable laws.

Confidentiality may only be broken under the following circumstances:

• If there is a risk of serious harm to yourself or another person

• In cases involving suspected abuse or neglect of a child, elderly person, or vulnerable individual

• If disclosure is required by law or court order

• If you provide written authorization for release of information

If consultation with another professional is needed for clinical purposes, identifying information will be minimized whenever possible.

Online Therapy and Electronic Communication

Online sessions may be conducted through secure video platforms.

While reasonable efforts are made to protect confidentiality, electronic communication such as email, text messages, or video platforms may carry some privacy risks.

Electronic communication should not be used for emergencies or urgent mental health crises.

Appointments and Cancellation Policy

Sessions are typically scheduled for approximately [45] minutes.

Clients are expected to attend sessions on time.

Cancellations or missed appointments are subject to the full session fee unless otherwise discussed.

It is possible to reschedule only when the time of the session overlaps with an extraordinary event related to work or school, in that case, it is necessary to reschedule two days prior to the session.

Fees and Payment

Payment is due at the time of the session unless other arrangements have been agreed upon.

Accepted payment methods:
Cash, Bank Transfer, Credit Card, Mercado Pago, etc.

Emergencies

Psychotherapy services provided through this practice are not intended for emergency situations.

If you are experiencing a mental health emergency, thoughts of self-harm, or are in immediate danger, please contact emergency services or a local crisis center immediately.

Emergency number in Mexico: 911

Voluntary Participation and Right to Withdraw

Participation in psychotherapy is voluntary.

You have the right to ask questions about the therapeutic process at any time and may discontinue therapy whenever you choose.

It is recommended that termination of therapy be discussed within sessions whenever possible to support a thoughtful and clinically appropriate ending process.

Therapist Information

Dulce Maricruz Panduro Espinoza
Licensed Psychotherapist

Cédula de Licenciatura en Psicología: 15577754

Cédula de Maestría en Psicoterapia Psicoanalítica: 15577839
Guadalajara, Jalisco, Mexico

Email: dulcempanduro@gmail.com
Phone/WhatsApp: 331 426 1848

Consent

By scheduling the first appointment, I acknowledge that I have read and understood the information provided in this informed consent document. I have had the opportunity to ask questions and voluntarily agree to participate in psychotherapy services.