PAUL J. MARANO, Ph.D.

Psychologist Lic.# 1526 ===========================================================================

I'm very happy that you’ve called and are considering entering a professional relationship with me. Before we continue, however, I would like you to have some time to review my fees, policy on payment, approach to counseling/therapy, and other important issues. As you read over all this PLEASE remember that if you have any questions about anything, ask me about it; let’s talk it over. I am happy to discuss your questions and any concerns you might have. Understanding and caring are the most important ingredients in any successful relationship.

FEES The fee for my services is $125.00 per 50 minute hour for individual sessions and $150.00 per 50 minute hour for couples sessions. I prefer payment after each session, either by check, cash or Visa/MC. My services may be eligible for reimbursement under various insurance plans, and if you are covered by such a plan I am willing to provide you with a statement of services for you to send to your insurance company for reimbursement.

If you are covered by insurance for psychological services, you will need to check your policy or check with your insurance company about important details like, how much of my fee they will cover for you, and how many sessions they will pay for. Any issues regarding insurance reimbursement for my services are strictly between you and your insurance company. If you have any questions about my fee policy, please feel free to discuss them with me.

OFFICE PROCEDURES You may park in the parking area adjacent to the Parfitt Building or across the street from the building. If you are early for your appointment there is a waiting area just off the elevator on the second floor. If the door is closed to my office it means that I am still in session. Please wait until I come for you.

MISSED & CANCELLED APPOINTMENTS When we schedule an appointment, I set aside that time exclusively for you. I would like a 24-hour advance notice if you must cancel or reschedule any appointment. It is my policy to charge the full fee for any missed appointments or one that is cancelled without the 24-hour notice.

CHOOSING A THERAPIST Choosing a psychologist, therapist or counselor is something that you as client are always responsible for. Although you may be referred to me by another professional or may have heard of me through a good friend, as a unique individual with differing needs, problems or personality characteristics, it should be you who ultimately decide on a therapist. I do not consider either one of us to have made a commitment to the professional relationship until after the 4th session as it usually takes this long to determine our “fit” with one another and whether my counseling approach is suitable for your unique situation. Ideally, you should choose a competent, preferably licensed professional you feel comfortable with, and whose therapeutic approach suits you. You always have the right to refuse therapy, to discontinue, or to request a change of approach or referral to another professional.

THERAPEUTIC APPROACH There are many different approaches to counseling in psychology and some approaches seem best suited to particular types of problems or particular types of individuals while others don’t.

My approach to counseling and therapy (analytical or depth psychology) encompasses a theoretical and philosophical belief that the psyche is composed of both a conscious (that which we know about ourselves) and unconscious (all that is either forgotten, repressed or unknown). Our psyche, as the totality of our conscious and unconscious processes, is normally able to regulate itself, maintaining a certain balance that is the basis of health in both mind and body.

My therapeutic approach strives to allow the psyche to restore its natural sense of balance and self-regulation by making unconscious psychological dynamics known so they can be dealt with and integrated with one’s conscious personality. It is my belief that an attitude of openness on the part of our conscious mind to the unknown, which often means facing what we most fear, is THE process that leads to long-lasting change, resolution of symptoms and a healthy balance within the personality. C.G. Jung felt there was a “knowledge” in our nature that goes beyond what we consciously know. In a certain sense, the unconscious—our nature within—“knows” more than our conscious. It “knows”, for example, how the complicated physiology of the human body should function for life to be maintained and had “known” that long before doctors started observing these processes scientifically and formulating laws about their functioning. My approach to counseling emphasizes keeping an openness to the “unknown” so we can establish a healthy relationship with our deeper nature and develop a more balanced, whole personality.

You can expect that my approach might include not only a thorough review of your present and past life situation or problem, but also a discussion of dreams you’ve had, fantasies, moods, or other such “products of the unconscious”. At all times, however, the intent is to strive for self understanding and meaningful change in the context of your present life situation or problem. If a certain problem seems to call for another therapeutic approach (such as behavioral, rational-emotive, family systems therapy etc.), I will discuss this with you and if appropriate, I may suggest a referral to another therapist.

In my particular approach to psychological practice, I usually will expect a commitment from you that is longer term, usually a minimum of six months of weekly sessions. Individuals I have worked with in the past have a wide range of time in counseling with me, from one session, and up to several years. But the “typical” length of counseling time with me tends to be longer term in nature and generally exceeds 12 months of weekly sessions. Your own length of time in counseling might be shorter or longer and would depend on your own goals, needs, motivation and progress.

Termination of therapy, in my experience, usually and most ideally comes about after we have mutually talked about the issues or factors that first brought you in to see me and you feel reasonably satisfied that progress has been made. Nevertheless, you always have the right to discontinue therapy at any time.

SPECIALTIES I specialize in analytical or depth psychology with an emphasis on individual counseling with adults and couples. I also have a specialty in career and life planning with special training and many years of experience in vocational and personality testing as well as administration and interpretation of abilities testing using work samples. My specific training is detailed below.

MY EDUCATION AND TRAINING My Ph.D. was earned in Educational Psychology with a specialty in clinical and counseling psychology from the University of Hawaii in 1975. In the first 15 years of my professional life I worked primarily in clinical psychology as a staff psychologist at various hospitals, government agencies, and in full time private practice. Since 1990 I have specialized exclusively in depth psychology after formal study in this field in Honolulu, Zurich, and Seattle. Since moving to Poulsbo, my practice focuses primarily on in depth, individual work with adults and couples. I have a specialty interest and training in career and life planning issues, helping others to identify their unique abilities and interests and how to best incorporate these into their life.

My professional experience in general clinical psychology includes: clinical psychology internships at the University of Hawaii and The Rehabilitation Hospital of the Pacific; 2 years at the Hawaii State Prison as a program specialist; 2 years as staff clinical psychologist at the Hawaii State Hospital; and 4 years as staff clinical psychologist with the Rehabilitation Hospital of the Pacific where I worked with a wide variety of clients with physical disabilities such as spinal cord injury, head trauma, stroke, amputation and chronic pain. Since 1992 I have worked in full time private practice specializing in individual analytical psychotherapy and couples counseling. My past specialties included counseling of chronic pain disorders and psychodiagnostic evaluations, which I did for approximately 15 years. These evaluations were vocational and career related, intended as an aide to other counselors in their work with clients. As a part of my past professional work I have been a psychological consultant to the Hawaii state Division of Vocational Rehabilitation and to the Rehabilitation Hospital’s chronic pain management program. I also have extensive university teaching experience. I held instructor positions, teaching undergraduate and graduate courses in psychology at the University of Hawaii and Chaminade University in Honolulu.

Subsequent to my formal doctoral education, I completed a two-year post doctoral program (1988-1990) at the Forest Institute for Professional Psychology in Honolulu in clinical depth psychology. I also spent two years (1990-1992) in post doctoral study of analytical psychology at the C.G. Jung Institute in Zurich, Switzerland, and one and a half years (1993-1995) in formal analytical training with the North Pacific Institute for Analytical Psychology. I also have specialized formal training in work sample ability testing through The Highlands Program (1998). Consistent with a firm belief that one who works in a deep way with others should have completed a thorough personal analysis, I completed over 350 hours of personal analysis during these years of study of analytical psychology.

If you would like to know more about my training and experience I would be happy to give you a copy of my professional vita and of course talk with you about any other questions you may have.

PSYCHOLOGIST LICENSING I am licensed as a psychologist by the state of Washington. This ensures you that I hold a doctoral degree from an accredited university, have passed written and oral examinations by the Washington State Examining Board of Psychology, and maintain continuing education in my field on a regular basis. You may contact this board for any questions or problems you have concerning anyone licensed as a psychologist in this state. (Address: Dept. of Health, Examining Board of Psychology, 1300 SE Quince Street, P.O. Box 47869, Olympia, WA 98504-7869; Phone: (360) 236-4910)

CONFIDENTIALITY Anything we talk about in therapy or counseling is strictly confidential. I cannot disclose any information about your therapy with me to anyone else without your signed, written consent. You should know, however, that if you are asking your insurance company to reimburse you for my services, that my statement will need to include a psychological diagnosis as well as the dates and types of our sessions.

There are also certain exceptions to the normally strict confidentiality of our relationship. These are:

In the above cases I must report certain information to the proper authorities so that protective action may be taken, or in the case of a court order, I must release or give whatever information is required.

I normally keep records of our sessions which basically contain dates, type of session, your historical background and any presenting problems or complaints, and a synopsis of what was covered in each session. The purpose of the record is to better help me to coordinate my therapy/counseling with you and also to provide documentation of professional services provided. If you strongly object to such documentation, you may request that I not keep such records but must do so by putting your request in writing, dating and signing the request.

SIGNING THIS DISCLOSURE STATEMENT It is a requirement of the Washington state licensing laws that I give you this disclosure statement about myself and my practice so that you can be fully informed about what is involved in using the services of a licensed psychologist. It is necessary to sign the document, with each of us retaining a copy of it, and by doing so you acknowledge you’ve received it, read it, and understand what has been presented.

I have received and read the above “Office Policy and Disclosure” Statement.

PAUL J. MARANO, Ph.D. / DATE