Professional Disclosure Statement for Maite Pierre - Resident Intern, Therapist
The decision to enter into a counseling relationship is a meaningful commitment that can support emotional, relational, and spiritual growth. Research shows that individuals who understand the counseling process are more likely to experience positive outcomes. This document is designed to inform you about the counseling process, the therapeutic approaches I use, the potential benefits and risks of counseling, confidentiality, the nature of our professional relationship, and my background and training. It also documents your understanding of and consent to treatment.
Background and Training
I am pursuing a Master’s degree in Counseling at Crown College and serve as a Resident Intern at Soul Care PLLC. I also have a background in faith‑based emotional recovery coaching and emotional wellness support. My training includes person‑centered therapy, emotional regulation skills, and neuroscience‑informed approaches to understanding how the brain processes emotions, stress, and healing. My experience includes supporting individuals with concerns such as anxiety, depression, grief, loss, identity development, emotional regulation, life transitions, and relationship challenges.
Counseling Services Offered
With respect to my theoretical orientation and worldview for counseling, I believe that we are whole persons with physical, psychological, social, and spiritual aspects. I am committed to an integrated, evidence‑based approach to psychotherapy that honors each part of the person. My primary therapeutic orientation is Person‑Centered Therapy, grounded in unconditional positive regard, empathy, and respect for your lived experience. I also draw from additional evidence‑based approaches, including: Cognitive‑Behavioral Therapy (CBT) Exposure and Response Prevention (ERP) interventions when clinically appropriate, Emotionally Focused Therapy (EFT) Solution‑Focused Therapy (SFT) Strengths‑Based approaches, Trauma‑informed care, Motivational Interviewing, Family Systems awareness, play therapy interventions when appropriate, and Gottman‑informed relational tools. These models are regarded as established, well‑researched, and effective methods of therapy. I respect your religious and spiritual orientation. Whether we include spiritual integration in our work together is entirely up to you
Guiding Principles and Practices
Guiding Principles and Practices My approach to counseling is: Goal‑oriented, Experiential, Multidimensional, Designed to enhance awareness and understanding, Collaborative, Continuous, Spiritually sensitive when requested and Contemplative.
Client Population
I will agree to meet with a potential client regardless of age, color, culture, disability, ethnic group, gender, race, religion, sexual orientation, marital status, or socioeconomic status. I may decline meeting with a client if, in my professional judgment, I believe they would be better served by another professional. If a referral is needed, I will provide appropriate options.
Therapist’s Responsibility
As a professional, I will uphold and abide by the standards of the American Counseling Association and Soul Care PLLC. Our relationship is a professional one. Our contact will be limited to the sessions you arrange with me. You will be best served if our relationship stays strictly professional and our sessions focus exclusively on your concerns.
Client’s Responsibility
The beginning sessions involve understanding your situation so that together we can develop specific, realistic goals and methods to accomplish them. It is important for you to be open and honest and to work toward the goals we agree upon. Counseling requires effort and active involvement on your part. This may include homework assignments, self‑observation, and practicing new behaviors. It is important for you to attend all scheduled appointments on time.
Confidentiality
I regard the information you share with me with great respect. All information that you share with me including notes and records as well as assessment results is confidential and will not be released to any outside person or agency without your written authorization and consent.
The following are circumstances in which I cannot guarantee confidentiality, either legally or ethically:
1. If there is abuse (potential or actual) of children, persons with disabilities, and/or senior citizens. The law requires the therapist to report it to the appropriate authorities.
2. If disclosure is required to prevent clear and imminent danger to yourself and/or others.
3. If mandated by a court of law.
In order to improve my clinical skills and obtain additional training I may audio/video tape counseling sessions. These sessions may be discussed with and reviewed by a licensed clinical LPC supervisor. Confidentiality concerning such tapes is considered the same as the counseling sessions themselves. Following the feedback of my supervisor(s) the tapes will be destroyed.
Session and Fees
I can assure you that my services will be provided in a professional manner and will be consistent with accepted ethical standards. After we decide on the frequency of appointments (generally once a week) and the appointment time, I will reserve this time for you. Sessions are usually 45 – 50 minutes long. It is possible to adjust the length of a session if necessary and should be agreed upon in advance. The length of treatment varies depending on the therapist, the client (s) and the nature of the problems. Typically treatment will last 8-12 sessions for relatively specific problems but may be longer or shorter depending upon the nature of treatment.
The leadership of Soul Care PLLC determines the counseling fee structure. Clients may use their insurance if applicable. Please note that your insurance company may require information regarding diagnosis, symptoms, treatment goals and methods. Any diagnosis provided to your insurance company becomes a part of your permanent medical record. Please understand that you, the client, are fully responsible for payment of fees for services provided regardless of any insurance coverage you may have. Counseling fees are accepted in the form of cash, check, debit and/or credit card(s). Please note that if your check is returned for insufficient funds, you will be responsible for the bank charges incurred. Cancellation of appointments must be made 24 hours prior to your appointment. If the appointment is not canceled within this time period or if you do not show up for your appointment, you will be charged a $35 missed appointment fee.
In Case of Emergency
If you try to contact me by phone and I am not available, please leave a message on my voice mail. I will return calls within 24 hours. If you are unable to reach me in an emergency, contact 911 or go to the nearest hospital emergency room.
Social Media and Electronic Communications
Social Media is neither private nor confidential. Therefore, I will not seek out or accept “friend” requests or “follow” any current or former client on any social media platform. With this being said, I will not engage you in any public forums over the Internet, because to do so could blur the professional nature of our relationship and could compromise the privacy that I seek to guard. Electronic communications (E-mail, texting (SMS), etc.) are not encrypted or secure and may not be received in a timely manner. The best method is to contact the office or the phone number given.
Complaint Procedure
If you are dissatisfied with any aspect of our work, the most effective and productive way to deal with the situation and hopefully resolve it is to discuss it in our sessions together. Please feel free to ask any questions or clarify any confusion you may have about our work. For clarification of client rights as I have explained them or to lodge a complaint if you think that you have been treated unfairly or unethically by me, contact the:
Client Rights Committee:
Soul Care
5501 Executive Center Drive
Suite #225
Charlotte, NC 28212
Tel: 980-613-8312
North Carolina Legal Assistance:
2113 Cameron Street
Suite #218
Raleigh, NC 27605
Advocacy and Customer Service Department at the Division of MH/DD/SAS
3724 National Drive, Suite 100
Raleigh, NC 27612
Toll-Free: 877-235-4210
