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  #1  
Old Feb 12, 2015, 09:26 AM
Giucy Giucy is offline
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Member Since: Jan 2015
Location: France
Posts: 91
Ok, all in all, it was a good session !

Since T's fees are in the high range and he has a good reputation + I like him, we had to work on the fees aspect for most of the session.
Social Security pays its rate, private insurance pays its own, but it would be a hefty out-of pocket expense for me. As a student, it is quite difficult.
Before the session, I thought long and hard : how can I participate without getting bankrupt ?
I came up with a solution : giving a cooked meal for the remaining fee (fees up until I am refunded, then something cooked). It's called here "dation en paiement" or "giving for paying" literally translating.
I covered the legal aspects : for the accounting part, you write "giving-for-pay : X" and how much money it is, then you pay taxes on the sum.
T didn't even know that it was legal for liberal professions (even doctors). First lightbulb moment for T.

Then, we discussed how can we make it happen in a beneficial way for both. IMO, it also serves a therapeutic benefit for the brain injury aspect : learning good organization, following a sequence of actions, reviewing basic Maths (dyscalculia here ) and adapting knowledge to IRL circumstances.

And for the EMDR, he will tape the sessions for his CPD. I am ok for this.

At the end, I asked him to write officially in the record.
He answered that he has confidence in me. I thanked him, but I prefer the deal being official for preventing issues going out of proportion.
He thought I needed to be more flexible in relationships. I agree with his opinion, but in this situation, making the care contract official takes off a big pressure when there's a misunderstanding because all we need it referring to the written contract.
Second lightbulb moment for T.

I preferred spending nearly all the session clarifying this aspect rather than letting money issues poisoning the relationship.
Spending an hour on a good contract prevents years of legal struggles later and doing harm.
Since this situation is tricky from the therapeutic point of view, covering the hurdles to prevent conflict of interests is the rule of thumb. Lightbulb moment for T.

To be very clear, I did bring up the idea in session. It was not his idea, but mine, and we worked on it together.

Maybe a board would find it "crazy, exploitative and unethical".
For this very reason, I always keep an eye on how can we set up good boundaries for good therapy in a similar tricky situation.

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  #2  
Old Feb 12, 2015, 09:34 AM
Anonymous37925
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That sounds like a very good solution for both of you, and you seem to have worked it out carefully, keeping boundaries and ethics in mind, so that's great
I hope it all works well for you.
Thanks for this!
Giucy
  #3  
Old Feb 12, 2015, 10:06 AM
WrkNPrgress WrkNPrgress is offline
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Member Since: Dec 2014
Location: Here and Now
Posts: 1,158
Wow. I'm impressed. Good job!
Thanks for this!
Giucy
  #4  
Old Feb 12, 2015, 10:14 AM
Giucy Giucy is offline
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Member Since: Jan 2015
Location: France
Posts: 91
Thank you

Tbh, back home, the ethics stuff is so much in my mind that I was thinking "OMG, I overstepped boundaries in egregious ways. Will it mean that this behavior is so unethical to prevent myself from being a lawyer ?".
Actually, when we think rationally, if the situation is well boundaried, there's nothing wrong with thinking out of the box.
I've been reading so much about conflict of interests and risks that I thought "OMG, maybe people will think that it's as inappropriate as having sex with a therapist".
This is out of proportion with the actual issue.
Genuine anxiety here.
Hugs from:
unaluna
  #5  
Old Feb 12, 2015, 10:14 AM
Giucy Giucy is offline
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Member Since: Jan 2015
Location: France
Posts: 91
Quote:
Originally Posted by WrkNPrgress View Post
Wow. I'm impressed. Good job!
Thank you.
Reply
Views: 378

attentionThis is an old thread. You probably should not post your reply to it, as the original poster is unlikely to see it.




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