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Single Session Therapy Agreement
 




www.laylaeissa.com

1. Purpose of the Session

This booking is for a single focused online therapy session conducted via Zoom.

The session provides a confidential and supportive space to think about a particular emotional, psychological, or relational difficulty. Some people find a single session helpful in itself, while others decide afterwards that they would like to continue with further therapy. If ongoing sessions are requested, these would be discussed and agreed separately.

2. Session and Fee

• Session Length: 60 minutes
• Fee: £75
• Payment Method: Payment is collected at the time of booking in order to confirm the appointment.

3. Cancellation Policy

• If you need to cancel the session, please give at least 48 hours’ notice.
• Cancellations made with less than 48 hours’ notice will be charged in full.

4. Communication

Communication outside the session is limited to administrative matters, such as scheduling.

Therapeutic work takes place within the session itself.

5. Confidentiality

Everything shared in the session is treated as confidential. However, there are some legal and ethical exceptions where confidentiality may need to be broken:

• If I believe you or someone else is at serious risk of harm
• If I am legally required to disclose information (e.g. by court order)
• In situations involving terrorism, money laundering, drug trafficking, or abuse of a child or vulnerable adult

Wherever possible, I will aim to discuss this with you before any disclosure is made.

6. Supervision

In line with the ethical framework of the British Association for Counselling and Psychotherapy, I engage in regular clinical supervision to support safe, ethical, and effective practice.

Any client material discussed in supervision is fully anonymised and identifying details are not shared.

7. Insurance and Ethical Practice

I am a registered member of the British Association for Counselling and Psychotherapy (MBACP 414213) and adhere to its Ethical Framework.

I am also fully insured with Public Liability and Professional Indemnity insurance.

8. Data Protection

I am registered with the Information Commissioner’s Office and comply with GDPR.

• Brief, factual notes are kept for professional purposes
• All records are stored securely and confidentially
• You have the right to request access to your records

Further details can be found in my Privacy Policy.

9. Suitability

A single-session format may not be suitable for situations involving significant risk, crisis, or urgent mental health concerns. If this becomes apparent during the session, we may discuss alternative sources of support that may be more appropriate.

10. Online Working and Technical Issues

Sessions take place via Zoom. Please ensure you are in a quiet and private space with a stable internet connection. If technical issues occur:

• I will attempt to reconnect immediately
• If we cannot reconnect within 10 minutes, I will contact you via email or phone
• If the issue is due to genuine technical difficulties, the session may be rescheduled

While every effort is made to maintain confidentiality online, no digital platform can guarantee absolute security.

11. Ending

As this agreement relates to a single session, the work concludes at the end of the appointment unless further sessions are mutually agreed.

12. Agreement

By proceeding with the booking, you confirm that you have read and understood this agreement and consent to participate in a single online therapy session under these terms.

13. Therapist Details

Layla Eissa
MBACP 414213
layla@laylaeissa.com

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