The following is for clients of Charles E. Cote, LCSW, Chris
Rawls, MHC-LP and Kristen Julian, LMSW:
Formal Training and Education
Charles E. Coté, LCSW holds a Master's Degree in Social
Work from Syracuse University. His coursework and practice focus
emphasized work with children and adolescents, individual adults,
couples, and families. He has intensive training in Dialectical
Behavioral Therapy (DBT), Family Systems Theory and Acceptance
and Commitment Therapy (ACT). He has extensive experience working
in the field, over 30 years. He is licensed as a clinical social
worker (LCSW) with the New York State Licensing Board and
abides by its Code of Ethics. He participates in an ongoing
consultation group comprised of clinical social workers and
psychologists. He is a member of the National Association of
Clinical Social Workers, The Association of Contextual and
Behavioral Science, and the Society for Descriptive Psychology.
He is certified in strategic non-profit leadership and serves on
the boards of 13thirty Cancer Connect and the Society for
Descriptive Psychology.
Chri Rawls, MHC-LP holds a Master's Degree in Mental
Health Counseling from Brockport State University. Chris
practices under Charles E. Coté's direct supervision. His
approach to mental health counseling is compassionate,
evidence-based, and professional. He believes healing is best
achieved through forming genuine, therapeutic relationships in a
supportive and judgement free environment. I believe that by
focusing on goals which clients are personally invested in, major
positive changes in their life can occur. Whether you need
new perspectives on life events, support healing from trauma, or
help developing more effective coping strategies, strategies
supported by research. He has clinical experience with
individuals who struggle with symptoms of depression, anxiety,
mood disorders, relationship issues, trauma, LGBTQIA+ competent
care.
Kristen Julian, LMSW She holds certifications as a Yoga
Teacher, as well as in CPR, First Aid, NARCAN, and Mental Health
First Aid.
Her therapeutic approach draws from evidence-based techniques
such as motivational interviewing, solutions-focused therapy,
cognitive behavioral therapy, acceptance and commitment therapy,
and functional family therapy. By incorporating these approaches,
she tailors sessions to meet client's specific needs and goals.
Kristen practices under Charles E. Coté's direct
supervision.
Rebecca Barrett, LMSW specializes in working with children
and young adults (ages 3 to 21) experiencing depression, anxiety,
low self-esteem, chronic illness or pain, life transitions,
self-harm, and disruptive behavior. She helps people to navigate
the unique challenges that they might be facing, with the goal to
provide a safe space for young minds to express themselves,
develop coping skills, and build resilience. By
utilizing creative and expressive techniques, including play
therapy, Acceptance and Commitment therapy (ACT),
Cognitive-Behavioral therapy (CBT), Dialectical Behavioral
therapy (DBT), Internal Family Systems (IFS), Schema therapy, and
experiential dynamic psychotherapies, she is able to work
collaboratively to tailor her approach to meet the unique needs
of each individual client and enhance their overall emotional and
behavioral well-being.
Nathan Hendrickson, MHC-LP is committed to supporting
individuals on their journey toward healing and personal growth.
Nathan provides empathetic and evidence-based counseling services
to help clients navigate through various challenges. Nathan has
worked in higher education for the past 16 years and has worked
with many people of various ages and stages of life. Nathan's
focus of research is working with injured and recovering
athletes.
Approach: Nathan's therapeutic approach is grounded in
empathy, collaboration, and evidence-based practices. He believes
in creating a safe and nonjudgmental space where clients can
explore their thoughts, feelings, and experiences freely. By
integrating modalities such as Client-Centered Therapy, Cognitive
Behavioral Therapy (CBT), mindfulness techniques, and
solution-focused therapy, Nathan tailors his approach to meet
each individual's unique needs and goals.
Nathan practices under Charles E. Coté's direct
supervision.
Joanne Quevedo, LMSW specializes in group and
individual therapy for victims of domestic violence covering
everything from safety planning to trauma informed care and
interpersonal therapy. Joanne practices under
Charles E. Coté's direct supervision.
Confidentiality
All information disclosed within sessions and the written records
pertaining to those sessions are confidential and may not be
revealed to anyone without your (client's) written permission,
except where disclosure is required by law. Most of the
provisions explaining when the law requires disclosure were
described to you in the notice of privacy practices that you
received with this form.
When disclosure is required by law
Some of the circumstances where disclosure is required by the law
include: where there is a reasonable suspicion of child,
dependent, or elder abuse or neglect; and where a client presents
a danger to self, to others, to property, or is gravely disabled
(for more details see also notice of privacy practices form).
When disclosure may be required
Disclosure may be required pursuant to a legal proceeding.
If you place your mental status at issue in litigation initiated
by you, the defendant may have the right to obtain the
psychotherapy records and/or testimony by insert name of
psychotherapist. In couple and family therapy, or when different
family members are seen individually, confidentiality and
privilege do not apply between the couple or among family
members. I will use clinical judgment when revealing such
information. I will not release records to any outside party
unless so authorized to do so by all adult family members
who were part of the treatment.
Emergencies
If there is an emergency during our work together, or in the
future after termination, where I become concerned about your
personal safety, the possibility of you injuring someone else, or
about you receiving proper psychiatric care, I will do whatever
s/he can within the limits of the law to prevent you from
injuring yourself or others and to ensure that you receive the
proper medical care. For this purpose, I may also contact
the police, hospital, or the person whose name you have provided
on the biographical sheet.
Health Insurance and Confidentiality of Records
Disclosure of confidential information may be required by your
health insurance carrier or HMO/PPO/MCO/EAP in order to process
the claims. If you so instruct me only the minimum necessary
information will be communicated to the carrier. Unless
authorized by you explicitly, the psychotherapy notes will not be
disclosed to your insurance carrier. I have no control or
knowledge over what insurance companies do with the information
submitted or who has access to this information. You must be
aware that submitting a mental health invoice for reimbursement
carries a certain amount of risk to confidentiality, privacy, or
to future eligibility to obtain health or life insurance. The
risk stems from the fact that mental health information is
entered into insurance companies' computers and soon will also be
reported to the Congress-approved National Medical Data Bank.
Accessibility to companies' computers or to the National Medical
Data Bank database is always in question, as computers are
inherently vulnerable to break-ins and unauthorized access.
Medical data have been reported to have been sold, stolen, or
accessed by enforcement agencies; therefore, you could be in a
vulnerable position.
Confidentiality of e-mail, cell phone, and fax
communication
It is very important to be aware that e-mail and cell phone (also
cordless phones) communication can be relatively easily accessed
by unauthorized people and, hence, the privacy and
confidentiality of such communication can be easily
compromised. E-mails, in particular, are vulnerable to such
unauthorized access due to the fact that servers have unlimited
and direct access to all e-mails that go through them.
Faxes can be sent erroneously to the wrong address. Please
notify me at the beginning of treatment if you decide to avoid or
limit in any way the use of any or all of the above-mentioned
communication devices. Please be advised that I exclusively
use a cellular telephone to communicate with you and that
requesting the exclusive use of a land line will hamper my
ability to communicate with you quickly. Please do not use e-mail
or faxes in emergency situations.
Litigation Limitation
Due to the nature of the therapeutic process and the fact that it
often involves making a full disclosure with regard to many
matters that may be of a confidential nature, it is agreed that
should there be legal proceedings (such as, but not limited to,
divorce and custody disputes, injuries, lawsuits, etc.),
neither you (client) nor your attorney, nor anyone else acting on
your behalf will call on me to testify in court or at any other
proceeding, nor will a disclosure of the psychotherapy records be
requested.
Consultation
I consult regularly with other professionals regarding my
clients; however, the client's name or other identifying
information is never mentioned. The client's identity
remains completely anonymous, and confidentiality is fully
maintained. Such consultation is solely for the purpose of
quality improvement.
Considering all of the above exclusions, if it is still
appropriate, upon your request, I will release information to any
agency/person you specify unless I conclude that releasing such
information might be harmful in any way.
Telephone and emergency procedures
If you need to contact me between sessions, please leave a
message for me at (585) 383-8338 and your call will be returned
as soon as possible. I check messages a few times a day but never
during the nighttime, unless out of town. I check messages
less frequently on weekends and holidays. If an emergency
situation arises, please indicate it clearly in your
message. In an emergency, If you need to talk to someone
right away, you can call my emergency number (585) 406-7264 or if
I'm not available, 911.
Payments and insurance reimbursement
Clients of Charles E. Coté, LCSWare expected to pay the
standard fee of $150 per 55-minute individual session, $250 for
couples at the end of each session, $150 for the initial intake
session unless covered by medical insurance (he takes Excellus,
MVP, United Health Care and Aetna, he is currently out of network
with Cigna) and $250 per session for couples/families.
Clients of Kristen Julian, LMSW, Chris Rawls, MHC-LP, Rebecca
Barrett, LMSW, Nathan Hendrickson, MHC-LP and Joanne Quevedo,
LMSW are expected to pay $120 per 55-minute session (there
is a sliding scale available depending on household income with
the lowest rate being $95), $200 for couples (with a sliding
scale available to the lowest rate of $100). Kristen Julian,
Rebecca Barrett and Joanne Quevedo accept Excellus and Aetna.
They are out of network for all other carriers. Chrissy Rawls and
Nathan Hendrickson are not able to accept any insurance at this
time. Telephone conversations, site visits, report writing and
reading, consultation with other professionals, release of
information, reading records, longer sessions, travel time, and
so forth, will be charged at the same rate, unless indicated and
agreed otherwise. Please notify me if any problem arises
during the course of therapy regarding your ability to make
timely payments. Clients who are able to use insurance will be
billed the appropriate co-payment and I will submit a bill to the
insurance company for the balance of the fee. As was indicated in
the section "Health Insurance and Confidentiality of Records,"
you must be aware that submitting a mental health invoice for
reimbursement carries a certain amount of risk. Not all
issues/conditions/problems that are the focus of psychotherapy
are reimbursed by insurance companies. It is your responsibility
to verify the specifics of your coverage.
Mediation and arbitration
All disputes arising out of or in relation to this agreement to
provide psychotherapy services shall first be referred to
mediation before, and as a precondition of, the initiation of
arbitration. The mediator shall be a neutral third party
chosen by agreement of myself and client(s). The cost of
such mediation, if any, shall be split equally, unless otherwise
agreed. In the event that mediation is unsuccessful, any
unresolved controversy related to this agreement should be
submitted to and settled by binding arbitration in Monroe County,
New York in accordance with the rules of the American Arbitration
Association, that are in effect at the time the demand for
arbitration is filed. Notwithstanding the foregoing, in the event
that your account is overdue (unpaid) and there is no agreement
on a payment plan, I can use legal means (court, collection
agency, etc.) to obtain payment. The prevailing party in
arbitration or collection proceedings shall be entitled to
recover a reasonable sum for attorneys' fees. In the case of
arbitration, the arbitrator will determine that sum.
The process of therapy/evaluation
Participation in therapy can result in a number of benefits to
you, including improving interpersonal relationships and
resolution of the specific concerns that led you to seek therapy.
Working toward these benefits, however, requires effort on your
part. Psychotherapy requires your very active involvement,
honesty, and openness in order to change your thoughts, feelings,
and/or behavior. I will ask for your feedback and views on your
therapy, its progress, and other aspects of the therapy and will
expect you to respond openly and honestly. Sometimes more than
one approach can be helpful in dealing with a certain situation.
During evaluation or therapy, remembering or talking about
unpleasant events, feelings, or thoughts can result in your
experiencing considerable discomfort or strong feelings of anger,
sadness, worry, fear, and so forth, or experiencing anxiety,
depression, insomnia, and so forth. I may challenge some of your
assumptions or perceptions or propose different ways of looking
at, thinking about, or handling situations that can cause you to
feel very upset, angry, depressed, challenged, or disappointed.
Attempting to resolve issues that brought you to therapy in the
first place, such as personal or interpersonal relationships, may
result in changes that were not originally intended.
Psychotherapy may result in decisions about changing behaviors,
employment, substance use, schooling, housing, or relationships.
Sometimes a decision that is positive for one family member is
viewed quite negatively by another family member. Change will
sometimes be easy and swift, but more often it will be slow and
even frustrating. There is no guarantee that psychotherapy will
yield positive or intended results. During the course of therapy,
I am likely to draw on various psychological approaches
according, in part, to the problem that is being treated and my
assessment of what will best benefit you. These approaches
include behavioral, cognitive-behavioral, psychodynamic, family
therapy, existential, and/or psycho-educational interventions.
Discussion of treatment plan
Within a reasonable period of time after the initiation of
treatment, I will discuss with you (client) my working
understanding of the problem, treatment plan, therapeutic
objectives, and view of the possible outcomes of treatment.
If you have any unanswered questions about any of the procedures
used in the course of your therapy, their possible risks, my
expertise in employing them, or about the treatment plan, please
ask and you will be answered fully. You also have the right
to ask about other treatments for your condition and their risks
and benefits. If you could benefit from any treatment that I do
not provide, I have an ethical obligation to assist you in
obtaining those treatments.
Termination
As set forth above, after the first couple of meetings, I will
assess if I can be of benefit to you. I do not accept
clients who, in my opinion, I cannot help. In such a case,
I will give you a number of referrals that you can contact.
If at any point during psychotherapy, I assess that I am not
effective in helping you reach the therapeutic goals, I am
obliged to discuss it with you and, if appropriate, to terminate
treatment. In such a case, I would give you a number of
referrals that may be of help to you. If you request it and
authorize it in writing, I will talk to the psychotherapist of
your choice in order to help with the transition. If at any time
you want another professional's opinion or wish to consult with
another therapist, I will assist you in finding someone
qualified, and, if I have your written consent, I will provide
her or him with the essential information needed. You have the
right to terminate therapy at any time. If you choose to do so, I
will offer to provide you with names of other qualified
professionals whose services you might prefer.
Dual relationships
Not all dual relationships are unethical or avoidable. Therapy
never involves sexual or any other dual relationship that
impairs objectivity, clinical judgment, or therapeutic
effectiveness or can be exploitative in nature. I will assess
carefully before entering into nonsexual and nonexploitative dual
relationships with clients. Rochester can at times feel like a
small town and some clients know each other or me from the
community. Consequently, you may bump into someone you know in
the waiting room or into me out in the community. I will never
acknowledge working therapeutically with anyone without his/her
written permission. Many clients choose their therapist
because they know him/her before they enter into therapy with
him/her and/or are aware of his/her stance on the topic.
Nevertheless, I will discuss with you, if pertinent, the
often-existing complexities, potential benefits, and difficulties
that may be involved in such relationships. Dual or
multiple relationships can enhance therapeutic effectiveness but
can also detract from it and often it is impossible to know that
ahead of time. It is your, the client's, responsibility to
communicate if a dual relationship becomes uncomfortable for you
in any way. I will always listen carefully and respond
accordingly to your feedback. I will discontinue the dual
relationship if I find it interfering with the effectiveness of
the therapeutic process or the welfare of the client and, of
course, you can do the same at any time.
Cancellation
Since scheduling of an appointment involves the reservation of
time specifically for you, a minimum of 24 hours notice is
required for rescheduling or canceling an appointment. Unless we
reach a different agreement, the full fee will be charged for
sessions missed without such notification. Most insurance
companies do not reimburse for missed sessions, so you would be
responsible for the full fee for that session, not just your
copayment, if you are using your insurance.