Welcome to the Website of Dr. Randy Carrin
   
   Office Polices

   APPOINTMENTS:

   My services are available by appointment only. The length of the appointment
   time may vary on the basis of services provided. Psychotherapy and
   counseling sessions are scheduled for 45-50 minute appointments known as the
   "clinical hour". Because your appointment is reserved for you, it is necessary
   to charge for appointments which are missed, unless missing an appointment
   is occasioned by circumstances that we would both define as an emergency.
   Non-emergency cancellations must be made at least 24 hours in advance.
   Please be aware that insurance companies do not reimburse you for missed
   appointments.


   TELEPHONE MESSAGES:

   As we work together, you may notice that I do not accept phone calls while I
   am with clients unless my pager signals that the call is an emergency. During
   those times and at other times during the day, evening, or night, my phone
   messages are received by my answering machine. I check for messages at
   different intervals throughout the day, and am able to return most of my calls
   on the same day.


   If your message needs to be responded to on an emergency basis, you may
   call my paging service. When I am on vacation, or otherwise out of town,
   another psychologist will be on call and his or her telephone number can be
   obtained through my answering machine by dialing my regular office number.
   For emergencies after 8:00 p.m., please make use of either Waterbury Hospital
   Crisis Center at 573-6500 or the emergency rooms at either St. Mary's or
   Waterbury Hospital.


   I do not charge for brief (5 minutes or under) telephone contacts. You should
   be aware, however, that I do charge for extended telephone consultations on
   a prorated basis similar to my therapy session rate. Your insurance company
   may not cover these calls.


   INITIAL CONTACT:

   Your initial appointment with me is an evaluation session. During the initial
   session I will ask you to describe those problems and concerns that caused you
   to schedule the appointment. I will also ask questions about your problems and
   about your personal history, which will help me to form a comprehensive view
   of the nature of your difficulty, and make initial hypotheses about its probable
   cause and treatment. In the initial session I will make an assessment as to
   whether your problem is one that is likely to benefit from my services. If I feel
   that other services may be more beneficial, I will help you to locate and select
   those services. The initial session also provides you with an opportunity to get
   to know me, and to decide whether you believe we could work together for
   your benefit.


   As part of the initial evaluation, clients are asked to complete a questionnaire
   that serves as a data base. The questionnaire contains questions about one's
   biography, current health status, and other information that may prove helpful
   in the course of diagnosis or treatment. If any questions appear to you to be
   too sensitive, or if you feel uneasy filling them out, feel free to leave them
   blank, and tell me about it when you turn the questionnaire in.


   TREATMENT:

   Clients often ask me what "type" of psychotherapy I practice. The answer to
   that question is complicated, and is perhaps best answered by "it depends". My
   own belief is that different types of problems benefit the most from different
   types of therapy, and that a therapist who offered the same treatment for
   every problem would be doing his clients a disservice. With some clients I am
   apt to use a more "behavioral" or "cognitive" focus with an emphasis on    
   problem-solving, adaptive coping, and altering maladaptive thought and
   behavioral patterns. With other clients I may focus more on increasing
   self-awareness and the degree to which they can be in touch with their
   emotions. With yet another type of client it may be more important to focus on
   past trauma in order to facilitate recovery. I will be happy to discuss the
   method I am using with you at any time, and explain how I selected it, and the
   pros and cons of that approach as opposed to other approaches. If you have
   any beliefs about the way therapy ought to proceed with you, I would be
   happy to listen to them and take them into consideration. Whatever methods I
   may use, I always view psychotherapy as a dialogue in which the therapist and
   the client discuss the client's deepest and most important concerns in an open
   and authentic manner.


   Every client is an individual, and every problem is unique, so that it is
   impossible to specify in advance how many sessions will be needed to resolve
   a problem. You should be aware, however, that most problems need more
   than "a couple of visits" to resolve. (If your problems were that easy to fix, you
   would probably not be coming to a psychologist's office in the first place).
   While many problems can respond to just several weeks or months treatment,
   there are other complicated or recalcitrant problems that can take several
   years to resolve. There are also chronic conditions that may require lengthy
   follow-up. Please feel free to talk with me about my expectations for the length
   of your treatment.


   Every treatment can have side effects which are unpleasant, and this is as true
   of psychotherapy as it is about medications. Psychotherapy is not risk-free.
   The risks of psychotherapy include the experience of intense and unwanted
   feelings including sadness, anger, fear, guilt, or anxiety. It is important to
   remember that these feelings may be normal and natural, and an important
   part of the therapy process. Other risks include recalling unpleasant life events,
   facing unpleasant thoughts and beliefs, increased awareness of feelings,
   values, and experiences, and the alteration of an individual's ability or desire
   to deal effectively and harmoniously with others in relationships. In therapy,
   major life decisions are sometimes made including decisions involving
   separations within families, the development of other types of relationships,
   changing employment settings, and changing lifestyles. These decisions are a
   legitimate outcome of the therapy experience as a result of an individual
   calling into question his/her own beliefs and values. As your therapist, I will be
   available to discuss any potential negative side effects of our work together.

   
   PSYCHOLOGICAL ASSESSMENT:

   In addition to psychotherapeutic services, I also perform psychological
   assessments. At times I may suggest an assessment in the course of
   psychotherapy, when I believe that the results of testing may help the
   progress of the therapy. I also provide testing for persons who are not
   psychotherapy clients at the request of third parties. Psychological
   assessments are often requested by area physicians and lawyers who
   are seeking help for their clients, by employers or rehabilitation agencies
   seeking to assess fitness for employment, or by adoption agencies seeking
   to determine psychological readiness to adopt. In the course of psychological
   assessment, I often make use of a variety of tests including intelligence tests,
   projective personality tests and psychological inventories. When a third party
   requests an assessment, I furnish a written report to that third party. I am
   also always available to provide a feedback session to the person I have tested
   upon request.

   TERMINATION:

   Termination of psychotherapy may be initiated by the client or the therapist. I
   request that if a client is unilaterally making the decision to terminate therapy,
   that there be a minimum of seven days notice in order that a final termination
   session(s) may be scheduled to discuss the reasons for termination.
   Termination itself can be a constructive and useful process. If any referral is
   warranted, it will be made at that time.

   CLIENT'S RIGHTS:

   At any time clients may question and/or refuse therapeutic or diagnostic
   procedures or methods, or gain whatever information they wish to know about
   the process and course of therapy.


   Clients are assured of the confidentiality of information they divulge in therapy
   within the limits allowed by Connecticut and Federal law. Connecticut law
   mandates that I break confidentiality in order to protect a client or a third
   
   party from injury or loss when I have reason to believe that a client presents a
   danger to himself/herself or others. I must also report suspected child abuse or
   neglect, or the abuse or neglect of an elderly person to the appropriate state
   agencies. My records or I may be subpoenaed by the court in certain legal
   cases (e.g. criminal cases in which you have entered your psychological status
   as a defense, or civil cases in which you have waived confidentiality). While
   most state courts, including Connecticut's, recognize psychotherapeutic
   sessions as privileged communication, federal courts are only just beginning to
   establish rules in this regard.

   Additionally, I may release sufficient information to pursue delinquent accounts
   to a collection agency. Any other release of information requires your written
   consent. I may not release information, for example, to your relatives, friends,
   employers, doctors, the police without your specific written consent, unless
   one of the exceptions listed above is involved. In the case of therapy involving
   multiple clients (e.g., marital, family, or group therapy), the written consent of
   all the clients must be obtained, or the information will be carefully screened to
   reveal nothing of the involvement of the parties who have not given their
   written consent. I may also release your diagnosis, dates of service, and other
   pertinent information to your insurance company if you choose to use your
   insurance to help pay for the cost of psychological services. Please take note
   that many managed care companies used by the insurance industry require
   some direct clinical management by the managed care company. If your
   insurance benefit is managed by a managed care company, it may be necessary
   for us to work together with one of their case managers to determine the
   nature of your treatment, and therefore, may have some impact on
   confidentiality.