General information
The therapeutic relationship is both personal and contractual. This consent sets expectations for our work together. Please ask questions at any time.
Establishing a therapeutic relationship
Fit matters. An initial consultation does not by itself create an ongoing treatment relationship. A physician–patient / therapeutic relationship begins only if both parties agree to continue after the first visit — typically after a second visit is scheduled and completed.
The therapeutic process
Seeking care is a positive step. Outcomes depend largely on engagement. Therapy and psychiatric care can involve discomfort when difficult material is addressed. There are no guaranteed cures. Dr. Brown will support you, work to understand patterns that matter, and help clarify what you want for yourself.
Medication
Finding a helpful medication plan often involves careful trial and adjustment. It is common to change medications more than once before finding a good fit. Benefits, risks, and alternatives will be discussed when medications are considered.
Confidentiality and its limits
Session content is confidential unless you authorize release in writing, or a legal/ethical exception applies, including but not limited to: risk of serious harm to self or others; reasonable suspicion of abuse or neglect of a child, elder, or dependent adult; a valid court order or subpoena; court-ordered evaluation or treatment. Professional consultation may occur without using your name.
Public encounters
If we see each other in public, Dr. Brown will not acknowledge you first, to protect your privacy. If you greet him first, a brief hello is fine; longer clinical discussion belongs in session.
