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Call Us Today!
(203) 757-8766
Call Us Today!
(203) 757-8766

Office Policies

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.
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.
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. 
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. 
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 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.
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. 

Call Us Today At ♦ (203) 757-8766

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  • Address

    Randy Carrin, Psy.D.
    60 Westwood Avenue Suite 310
    Waterbury, CT 06708 
    Phone: (203) 757-8766

    Business Hours

    Mon - Fri: 09:00 AM - 08:00 PM
    Sat - Sun: Closed
    In Business Since 1996

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