Terms & Conditions

Psychotherapy & Psychosomatic Medicine Clinic "San Raffaele"

Private Practice Contract

Green Farm Gardens, Portsmouth

Therapeutic Contract/Agreement

Practitioner Name: Natalia Buciuman
Credentials: Psychologist-Prof. Dr., Member of the British Psychological Society (UK)
Practice Location: Green Farm Gardens, Portsmouth
Contact Information: tel:07555270095

Terms & Conditions:

Therapeutic Services

As a licensed psychologist and member of the British Psychological Society, I offer a range of psychological treatments including:

Psychoanalysis
Cognitive Behaviour Therapy (CBT)
Person-Centered Therapy (PCT)
Psychosomatic analysis for physical diseases
Hypnotherapy
Life & Career Coaching
Mindfulness & Meditation
Psychodrama

Successful outcomes rely on the commitment and motivation of both therapist and patient. Treatment includes sessions in the consulting room and cognitive reflection or homework. By undertaking a course of treatment, you agree to engage fully with the process and complete any assigned tasks. Keeping me informed of any medications, new conditions, or changes in your treatment is essential.

Booking & Payments:

Booking

To ensure professionalism and mutual respect, therapy sessions must be paid via bank transfer upon booking an appointment through phone, our website, Facebook page, or private message (Facebook/Whatsapp).

Payment Details

Sort Code: 77-95-04
Account No: 56861968

Payment must be made prior to the session upon booking confirmation. If payments are not made as agreed, I reserve the right to cancel the appointment.

Costs & Duration

Consultation Prices:

£300/2 hours: individual therapy

Who is it for?

Ideal for those seeking personal growth, clarity, and deep understanding of emotional, psychological, and physical concerns.

Session Length: 2 hours per session

What’s Included?

Comprehensive assessments

In-depth exploration of personal challenges and strengths

Tools for self-awareness, emotional regulation, and resilience

A supportive, non-judgmental environment for transformative change

£400/from 2 hours up to 3 hours for couple or family therapy/child(ren) therapy

Who is it for?

Designed for couples and families seeking to enhance communication, resolve conflicts, and build stronger, healthier relationships.

Session Length: 2 hours per session

What’s Included?

Joint and individual assessments of relational dynamics

Tools for effective communication and conflict resolution

Guidance on setting healthy boundaries and enhancing connection

Strategies for fostering empathy, respect, and unity

£300/30 min up to 90 min for severe mental diseases as:

Alzheimer's Disease – A progressive neurodegenerative disease that leads to memory loss, confusion, and changes in personality.
Parkinson's Disease – Primarily a movement disorder but often accompanied by psychiatric symptoms like depression, dementia, and hallucinations.
Huntington's Disease – A genetic disorder causing progressive degeneration of nerve cells in the brain, leading to movement, cognitive, and psychiatric issues.
Schizophrenia – A severe mental disease characterized by delusions, hallucinations, and disordered thinking.
Bipolar Disorder Type I (especially severe forms) – While classified as a disorder, severe cases can present as chronic and disabling, with psychotic episodes and drastic mood changes.
Major Neurocognitive Disorders (Dementias) – Includes conditions like frontotemporal dementia and Lewy body dementia that cause cognitive decline and behavioral changes.
Severe Major Depressive Disorder with Psychotic Features – Though part of mood disorders, severe cases with persistent psychotic symptoms may be considered a disease.
Obsessive-Compulsive Disorder (OCD) (severe cases) – In cases where OCD is highly impairing and chronic, it can be debilitating and considered a lifelong disease.
Schizoaffective Disorder – A combination of symptoms of schizophrenia and mood disorder, typically chronic and severely affecting functioning.
Autism Spectrum Disorder (Severe Cases) – In cases where autism presents with significant cognitive and functional impairments, it may be categorized as a disease due to its neurological basis.
Tourette's Syndrome – A neurological condition involving repetitive, involuntary movements and vocalizations (tics), often chronic and persistent.
Severe Substance-Induced Psychotic Disorders – Long-term substance abuse, like that of methamphetamine or alcohol, can cause permanent psychosis.
Psychosis of any kind:

Psychosis can be categorized into several types, often based on the underlying causes or associated conditions. Here are some of the main types of psychosis:

1. Primary Psychotic Disorders

Schizophrenia: A chronic psychotic disorder with symptoms such as hallucinations, delusions, disorganized speech, and impaired functioning.
Schizoaffective Disorder: A condition where symptoms of schizophrenia are combined with mood disorder symptoms (like those of bipolar disorder or depression).
Brief Psychotic Disorder: A short-term psychotic episode, typically lasting less than a month, often triggered by a stressful event.
Delusional Disorder: Characterized by persistent delusions without other significant psychotic symptoms.

2. Mood Disorder-Related Psychosis

Bipolar Disorder with Psychotic Features: In severe episodes of mania or depression, people with bipolar disorder may experience psychotic symptoms.
Major Depressive Disorder with Psychotic Features: In severe cases of depression, psychotic symptoms such as delusions or hallucinations can occur.

3. Substance-Induced Psychosis

Drug-Induced Psychosis: Certain substances, such as cannabis, amphetamines, LSD, or alcohol, can cause psychotic symptoms either during use or withdrawal.
Medication-Induced Psychosis: Some prescribed medications can lead to psychosis as a side effect, especially if taken in high doses or misused.

4. Psychosis Due to Medical Conditions

Neurodegenerative Disorders: Conditions like Alzheimer’s disease, Parkinson’s disease, or Huntington’s disease can lead to psychosis as the brain changes over time.
Other Medical Conditions: Brain tumors, infections (like HIV or syphilis), metabolic disorders, or endocrine issues (e.g., thyroid problems) can also cause psychosis.

5. Psychotic Disorder Due to Trauma or Stress

Post-Traumatic Stress Disorder (PTSD) with Psychosis: In severe cases of PTSD, individuals may experience psychotic symptoms like paranoia or hallucinations.
Brief Reactive Psychosis: A short-term psychosis triggered by extreme stress or a traumatic event. Symptoms typically resolve on their own in days or weeks.

6. Organic or Neurological Psychosis

Delirium: An acute state of confusion, often with hallucinations, that is usually reversible and related to an underlying medical issue, like infection or injury.
Dementia with Psychosis: Psychotic symptoms that develop as part of the progression of dementia, particularly in Alzheimer’s disease and Lewy body dementia.

Each type requires different approaches to treatment, as the underlying causes and symptom patterns vary. Often, treatment involves antipsychotic medications, psychotherapy, and support tailored to the specific type of psychosis.

What’s Included?

Structured, focused therapeutic interventions

Symptom management techniques and coping strategies

Support with medication adherence (if applicable) and medical coordination

Regular progress assessments and goal adjustment

The cost of therapy includes any written materials provided, but excludes any books suggested for reading. Terms and fees may change, but any changes will be agreed upon in advance of the session.

*Duration of a session:

I have chosen to set therapy sessions at a minimum of 2 hours. Drawing from years of experience, I find that many clients attend only an initial consultation and may not return, even if long-term therapy is recommended. To genuinely help clients understand their psychological or physical concerns, I require more time than typical 30- 50 minutes sessions allow. During these extended sessions, I perform a comprehensive mental, emotional, and physical analysis. My goal is for each client to leave with clarity about their situation and actionable insights for their well-being.

Therapeutic Package Offerings:
Customized Healing and Growth Solutions

Our therapeutic packages are designed to provide in-depth support tailored to each client's unique needs. Choose from our Individual Therapy, Couples/Family Therapy, or Therapy for Mental Diseases packages, each offering ten dedicated sessions to foster growth, healing, and understanding.

Package Overview

Duration: 10 sessions per package

Session Length:

2 hours for Individual or Couples/Family Therapy

1 hour for Therapy for Mental Diseases

Minimum Frequency: At least one session per week

Total Cost: £2,500

Additional Costs:

if for any reasons, you need special assistance between the therapeutical sessions (via phone, video, or messaging),

or if the patient needs more time within the session, the following additional costs apply:

1min to 30 min- £50

30min to1 hour-£100

Cancellation & Postponement:

Cancellation by Patient: If you need to cancel an appointment, you can do so 48 hours in advance to receive a 50% refund. Cancellations made less than 24 hours before the session will not be refunded.

Cancellation by Therapist: If I need to cancel a session, you will receive a full refund.

Late Arrival: If you arrive late, the session will end at the scheduled time.

Exclusivity Regime:

Given the complexity of the therapeutic process, I work with a maximum of 2 patients simultaneously (on different days) to ensure exclusivity and dedicated attention.

Confidentiality:

Confidentiality is maintained according to ethical and legal requirements. It may be breached if there is a risk of harm to yourself or others, and you will be consulted if possible.

Our relationship will remain professional at all times.

Notes taken during sessions will be securely stored in compliance with the Data Protection Act (1998) and GDPR. Disposal or retention of these notes will be discussed at the end of our engagement.

Ending Therapy:

Therapy can be challenging and emotional. If you feel the need to end therapy, your feedback will be requested at the end of each session to address any concerns. Normally, you will know when you are ready to finish therapy, and we will plan the conclusion together.

I will not terminate our contract suddenly, except under exceptional circumstances, which will be fully discussed. Any verbal or physical threats, inappropriate words, or acts of violence will invalidate this agreement, leading to immediate termination of therapy.

Sessions will not occur if you arrive under the influence of alcohol or non-prescribed medication.

You will be notified well in advance of any holidays or necessary cancellations due to illness or professional commitments, and alternative times will be offered where possible. Please notify me of any changes in your contact details.

Client Agreement

By signing this contract, you agree to the terms and conditions outlined above and commit to engaging fully with the therapeutic process.

Client Name: _________________________

Signature: ___________________________

Date: _______________________________

Therapist Name: Natalia Buciuman
Signature: ___________________________
Date: _______________________________

Last update: 20.07.2024

Psychotherapy & Psychosomatic Medicine Centre "San Raffaele"

This contract ensures that both parties understand their responsibilities and the terms of the therapeutic relationship, providing a clear framework for effective and professional treatment.