At the time of this writing, my greatest limitation as a practitioner relates to my status as a person with a Disability of long duration that sometimes affects my ability to work. My Disability, which relates to my personal experiences of madness / mental health, means that while I can often more easily attune to the suffering of individuals I support than some therapists without lived experience, I also need more time off than most other practitioners (sometimes with more or less ability to provide you advance notice), I might ask you to reschedule more your previous therapists have done, I can sometimes run late or go over, and I sometimes need extra support and grace with organizational logistical tasks, which I actively seek out and receive from contractual support staff who make the administrative end of my practice possible. 

I cannot and do not attempt to predict the duration or frequency of any potential future medical absences, although they are usually brief, and often with at least a few days’ advance notice. From time to time, I will require medical leave with very little notice. I do my best to minimize these instances, and to ensure you have access to good support when they do occur. 

In response to the above, and to honor my responsibility to the folks I support while navigating my own Disability, I commit to offering stand-in therapy support, either with another therapist at our practice or with a trusted colleague, in the event of a prolonged absence. During these periods, my typical practice is to cancel your standing appointment, but to ensure you are able to contact my substitute clinician(s), should you have an urgent support need before my return to work.