Outdoor Therapy Consent

Introduction

Outdoor therapy involves conducting sessions in natural, outdoor environments (e.g., parks, walking paths, nature reserves). This form explains the nature, benefits, limitations, and risks associated with this modality. Please read it carefully and ask any questions you may have before signing.

Nature of Outdoor Therapy

Outdoor therapy integrates traditional talk therapy with movement and nature-based settings. It may include walking, sitting, somatic exercises or engaging with nature as part of the therapeutic process.

Potential Benefits

• Increased sense of calm and connection with nature

• Enhanced emotional regulation and physical movement

• Reduced anxiety and depressive symptoms

• Unique therapeutic insights from a non-traditional setting

Potential Risks and Limitations

I have agreed to outdoor therapy. This form serves as a supplement to the general informed consent I signed when initiating services. I am aware that outdoor therapy may take several forms. It may involve sitting outdoors on a bench in a park or in a public place. It may also take the form of walking, movement or somatic exercises while addressing therapeutic goals and topics. By signing this form, I agree to the following:

1.    I understand that participation in outdoor therapy is completely voluntary and that there are alternative options, such as indoor or online therapy, available with Michelle Goldsmith.

2. I understand that this is not exercise or athletic/personal training, and that while movement may benefit me physically, the focus will remain therapeutic in nature.

3. I agree to communicate with my therapist if I am uncomfortable physically or emotionally while participating in outdoor therapy. In such a case, the outdoor session would be discontinued and rescheduled for an online meeting.

4. I agree that the therapist has the right to terminate the outdoor therapy session at any time based on clinical judgment.

5. I take full responsibility for my medical and physical well-being and will not hold Michelle Goldsmith legally or financially responsible for any medical conditions and/or accidents that may arise during outdoor therapy.

6. If I have any medical conditions that could arise or be detrimental during outdoor therapy, I agree to obtain approval from my doctor and will disclose information relevant to this condition to my therapist prior to engaging in outdoor therapy

7. Privacy and confidentiality: Outdoor settings may increase the chance of encountering others. We will plan sessions with discretion, but please note that complete privacy cannot be guaranteed. I understand that while my therapist will take reasonable steps to ensure confidentiality and privacy during my outdoor therapy appointment, there is a risk that my session will be less private than an appointment. For example:

a.    I understand that if the therapist and I encounter a person I know, I have the right to disclose or not to disclose that I am receiving services and/or the relationship with my therapist. I understand that the therapist will defer to my decision, should this situation arise.

b.    I understand that if the therapist should encounter a person they know, they will not acknowledge me as a client to preserve confidentiality.

8. Physical risks: Uneven terrain, weather conditions, insects, or wildlife may pose risks. You are encouraged to wear appropriate clothing and footwear and to disclose any relevant health or mobility issues.

9. Environmental unpredictability: Sessions may be rescheduled, relocated, or adapted due to weather or safety concerns.

10. Both the therapist and client will be visible to the public. Being seen may lead to assumptions that the client is connected to Michelle Goldsmith. I consent to taking this risk.

11. Given the prevalence of cellphones, it is also possible that I may be photographed or videoed with my therapist without my knowledge and that I or my therapist would have no control over the dissemination of those photos/videos.

12. Perceived informality of the interaction. Although outdoor therapy may feel more like a social interaction rather than a therapeutic one, it is indeed a therapeutic activity. Despite the relative informality of the interaction, the relationship between client and therapist will remain entirely professional and not social in nature.

13. This consent can be withdrawn at any time by submitting a request in writing to Michelle Goldsmith at michellegoldsmith@protonmail.com.

14. If I have any questions regarding anything in this document, I will request clarification from my therapist prior to signing.

Client Responsibilities

• Dress appropriately for weather and terrain

• Inform the therapist of any injuries, health conditions, or concerns

• Maintain appropriate boundaries with the public and therapist

• Remain aware of surroundings and follow safety instructions

Therapist Responsibilities

• Choose locations with safety and confidentiality in mind

• Carry a mobile phone and basic first aid supplies

• Continuously assess and respond to safety or privacy concerns

• Provide alternatives (e.g., online or indoor sessions) if conditions are unsuitable

Emergency Procedures

In the event of a medical or mental health emergency during a session:

• We will stop the session and take appropriate action.

• If necessary, emergency services will be contacted.

• You consent to my taking reasonable steps to ensure your safety.

Informed Consent

By signing this form, you acknowledge that:

• You have read and understood the above information.

• You understand the potential risks and benefits.

• You consent to participate in outdoor therapy sessions.