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Consent Form

Please read the following information carefully. This form is meant to support clarity, collaboration, and mutual understanding.

What is Somatic Experiencing?

Somatic Experiencing is a body-oriented approach to healing trauma and chronic stress. It helps restore the nervous system’s natural ability to regulate and supports the completion of protective responses that may have been interrupted or stuck during overwhelming experiences.

SE may involve tracking body sensations, images, emotions, movements, and behaviors — with an emphasis on going slowly, following what feels safe, and avoiding retraumatization.

-> SE is not about revisiting trauma stories in detail. -> There is no requirement to talk about anything you don’t feel ready to. -> You are always in charge of the pace and direction of the work.

What to Expect in a Session?

Sessions are collaborative, experiential, and may include moments of quiet, allowing for slowing down or guided exploration of body awareness.

You may be invited to notice internal sensations (interoception), movement impulses, images, or emotions.

You can always say no, pause, or ask questions.

Because SE follows the body’s natural rhythms, no two sessions look the same. Sometimes the work is very subtle. You may feel changes during or after a session — or you may feel like “nothing happened.” All responses are valid, and integration often happens over time.

We go slowly to allow your system to stay within a range that feels manageable and steady. This is called working within your capacity. You will never be pushed to revisit painful memories or sensations before you're ready.

My role is to hold a grounded, supportive space for whatever arises, even if it’s confusion, silence, or uncertainty. I will:

-> Help you notice your body’s subtle signals and responses. -> Offer gentle guidance and invitations but never pressure. -> Act as a steady presence and container when difficult sensations or emotions emerge. -> Help you return to safety or neutrality if you feel overwhelmed. -> Healing doesn’t require reliving trauma. Often, we work with what didn’t happen, allowing for completion, choice, and connection in a way that may not have been possible at the time.

Confidentiality

Sessions between the therapist and the client are strictly confidential. Any notes taken by the therapist during therapy shall be kept confidential and secure by the therapist at all times and shall not be disclosed to anyone without any prior written consent by the client, except for certain limitations, such as:

-> If the client poses a danger to others.If the client poses a danger to themselves. -> Release a client’s file if there is a court order to do so. -> Report to appropriate individuals if there is suspicion of a child being at risk or in need of protection due to neglect, or physical, sexual, or emotional abuse.

Supervision is a requirement for any therapist in client contact. The clients being seen by the therapist are taken to supervision in a manner that is respectful of the client and at the same time, maintains their confidentiality.

Clients have the right to access their own records and discuss therapy goals or approaches at any time.

Clients have the responsibility to communicate openly and honestly with their therapist and to inform them of any changes or updates to their personal information.

Regarding interactions outside of therapy sessions, if we happen to see each other in public, I won't approach you out of respect for your privacy. However, if you choose to approach me, I would be happy to connect with you.

Session Information and Cancellation Policy

Sessions are 50 minutes long and held online via Zoom.

Sessions are booked at least 48 hours in advance, after which slots become closed on the calendar.

To support depth and continuity in our work together, I offer sessions in packages:

-> 6-session package: 12,750 EGP -> 12-session package: 23,500 EGP

To ensure we get the best results, I always start with an initial package. After we've successfully moved through that first phase, and depending on your needs and therapy goals, we may discuss the possibility of moving to a more flexible pay-per-session arrangement at 2,500 EGP per session.

I understand that financial circumstances differ, and I want this work to remain accessible. If the standard fees present a barrier, sliding scale and flexible payment options are available — please don’t hesitate to reach out. No one will be turned away for financial reasons.

Please know that in the case you are on an installment plan, it is not a pay-as-you-go arrangement. It simply breaks up the full package fee into smaller payments to make things easier. The full package fee applies once you begin, even if you need to pause, cancel, or space out your sessions, unless otherwise agreed upon.

Payments can be made via InstaPay to the handle: fareedastaha@instapay

Kindly send your payment at least 48 hours before our first session and share a screenshot via WhatsApp to confirm.

Please choose the package you would like to start with

6 sessions

12 sessions

Please confirm here the payment plan or sliding scale option we've discussed via WhatsApp or email for record-keeping purposes: (please add the dates each installment is due)

Your session time is set aside just for you. If something comes up and you need to reschedule or cancel, I kindly ask for at least 48 hours' notice so that the slot may be offered to someone else who may be waiting for support.

If I don’t receive notice within that window, your appointment will be automatically confirmed.

I trust that you’ll honor the time we’ve set aside together. I also understand that life happens, so kindly keep me in the loop as best as you can.

By checking the boxes below, you confirm that you have read and agreed to the following:

You understand the nature and goals of Somatic Experiencing as described above.

You understand the information above and voluntarily consent to the collection of your personal information for the purpose of receiving therapy services.