Disclosure Statement
Vincent P. Carrier, M.S., LCPC
954 Lisbon Street
Lewiston, Me 04240
Education : University of Southern Maine, Gorham, Me.
M aster of Science in Counseling
Graduated with Honors
Licensure: State of Maine
Licensed Clinical Professional Counselor (L.C.P.C.)
Original license date: Dec. 1997 Renewal: Dec. 2011
Licensed Alcohol and Drug Counselor (L.A.D.C.)
Original license date: Nov. 1989 Inactive at this time
Areas of Competence:
Modalities
:
Individual , Couples and Family Therapy
Therapies:
Cognitive Behavioral Therapy
Motivational Interviewing
Client Centered Therapy
E.M.D.R. (Eye Movement Desensitization and Reprocessing)
Conditions:
Autism spectrum disorders
Asperger’s Disorder
Reactive Attachment Disorders
Disruptive Behavior Disorders
Trauma & Post Traumatic Stress Disorder
Mood disorders
Depressive Disorders
Anxiety Disorders,
Guilt and Shame
Self Esteem issues
Special Skills :
Fluent in French
Special Training :
Motivational Interviewing
Clinical Supervisor Trained (Powell Model)
Level 1 E.M.D.R. Therapist
Trauma Focused Cognitive Behavioral Therapy
Course of Action:
As a new client you have questions regarding what will be happening today,
tomorrow and thereafter as long as we are w orking together.
First interview :
Client provides an overview of the issues.
Some basic intake paperwork will be completed.
Second interview:
Completion of assessment and discussion of the Issues.
Completion of intake paperwork.
Third interview :
Discussion of the issues, explanation of and collaboration in completing the Treatment Plan.
Subsequent sessions:
Therapy based on goals and objectives set forth in the treatment plan.
Confidentiality:
Information disclosed in the counseling process is protected by federal and state law from
disclosure to anyone with whom the client has not specifically indicated their permission through
the use of a correctly completed and signed release of information. The release of information
indicates to who the information may be Disclosed, what information may be disclosed, and the
duration of the release of information, after which time it is null and void. A release of information
may be changed or withdrawn at any time. Notification in writing to the issuer is required specifically
stating the c hanges or withdrawal is desired.
Alcohol and drug abuse patient records are confidential and protected by Federal law (CFR 42). Violations
may be reported to the therapist and/or the Office of Substance Abuse in Augusta, Me. 04333.
Confidentiality exceptions :
1- Threat of serious harm to self or others
2- R easonable suspicion of child abuse,
or abuse of elder or incapacitated individual
.
3- court order
4- V oluntary release signed by the client or guardian.
5- In defense against legal action or formal complaint which client
makes before a court or regulatory body.
6- During supervisory consultations
Supervision:
Licensure requires supervision be obtained at intervals related to
total client contact hours. Arrangements are in place for supervision.
Fee Schedule :
Assessment: Rate is $125.00 per 50 minute hour.
Therapy: Rate is $140.00 per 50 minute hour.
Unless prior arrangements have been made, fees are due at session time .
Copayments are due when services are rendered .
MaineCare copayment may be $2.00 per session
We accept MeCare and Insurance is accepted on a limited basis .
You are required to verify coverage prior to your first session.
Pre approval paperwork will be required prior to beginning in therapy.
Please note Financial Responsibility Policy
Office Hours:
Current service hours are Monday through Saturday, by Appointment.
Client can reach the therapist during regular business hours, Monday through Saturday at 207-837-7603.
After hours and emergencies :
Clients experiencing an emergency should call the statewide crisis number (1-888-568-1112) and seek
help at their closest hospital emergency department. The emergency department may contact the
therapist at 207-837-7603.
Accountability:
The practice of counseling is regulated by the department of Professional and Financial Regulation, and
complaints may be registered by contacting:
Board of Counseling Professional Licensure
35 State House Station
Augusta, Maine 04333