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A picture of a long-hair, black & tan dachshund sitting on a couch intended to make a person think of a quiet place to talk

Heather Schwaninger

Psychological & Psychosocial Counselling

Individual Adults

My primary focus is working with individual adults (18 years and older), who are comfortable communicating in English. I provide support tailored to each client’s unique experiences and goals. 

The Counselling Process

The counselling process begins with a complimentary discovery call, by phone or video consultation, offering an opportunity to get to know each other, discuss your situation, and answer any questions you may have. I will also ask you a few questions to ensure your needs are within my scope of practice.

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When it's agreed that there is a good fit between us, an initial counselling session is scheduled. I will send you some initial forms, by email or mail, to complete before this first appointment. 

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It is generally recommended to begin with one counselling session, weekly, for 6–8 weeks. 

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Over time, as clients make progress on their goals, we discuss together reducing the frequency of sessions (for example, moving to biweekly, monthly, as needed sessions, to ending the counselling relationship because the client's goals have been met).

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A client is free to end counselling at any time, for any reason, stated or not. 

Confidentiality 

All information shared by a client during counselling sessions is confidential and remains confidential unless there is a legal obligation to disclose / report it to the appropriate authorities. The limits of confidentiality would include serious risk to someone’s life or safety.

Appointments & Scheduling

I offer convenient online booking. Clients can receive an appointment reminder 48 hours before the scheduled appointment. 

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Counselling sessions can be cancelled or rescheduled up to 24 hours in advance. For changes to appointments made after this time-frame, or a no-show appointment, 50% of the session fee will be charged unless the client can provide documentation of an emergency situation outside of the client's control.

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Likewise, I make every reasonable effort to provide advance notice if I must cancel or reschedule an appointment. â€‹

Working Together

Email, text and/or a phone call are welcomed to schedule appointments, which established clients can also book online. Only scheduled counselling sessions are appropriate for process-oriented communication. 

 

To maintain ethical counselling practices, I do not have social relationships with clients beyond the counselling relationship. If, by chance, I see a client in public, I will only acknowledge the relationship if the client initiates a "hello."

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I do not connect with clients via any social media platform. I will not "google" a client or do any online searches to learn information about a client. What a client chooses to share with me is the information I work with.

 

Likewise, I cannot be responsible for information the client chooses not to share with me that would change my perspective or recommendations regarding a situation had the information been shared.

Online Counselling, International

Based in Canton Schaffhausen, Switzerland, I currently provide counselling online, offering a flexible and accessible way to connect.

In-Person Counselling in Switzerland is planned for 2027.

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I also provide online counselling internationally, with the exception of the United States and Canada.

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Psychological & Psychosocial Counselling

Psychological counselling is a process "to help people improve their well-being, prevent and alleviate distress and maladjustment, resolve crises, and increase their ability to function better in their lives" (American Psychological Association).

 

Psychosocial counselling differs from medicine and psychotherapy in that treatment approaches are from "the perspective of experiences of conflict and disorientation and their resolution, and not from the perspective of concepts of illness" (Swiss Association for Counselling).​

Counselling Records & Data-Security

I use Health Advisor, a secure, cloud-based practice management system for client records, scheduling, counselling sessions by video, invoices and billing, and other practice administration. Health Advisor is ISO/IEC 27001 certified, which is a globally recognized standard for information security. Client data is securely hosted in Switzerland.

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Investment in Care

Psychological & psychosocial counselling are not covered by basic health insurance. 

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The benefit of this is that a mental health diagnosis is not required for us to work together and your information is kept confidential.

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Clients will receive an invoice the first week of the month for the previous month's counselling services. The invoice must be paid within 30 days, by bank transfer or with the QR code on the invoice.

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​Fees are listed in Swiss Francs (CHF). International clients are charged the same fee, but in EUR, USD, or another mutually agreed currency. Please refer to the booking page for the transparent fee schedule. 

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If you would like to work with me, but finances are a concern, please contact me to discuss your situation. 

Care Beyond This Practice

In alignment with the Swiss framework distinguishing between counselling, psychological counselling, and clinical psychotherapy, this practice does not provide services for clients presenting with clinically significant mental health disorders that require psychotherapy and/or psychiatric care, or emergency services. I do not make clinical diagnoses. If it becomes apparent that a client needs a higher level of care, the counselling agreement between myself and the client may need to end with a referral, when reasonably possible, to the appropriate mental health professional(s). For more information, please refer to:

Scope of Practice & Exclusions. 

Client Reviews

former client, BetterHelp

after therapy with Heather for 3 weeks on issues concerning stress, anxiety, trauma and abuse, and intimacy-related issues

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Heather has been so helpful, I’ve only had three sessions with her but those sessions have been amazing. She listens, checks for understanding, and gives such helpful feedback.

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