Oregon Professional Disclosure Statement

1. Overview

This Professional Disclosure Statement is provided in accordance with the requirements of the Oregon Board of Licensed Professional Counselors and Therapists. It is intended to inform clients of the provider’s qualifications, approach to counseling, fees, and client rights under Oregon law.

2. Client Rights and Key Information

Philosophy and Approach

My approach integrates evidence based methods such as CBT and ACT with an exploratory, insight oriented style tailored to intellectually curious clients. I help individuals identify and shift unhelpful patterns, develop deeper self understanding, and build practical skills for navigating relationships, coping with transitions, and managing the challenges of daily life.

Formal Education and Training

I hold a Master’s degree in Counselor Education from Texas Tech University. Major coursework included human development and psychology, family systems theory, individual and group counseling, marriage and family therapy, psychopathology, and gender and cultural considerations in counseling.

I also hold post graduate certifications in ADHD clinical services, military veterans’ behavioral health, and professional dispute resolution.

Fees

My standard fee is $175 per session. Fee adjustments may be available in limited circumstances. If you are receiving services through an Employee Assistance Program (EAP) such as Spring Health, that organization’s fee and billing policies apply.

Client Rights (Oregon)

As a client of an Oregon licensee, you have the following rights:

To expect that a licensee has met the qualifications of training and experience required by state law;
To examine public records maintained by the Board and to have the Board confirm credentials of a licensee;
To obtain a copy of the Code of Ethics (Oregon Administrative Rules 833-100);
To report complaints to the Board;
To be informed of the cost of professional services before receiving the services;
To be assured of privacy and confidentiality while receiving services as defined by rule or law, with the following
exceptions:
- Reporting suspected child abuse;
- Reporting imminent danger to you or others;
- Reporting information required in court proceedings or by your insurance company, or other relevant agencies;
- Providing information concerning licensee case consultation or supervision; and
- Defending claims brought by you against me;
To be free from discrimination because of age, color, culture, disability, ethnicity, national origin, gender, race, religion, sexual orientation, marital status, or socioeconomic status.

3. How to Request Records

Clients may request access to their records in accordance with applicable state and federal law. Requests may be submitted in writing using the contact information listed below. Additional information regarding records requests, including any applicable limitations or fees, will be provided upon request.

4. How to File a Complaint

If you have concerns about services or wish to file a complaint, you may contact the Oregon Board of Licensed Professional Counselors and Therapists:

Oregon Board of Licensed Professional Counselors and Therapists
3218 Pringle Rd SE, #120
Salem, OR 97302-6312
Telephone: (503) 378-5499
Email: lpct.board@mhra.oregon.gov

Additional information is available at:
http://www.oregon.gov/OBLPCT

5. Practice Information

Pattern Shift Counseling, PLLC
Jason Joseph, LPC (OR), LPC (TX), LMHC (WA), CPC (NV)
Telehealth services
214 600 4830
jason@patternshiftcounseling.com

6. Legal References

This disclosure is provided in accordance with requirements of the Oregon Board of Licensed Professional Counselors and Therapists and applicable provisions of the Oregon Administrative Rules Chapter 833.

For additional information, visit:
http://www.oregon.gov/OBLPCT