Permission to Treat

I/We realize that in the process of treatment of Reactive Attachment Disorder, Holding Therapy has been found to be effective by numerous attachment therapists. In this process, the child/adolescent is held by the therapist or therapists. Physical contact/holding is nurturing, enhances attachment, and provides containment and safety.

I/We consent to participate in attachment therapy that may include: holding therapy, cognitive therapy, traditional therapy, psychodrama, and psycho-educational activities.

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Parent/Guardian(if client is a minor)                         Date

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Gregory Keck, Ph.D.