Why Boundaries Are an Act of Care: A Note from My Clinic
As many of you know, I care deeply about creating a calm, supportive and respectful space for everyone who walks into my clinic. My work is rooted in understanding and care but also in structure and balance.
Recently, I had an interaction that reminded me just how important that balance really is.
Why I Have a 24-Hour Policy
Last week, new patient needed to reschedule an appointment at short notice, within my 24-hour cancellation period. When I explained that there would still be a charge, the person was surprised and quite upset. It was a difficult conversation and while I always do my best to respond with compassion, it gave me pause for reflection.
I realised that, while my clinic policies are clearly outlined on my website and in reminder messages, they’re not just administrative rules.
They’re an expression of respect — for my time, for my patients’ time and for the care I strive to provide.
Each appointment represents time I dedicate exclusively to one person’s wellbeing. When that time goes unused at the last minute, it can not be offered to another patient who may have been waiting for support. My 24-hour policy exists to protect that balance — to keep the clinic running smoothly and fairly for everyone.
As we move into the colder months, I also want to gently remind patients that if you are unwell — particularly with a contagious illness such as a cold, flu or stomach virus — I cannot provide treatment. Attending the clinic while sick poses a health risk to me as your therapist and to other patients in my care, some of whom may be immunocompromised. Staying home when unwell helps protect everyone’s wellbeing and ensures the clinic remains a safe and healthy environment for all.
The Reality of Running a Small Practice
As a self-employed therapist and mother, my small business comes with all the realities you’d expect — rent, childcare and daily expenses. I cannot absorb the cost of missed appointments at short notice. These policies help ensure that I can continue offering the same quality of care and presence to each patient who walks through my door.
My practice relies on mutual respect and reliability. These boundaries allow me to maintain a sustainable, ethical business that supports both my patients’ needs and my own livelihood.
When Life Happens — For You & For Me
I know that life happens. There are times when I, too, might need to cancel unexpectedly due to illness or family emergencies. In those situations, I will always communicate with as much notice and respect as possible and work to find a suitable alternatives.
This is rare, but when it happens, I manage it with the same consideration I ask for from my patients. These situations are also accounted for within my clinic policies to ensure fairness, transparency and consistency for everyone involved.
Boundaries as a Form of Care
My intention with these policies has never been to punish anyone, but to create a fair, professional and caring framework where both patient and therapist can thrive.
Boundaries like these aren’t barriers to compassion; they are compassion.
They allow me to continue showing up with the full presence and care each person deserves.
In Gratitude
Thank you to everyone who continues to read, understand and respect these policies. It’s through mutual respect that we create a truly supportive, balanced and healing space for all.
