Ssscript of the Soil (Soul): A Cultivator’s Almanac

Thank you for finding your way here. Whether you arrived by fate, referral, or a sudden moment of clarity, I am honored that you have chosen to invite me into your garden.

I understand that the decision to begin this "Deep Dig" is rarely easy. It requires a profound act of courage to look at the soil of your life—the parts that have been frozen, the parts that feel desolate, and the parts that are yearning to bloom. My goal is to walk alongside you as a fellow human, a clinical guide, and a weaver of presence. I am deeply grateful for the trust you are placing in this process and in our shared journey toward alignment.

Welcome to Sssynchronicities. Let’s begin.

Our work is named for that sacred moment of clarity when you realize you are exactly where you need to be—and you have been the entire time. Sssynchronicities are the moments when your paths finally meet up ; when your internal growth and your external reality align into a single, clear direction. This Script of the Soil (Soul) is a guide for the Metamorphic Transformation of your psyche.

2.1 The Roots & The Land: 

My approach to healing is inseparable from the land beneath our feet. I carry an ancestral lineage deeply tied to the waterways and forests of the Northeast and Mid-Atlantic regions. This lens informs the Script—viewing the self not as an isolated individual, but as a living part of a vast, interconnected ecosystem where our personal healing is mirrored in the rhythms of the earth.

2.2 The Clinical Lens: 

I hold a Master’s in Counselor Education and a Bachelor’s in Psychology from SUNY Brockport. My specialty is the "Deep Dig"—using Schema Therapy to read the ancient script of your childhood trauma (C-PTSD), while utilizing Transpersonal Psychotherapy to reach for the "Sun"—the spiritual and transcendent moments that give life meaning. You are always welcome to ask more about my therapeutic style in session, or you can explore the evolution of my work in the section below as well as atwww.sssynchronicities.com/lense.

2.3 A Fellow Human: 

I value authenticity over clinical distance. I am a practitioner who values directness, nerd-tier science puns, and a high degree of accountabilty.

3.1 The Desolate Garden: 

Many people arrive here feeling as though their internal world is more of a desolate garden. This is often the result of Complex Childhood Trauma (C-PTSD), which changes the chemistry of your soil, creating a root system of Early Maladaptive Schemas.  This is the work targeted by Sssynchronicities. 

3.2 The Frost Before the Bloom (Risks): 

Metamorphic work involves risk. As we churn the soil and extract old schemas, you may experience temporary distress, heightened vulnerability, or shifts in your career and relationships. Growth is not always a linear "ascent"; sometimes it requires the discomfort of shedding an old skin. If the "weather" becomes too heavy, please bring this to our session so we can adjust the treatment plan.

4.1 Schema Therapy: 

Our primary tool for the "Deep Dig"—identifying what belongs to you and extracting ancient blueprints of desolation. This process targets the Early Maladaptive Schemas rooted in your childhood trauma (C-PTSD) to change the chemistry of your internal soil and permeate your every day interactions with ineffectivness.

4.2 CBT & DBT: 

Practical tools for "tending the soil" daily through mindfulness, Radical Acceptance, emotion regulation, distress tolerance, and cognitive restructuring. These allow for immediate maintenance of your landscape while we do the heavier excavations.

4.3 The Human Weaver: 

I prioritize the Integrity of Presence. If I cannot be fully attuned, I will prioritize the integrity of your work by rescheduling. I ask for your professional grace regarding the "Weather of Life" (Flood & Frost) that may affect scheduling, just as it affects the natural world.

5.1 The Human Clock:

 While sessions are slotted for 50 minutes, they frequently breathe into 60 minutes to ensure a natural conclusion.

5.2 The 15-Minute Threshold: 

Our sessions are a dedicated container for your growth. If you are more than 15 minutes late, we must assess the remaining "daylight" for our work. Although I may still be able to see you, there is a high probability I will choose to reschedule. By that 15-minute mark, I am often "elbows deep" in clinical work or administrative "soil tending," and I will not compromise the quality of your care by rushing. The full session fee still applies as the time was reserved for your garden.

5.3 The Sanctuary Gate: 

This room is a child-free sanctuary. If a child is present (onsite or in a telehealth area), we will reschedule at the full session rate.

5.4 Digital Resources: 

Follow the Sssynchronicities business account on Spotify for curated growth resources: https://open.spotify.com/user/31b735p5uymkxepjayrm3wyoifea?si=037e78b0f4934cdb&nd=1&dlsi=aab43c04f0e34f76

6.1 Dual Policy Governance: 

This "Almanac" serves as the specific professional disclosure for Sssynchronicities, LLC. However, as an independent contractor with Penfield Psychiatry, all residents are concurrently subject to the rules, financial policies, and clinical standards outlined in both this document and Penfield Psychiatry’s official intake paperwork. Your signature below indicates an agreement to the boundary structures of both entities. 

6.2 Contact Hierarchy:

For all matters regarding clinical care, scheduling, or growth, contact me first. If I cannot resolve your concerns or if the matter is strictly regarding insurance/billing, please contact Penfield Psychiatry.

• Sssynchronicities Business Line: (716) 253-1091 (Google Voice)

• Sssynchronicities Email: sabrina@sssynchronicities.com

• Physical Sanctuary: 97 Canal Landing Blvd., Suite 9, Rochester, NY, 14626

6.3 Administrative Oversight: 

I am an independent contractor with Penfield Psychiatry. Billing and payments are managed by their staff: (585) 388-6000.

6.4 The Dormancy Clause (Lapse in Care): 

If there is a lapse in care spanning three (3) months or more, your file is considered dormant. You must contact me directly to discuss return accommodation before you attempt to schedule an appointment through Penfield Psychiatry.

6.5 The Shifting Seasons (The Almanac): 

This document is subject to continuous change. To ensure you are viewing the most current "weather report," check: www.sssynchronicities.com/almanac. It is the resident’s responsibility to check the Almanac for the latest guidelines.

6.6 The 24-Hour Rule: 

24 hours' notice is required for cancellations. Failure to do so results in a full session fee, unless you reschedule and attend within 3 business days.  This is a Penfield Psychiatry policy, and all forward questions may be directed to info@penfieldpsychiatry.com .

6.7 The Digital Mycelium (AI & Privacy): 

I utilize AI as a clinical thought partner. To protect your "Soil," no identifying Protected Health Information (PHI) is ever shared with AI systems; all data is fully de-identified before processing. In fact, to keep things both clinical and a little botanical, I de-identify all residents by giving them a randomly generated plant genus name. If you are so inclined, feel free to ask me in session what yours is.

6.8 The "No Secrets" Policy: 

I do not keep secrets from my clients. If a third party contacts me regarding your care, that information will be shared with you in full.

7.1 Length of Therapy: 

You have the right to engage in therapy for as long as you deem necessary to meet your goals. You may end our counseling relationship at any time, though I do ask that you participate in a termination session. You have the right to know when I think that therapy is no longer benefiting you.

7.2 Therapy Interventions: 

You have the right to refuse or negotiate any therapeutic interventions or techniques that you believe might be harmful to you.

7.3 Right to Request Method of Contact: 

Normally I communicate via the email address and phone provided. You have the right to request that I communicate with you in a different way.

7.4 The Map of Records: 

All records (except this disclosure) are retained by Penfield Psychiatry. You have the right to inspect and copy your medical and billing records. To request access, contact Penfield Psychiatry at (585) 388-6000.

7.5 Right to Release or Revoke: 

You may consent in writing to release your records to others. You have the right to revoke this authorization in writing at any time.

7.6 Right to Amend Records: 

If you feel information in your record is incorrect, you may ask me in writing to add information to amend the record. I will decide on your request within 60 days.

7.7 Paperwork & Disclosures: 

You may request an accounting of disclosures related to your medical information. If you require paperwork for DHS, Medical Leave, Disability, etc., information will be collected during a session at the full session rate. I require 5-7 business days for completion.

7.8 Right to Voice (Complaints): 

If you believe I have not acted in accordance with ethical standards, please discuss it with me personally. If unresolved, you may file a complaint with the New York State Education Department or Penfield Psychiatry.

8.1 Crises:

 I am not a 24/7 crisis service. If you are in a life-threatening crisis, reach out to: Emergency: 911 | Lifeline: 211 | Mobile Crisis: (585) 275-5151.

9.1 The Pledge to Protect the Soil: 

I understand that health information about you and your care is personal, and I am committed to protecting it. I am required by law to ensure your Protected Health Information (PHI) is kept private and to provide you this notice of my legal duties.

9.2 Tending the Information Flow (Uses and Disclosures): 

8.2.1 Nourishing Treatment & Operations: I may use or disclose your PHI without your written authorization to carry out treatment, coordinate care, or manage health care operations. 8.2.2 Legal Frost (Lawsuits): I may disclose PHI in response to a court order, subpoena, or discovery request.

9.3 The Sacred Gate (Authorization Requirements):

 8.3.1 Clinical Field Notes (Psychotherapy Notes): Use or disclosure of psychotherapy notes requires your specific authorization except for treatment, defense in legal proceedings, or as required by law. 8.3.2 The Commercial Perimeter (Marketing): I will not use or disclose your PHI for marketing purposes, nor will I sell your PHI.

9.4 Administrative Overgrowth (Disclosures NOT Requiring Authorization):

 I may disclose PHI without authorization for public health activities, such as reporting abuse, health oversight audits, law enforcement, or specialized government functions.

9.5 The Resident’s Agency (Your Rights Regarding Your PHI): 

9.5.1 Right to Object to Weather Patterns: You may object to disclosures to family or friends involved in your care.

9.5.2 Right to Restrict the Canopy: If you pay out-of-pocket in full, you may restrict disclosure to your health plan. 

9.5.3 Right to Amend the Record: You may request an amendment to your record if you believe it is incorrect. 

9.5.4 Right to Revoke the Script: You may revoke a release of information at any time, in writing. 

9.5.5 Right to a Physical Almanac: You have the right to a paper copy of this notice at any time.

The following section is for reference purposes only. Actual signed documentation will take place between established Sssynchronicities & Penfield Psychiatry patients and Sabrina Smith, LMHC:

You agree to receive mental health assessment and treatment and authorize me to provide such treatment as I consider necessary. 2.1 The HIPAA Root: You acknowledge receipt of this Notice of Privacy Practices. 3.1 The Financial Bedrock: You agree to address all payment subjects with the administrative staff at Penfield Psychiatry.

Cultivator’s (Patient) Name (Print): ______________________________ Date: __________ 

Signature: ___________________________________