Mary Catherine Collins

Professional Disclosure Statement

August 9, 2016

Professional Disclosure Statement

Graduate of Wake Forest Universitys Clinical Mental Health Counseling Program, Chi
Sigma Iota Honors Society Member. Currently preparing to obtain LPCA licensure in the
Fall of 2016.

Bachelors Degree in Psychology and Deaf-Human Services from Northern Illinois

University. At NIU I was an honors student involved in two grant funded research labs
while I also conducted individual research within the program. I completed every
psychology related course that my undergraduate university had to offer; I graduated with
over 140 credit hours (required is 120). I gained a lot of experience within the clinical
field of research working with infants, parents and college students.
I have completed my practicum and internship I at Novant Behavior Health in WinstonSalem. I have had experience in leading and co- facilitating the mental health group, the
goal setting group, AA group, mental health groups and I have administered assessments
to incoming triage clients. In addition, I have had many individual sessions with various
clients within each program throughout my field experience. I have completed 60 credit
hours of course work, over 1,000 hours of clinical experience (practicum & internship I,
II) and two residency training experiences.

Theoretically, I am a firm believer in person-centered counseling; the client should be the

guide throughout the counseling process. I have a strong personal belief in holistic
medicine; meaning, I hope to encompass mental, physical (healthy eating), social, and
spiritual wellness throughout my future counseling profession.

If a client is threatening to harm themselves or another individual I have I have a duty to

break confidentiality and warn. In addition, if abuse or neglect is disclosed or discovered
I have a duty to inform Child Protective Services or Adult Protective Services pertaining
to the situation and document the abuse/neglect within our electronic medical records.