Confidentiality is crucial to creating an atmosphere conducive to the feelings of trust and safety necessary in effective therapeutic relationships. What’s said in session is very sensitive and personal, and you have my assurance that it is kept in confidence. Sometimes, however; it might be important that I contact someone in your healthcare team. Or perhaps you might want to bring a family member or friend in for a collaborative session. Under those circumstances I would require your written permission prior to making contact, and we would also discuss in advance the degree of disclosure you would feel comfortable with me making.
There are a few situations when state and federal law require that I break confidentiality:
• Suspected past or present abuse or neglect of children currently under the age of 18, dependent adults, and elders.
• If I have reason to suspect the client is seriously in danger of harming him/herself or has threated to harm another specific person.
• If I receive a subpoena from the court or FBI for my client notes.
Posted in: Therapy FAQ