Confidentiality in Counseling

Confidentiality is one of the most important components between a client and therapist. Successful therapy requires a high degree of trust with highly sensitive subject matter that is usually not discussed anywhere but the therapist's office. Every therapist should provide a written copy of their confidential disclosure agreement, and you can expect that what you discuss in session will not be shared with anyone. This is called “Informed Consent."

Sometimes, however, you may want your therapist to share information or give an update to someone on your healthcare team (your Physician, Psychiatrist, etc.), but by law your therapist cannot release this information without obtaining your written permission. Therapists should have consent forms available at their offices and can fax or mail copies to the other provider.

As stated above the law protects the relationship between a client and a therapist, and information cannot be disclosed without written permission by the client. However, there are 3 exceptions when a therapist can break confidentiality if it is to protect the client or someone in the client's life. The exceptions to confidentiality are as follows:

1. Suspected child abuse or dependent adult or elder abuse, for which therapists are "mandated reporters" and are required by law to report abuse to the appropriate authorities immediately. 
2. If a client is threatening serious bodily harm to another person/s. Therapists must notify the police and inform the intended victim. 
3. If a client intends to harm himself or herself, therapists will make every effort to enlist their cooperation in ensuring their safety. If they do not cooperate, therapists will take further measures without their permission that are provided to me by law in order to ensure their safety. Calling 911 or an ambulance may be a possibility if the therapist has a high risk assessment. 

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