Confidentiality is one of the most important components between a client and psychotherapist. 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 MD, Psychiatrist, School Counselor, Attorney), but by law your therapist cannot release this information without obtaining your written permission. It is our ethical duty to inform you  that sharing your health information is not always advisable and we'll explain why you should make such a request so you can make an informed decision. 

State Law, Federal Law and professional ethics require therapists to maintain confidentiality except for the following situations:

* Suspected past or present abuse or neglect of children, dependent adults, and elders to the proper authorities, including Child Protection, APS and/or local law enforcement, based on information provided by the client or collateral sources. The Patriot Act states Homeland Security may request patient files in investigating suspected terrorism.

* OR If the therapist has reason to suspect the client is seriously in danger of harming him/herself or has threatened to harm another person and danger is imminent.