Confidentiality and Privacy

The therapeutic relationship depends on trust, clear boundaries, and an understanding of confidentiality.

Confidentiality

The law protects the relationship between a client and psychotherapist, and information generally cannot be disclosed without written permission.

Important exceptions

  • Suspected child abuse or abuse of a dependent adult or elder must be reported to the appropriate authorities.
  • If a client threatens serious bodily harm to another person, the therapist may be required to notify law enforcement and the intended person.
  • If a client intends to harm themselves, the therapist will work to ensure safety and may take additional legally permitted measures when cooperation is not possible.

Privacy laws and professional obligations can change. Clients should discuss any question about confidentiality, records, couples work, or electronic communication directly with the therapist.

Electronic communication

Ordinary email is not an appropriate place for confidential clinical details or urgent concerns. Use email for general questions and scheduling unless a different secure method has been arranged.

Emergency support: This website and ordinary email are not crisis services. In an emergency, call 911 or use an appropriate local crisis resource.