Information disclosed in psychotherapy is confidential and protected by state and federal laws as well as professional codes of ethics and professional credentialing bodies guidelines. I will not share your protected health information including status as a client to anyone without your express written consent. If I see you out in the community, I won’t acknowledge you but I will if you acknowledge me first. There may be times when you and I decide it would be helpful for me to speak to someone else about your treatment, such as a physician. In these instances, information may be disclosed if you give me permission in writing to do so.
There are limits to confidentiality – these are the following exceptions to confidentiality rules:
1. If you are using insurance, many insurance companies require treatment plans and diagnostic information before payment will be made.
2. If, in my clinical judgment, I determine that you are in imminent danger of hurting yourself or another person and no safety plan can be established, I am required to alert others.
3. If I hear suicidal or homicidal statements and no safety plan can be established, I am required to report this. We may call a crisis intervention team together and agree to implement a crisis prevention plan.
4. I am legally required to report situations which involve abuse or neglect of children, adults who are incompetent, or adults who are physically or mentally disabled. This could include providing alcohol or drugs to minors, using drugs in front of minors, or using drugs while pregnant.
5. I am legally required to report situations which involve property damage or threats of property damage, to the property owner and authorities.
6. I am legally required to submit protected health information in client records to the courts with a signed court order.