Confidentiality means that no information about you will be shared with anyone unless you are first informed and sign a written consent, and this information will be used in your best interest. An essential element of therapy is trust, and you knowing that “what’s said here stays here” is fundamental to that trust. Under special circumstances there may be a need to share information about you and this will be fully discussed if and when a situation arises.
Insurance - If you choose to use insurance for payment of treatment, you will need to allow confidential information to be revealed to your insurance company. Some insurance companies only require a diagnosis, while others require extensive information. I make every effort to keep as much information as possible confidential. None the less, this may still pose a problem for some clients and they will have to weigh the issues in deciding to use insurance vs. self-pay.
There will be times when your right to confidentiality will be limited:
Harm to self or others
Confidentiality may be breached when there are clear indications that there may be harm done to the client or by the client.
Minors do not have the same right to privacy as adults. As a therapist, I use my discretion in revealing information to parents about what is revealed in session.