One of the great things about therapy is that what you talk about stays between you and your therapist. This means that your personal details and any documentation related to your therapy are not shared with anyone else and are securely stored.
LIMITS OF CONFIDENTIALITY
However, therapists do have specific limitations on confidentiality. In the following cases, we would not be able to ensure confidentiality:
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If a client presents a risk of physical harm to themselves or others, we are obligated to notify the appropriate parties, to as best we can ensure everyone's safety.
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If there is a suspected case of child neglect or abuse, we have a duty to report to Family & Children's Services.
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If there is a suspected case of neglect or abuse impacting a vulnerable adult or senior, we need to report this to the appropriate parties.
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If clinical records are subpoenaed through a court order.
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If a presenting issue is beyond our scope of practice, we may seek clinical supervision/consultation. However, in this instance, your personal information would remain anonymous as we would continue to ensure your privacy.
Please note that in all instances we will strive to work and communicate with you where action may be required.
CONFIDENTIALITY IN PUBLIC
Confidentiality also extends outside to settings beyond the office. If we cross paths in a public setting, such as at the grocery store, we will not say "hi" or acknowledge that we know each other unless you initiate the conversation. This is not meant to ignore you, rather to prevent you from having to explain to someone how we know each other. While some people are open about telling others they are in counselling, not everyone is comfortable doing so; therefore, we want to make sure the choice to share is yours.
PARENTS/CAREGIVERS
Working with teenagers means that parents/caregivers are typically arranging their appointments, driving them to their sessions, and covering the bill. Understandably, this also means that caregivers may want to know how their child is doing in therapy. While well-intentioned, the rules of confidentiality apply to teenagers, as well. You are welcome to contact us to schedule appointments for your child or express concern about a particular issue, but please note that we do not share what your child discusses in session. Maintaining this therapeutic relationship is essential for your child to feel that they can have an open and honest conversation with their therapist without fearing that it will come back to a parent.