:: About confidentiality
Oregon law and professional ethics codes require
psychotherapists to strictly maintain the confidentiality of all
that is discussed in counseling. This means that I am not
allowed to share with anyone the fact that you are my client or
any of the details of our therapy sessions unless you sign a
consent form, which gives me your permission to do so.
Absolutely no information about you or your family will be
released to you or any third party without your written consent,
or that of your representative appointed in accordance with
state law.
There are several exceptions to this general
rule, which protects your confidentiality in therapy:
- If you say anything to me which indicates that a child,
an elder, or any adult unable to care for or protect
him/herself is being abused
- If you become a danger to yourself (suicidal)
- If you become a danger to another person (homicidal) or
to the property of someone else
- If you become gravely disabled (unable to care for your
own health and safety)
- If you initiate a claim or lawsuit which brings your
emotional or mental condition into issue (for example, a
Worker's Compensation stress claim or a harassment lawsuit
against an employer)
- There are several other specific limitations to
confidentiality, which relate to certain court proceedings
and other unusual situations. If you would like to know
exactly what these are, please ask me, consult an attorney,
or contact the Oregon State Board of Clinical Social
Workers.
When more than one client is participating in counseling
sessions (as in couples or family therapy), decisions about
each individual's right to confidentiality can become
complicated. If one participant would like to divulge
something to me that s/he wishes to be kept confidential
from other therapy participant(s), my policy is to reserve
the right to use my own reasonable professional judgment as
to whether or not to agree to do this. While every client is
entitled to confidentiality, at the same time it is
unethical for a therapist to agree to something which she
believes would undermine the treatment goals or not be in
the best interests of any other therapy participant(s).
|