Many people have concerns about confidentiality as they consider the possibility of entering therapy. This is perfectly normal; we often wind up discussing our most secret hopes and fears in therapy, so of course we want to know that they're going to be treated with respect.

As a licensed Marriage and Family Therapist, I am externally bound to confidentiality by two sources: the laws of the State of California that regulate my profession, and the professional Code of Ethics held by my professional association, the California Association of Marriage and Family Therapists. But even more compelling in binding me are my own professional ethics, as I believe on a personal level in the rights of my clients to have their information and reflections treated with the utmost respect.

There are three exceptions to confidentiality that every client should know before they begin to talk to any therapist. In cases of child abuse (that is, any degree of harm coming to a person under the age of 18), I am required by law to make a report to the appropriate agency. The same is true in cases of abuse of elders (persons over the age of 65) or dependent adults. Please be aware that the law does not leave me with any discretion in these two matters. If I suspect any of these things of happening, I must make a report.

The third exception to confidentiality is when I become aware of an immediate and concrete threat to a client or another person. If you are suicidal, or if you disclose an intent to harm another person, I am required to take steps to protect possible victims. This may include breaking confidentiality.

If you decide to enter therapy with me, we will discuss confidentiality and its three exceptions during your first appointment. You can ask as many questions as you like so that we can both be sure to have a mutual understanding of what to expect around these issues.