Information disclosed during therapy is confidential and will be protected from disclosure to any unauthorized person. The following are exceptions to this general principle:
- One of the partners is an immediate danger to himself or herself or to someone else.
- One of the partners reports abuse or neglect of a child or dependent adult.
- One of the partners is involved in legal action, which places his or her psychological condition or the condition of the relationship before the court, as in divorces or child custody disputes.
As health insurance policies rarely pay for couples therapy, disclosure of confidential information to support an insurance claim is rarely an issue.
If a couple requests disclosure of confidential information, we request them to provide written authorization. This might happen, for example, if either partner pursues individual therapy outside our clinic or if a partner wishes us to collaborate with a physician who may be prescribing psychiatric medication.