Almost all legal rules have exceptions—the therapist-patient privilege isn't any different in that regard. Laws in all 50 states require a therapist to contact authorities if a patient is a danger to him/herself, to others, and/or if the therapist suspects that a known child is being abused. However, otherwise, you can't break confidentiality to telling a minors parent ANYTHING, because the parent is the minors legal entity. selfharmUK provides information and advice about self harm. You can ask a question to their expert panel or share your story. False: A therapist is required to maintain confidentiality if a … The most cited concern is, what if the therapist reveals to the spouse that the client has or had a sexual extramarital affair that the spouse was not aware of. So long as the patient does not object, HIPAA allows the provider to share or discuss a patient’s mental health information with the patient’s family members. However, counsellors would be obliged to break confidentiality if there was a distinct possibility you intended harming others - particularly children, they are also highly likely to seek medical advice if you were seriously contemplating suicide. In Germany it is illegal for a therapist to break confidentiality. 1 decade ago. 0 0. Ideally, when Susan became a client, she would have completed a thorough informed consent process documenting the limits of confidentiality (APA, 2010; Standard 3.10, 4.02) and the therapist’s ethical and/or legal duty to breach that confidentiality under specified circumstances. Anonymous. Counsellors would also have to breach confidentiality if you were involved with terrorist activities. However, counsellors would be obliged to break confidentiality if there was a distinct possibility you intended harming others - particularly children, they are also highly likely to seek medical advice if you were seriously contemplating suicide. This enabled them to set up Project Prevention Dunkelfeld. However, otherwise, you can't break confidentiality to telling a minors parent ANYTHING, because the parent is the minors legal entity. In Germany they have an interesting culture, which is at the opposite end of the spectrum from mandatory reporting. You can get confidential help with self-harm from ChildLine – either over the phone or through an online chat. There is another aspect: your request to reveal information about our counselling work. See 45 CFR 164.510(b). Here's an overview of some of its exceptions. However, counsellors would be obliged to break confidentiality if there was a distinct possibility you intended harming others - particularly children, they are also highly likely to seek medical advice if you were seriously contemplating suicide. Counsellors would also have to breach confidentiality if you were involved with terrorist activities. I have been discussing where confidentiality is maintained but expanded in the form of supervision and CPD, and have discussed UK Law where I may not be able to keep knowledge confidential. Anonymous. ANYTHING disclosed within the context of a clinical treatment that has already occurred is covered absolutely by psychologist/patient confidentiality. When a child is at risk, confidentiality is waived, a therapist is required to act to protect that child. It depends upon the crime to which the patient allegedly confessed. Counsellors would also have to breach confidentiality if you were involved with terrorist activities. Exceptions: When a Therapist May or Must Break Confidentiality. This doesn't mean that I will immediately hospitalize you if you talk about having a dark night of the soul, or wonder what it would be like to not be alive. While in an ideal world the therapist would have discussed what information he or she is authorized to reveal and … A therapist is obligated to break confidentiality if there is a reasonable suspicion of child abuse. What an individual tells his or her therapist is confidential; however, there are limitations to the confidentiality between a therapist and a client. A patient can undo the therapist-patient privilege simply by waiving it. 1 decade ago. Many people talk about suicide and contemplate their own deaths. 0 0. ; Anyone can contact the Samaritans on their 24-hour helpline to talk things through. The second circumstance when I would have to break your confidentiality is if I have reason to believe you will kill yourself. Under 19? If the provider believes, based on professional judgment, that the patient does not have … Declining your request to break confidentiality. Waiver.
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