Yes, what you share in therapy is generally confidential between you and your therapist. However, there are a few situations in which confidentiality can be broken.

  1. Risk of Harm to Self or Others
    If you express intent to seriously harm yourself or someone else, the therapist may be required to take action (like contacting emergency services or notifying potential victims).

  2. Child or Elder Abuse
    Therapists are mandated reporters—if they suspect abuse or neglect of a child, elderly person, or vulnerable adult, they are legally required to report it to authorities.

  3. Court Orders
    In some legal cases, a judge can order a therapist to release therapy records or testify in court.

  4. Insurance and Billing
    If you’re using insurance, some information (like diagnosis or session dates) may be shared with the insurance company.