Confidentiality is the bedrock of the therapeutic alliance without which there could be no trust. However, there are a number of instances, ethically and legally where the therapist has an obligation to breech that confidentiality.
Client safety
- In a situation where the therapist is concerned for the safety of a suicidal or distressed client, who is intent on harming themselves or others.
Child Protection
- Where the therapist has concerns or grounds to believe a child or children are at risk of being sexually, physically or emotionally abused.
- (Children First 2011, National guidelines for the protection and safety of children)
The issue of confidentiality will be discussed at the first session where any concerns the client has can be addressed at this time.