Confidentiality is a critical component to psychotherapy and psychological evaluations. All information disclosed during therapy and evaluation sessions is confidential and may not be revealed to anyone without written permission.
Exceptions to confidentiality exist, as required by law. Disclosure may be required in the following circumstances:
When there is reasonable suspicion of child or elder/dependent adult abuse;
When there is reasonable suspicion that the client presents a danger of violence to self or others, or when the client is gravely disabled;
When mental state is used as part of a legal defense;
Or when pursuant to a legal proceeding, such as in a court-ordered psychological evaluation.
If clients present for family or couples therapy, I cannot guarantee that information shared by an individual will be held confidential from the other involved party(ies).
Therapy with Minors: Parents/legal guardians may have the right to examine a minor’s treatment records. However, in order to establish a therapeutic relationship with the minor, I ask that the parent/guardian allow me to use my discretion in providing general information (e.g., level of participation, psychiatric diagnoses, treatment goals, and referrals and recommendations) and information about behaviors that may compromise safety. Efforts will be made to discuss the matter with the minor client prior to revealing appropriate information.
Divorce/Custody Matters: If your child is from a separated/divorced family, I require consent for psychological treatment from both parents, regardless of the custody status, and prior to my meeting with your child. I will not make recommendations about custody or visitation arrangements, and I do not write progress reports for the Court. I request your agreement to not call me as a witness in your custody or divorce related matters. Nevertheless, with both parents' written permission, I am willing to speak with appointed Mediators.
Beverly Januszewski, Ph.D.