In order for therapy to be successful you need to openly talk about your problems, hopes, dreams, fantasies, fears etc.
It is normal to be concerned about the confidentiality of this information. Your privacy and confidentially are assured.
This means that a therapist cannot divulge any information about you or what you have talked with them about to anyone unless you have first given them signed permission to do so. Psychotherapists are required to keep all information confidential unless they have good reason to believe that a person's life is in danger, a child is being sexually or physically abused, or they receive a court order for information pertaining to a case for trial.
If you decide to use your health insurance to pay for psychotherapy, be aware that your insurance company and, in some cases, your employer, will now have access to information about your mental health. Therapists are required to provide information so that individuals can receive benefits and this typically involves making a diagnosis from the DSM IV (Diagnostic and Statistical Manual of Mental Disorders) and giving treatment information. Some people choose to pay for therapy themselves so that their mental health treatment will not become a matter of record.
