Confidentiality is one of the cornerstones of therapy—but what does it actually mean, and where does it begin and end? In this episode of Getting to the Couch, we break down the purpose of confidentiality, the legal and ethical boundaries around it, and how breaches—intentional or not—can shake a client's sense of safety and trust.
We talk about what therapists are required to protect, when they're legally obligated to break that promise, and why these boundaries matter more than most people realize. Whether you're in therapy, considering it, or providing it, this episode explores how the privacy of the therapeutic space can make or break the healing process.
Because before change can happen, safety has to come first.
Referrances or Resoures:
Articles:
Mina. (2024, February 12). Collaborative care and patient satisfaction: What the data says. Medium. https://medium.com/@mina_5584/collaborative-care-and-patient-satisfaction-what-the-data-says-9a533a6b9d3f
Agarwal, R., Connors, E., Mauriello, A., Gutierrez, D., & Fuhlbrigge, A. (2024). Care coordination engagement patterns in long-term patients: A 9-year cohort study. The American Journal of Managed Care. Retrieved from https://www.ajmc.com/view/care-coordination-engagement-patterns-in-long-term-patients
Agency for Healthcare Research and Quality. (n.d.). Care coordination. Retrieved April 27, 2025, from https://www.ahrq.gov/ncepcr/care/coordination.html
Olfson, M., Mojtabai, R., Sampson, N. A., Hwang, I., Druss, B., Wang, P. S., & Kessler, R. C. (2009). Dropout from outpatient mental health care in the United States. Psychiatric Services, 60(7), 898–907. https://pmc.ncbi.nlm.nih.gov/articles/PMC2774713/
Recouces:
HIPAA: https://www.hhs.gov/sites/default/files/privacysummary.pdf
Thanks for listening!
I hope this episode helped you in getting to therapy and utilizing therapy effectively.
If you have any questions about this podcast or would like to provide comments or suggestions for its hosts, feel free to use the following links or emails:
Benjamin Santee MA, LPC:
Website: https://caringmindscounseling.net/
Email: bsantee@caringmindscounseling.net
Flavio Da Silva LMSW, CAADC
Website: https://growingmindsgr.com/
Email: fdasilva@blueberryhillcounseling.com
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Song Credit: ( for all Season 1, Episodes 5 and higeher)
Name: Stronger Together
Artist: Evert Zeevalkink
License Crtificate #2239378
Courtesy of: bensound.com
