The security of your sensitive information is of utmost importance to us, and we are bound by law to protect your confidentiality. Any disclosure of your medical treatment to others will require your explicit written consent. Note, however, that basic information about your medical treatment may be disclosed to your insurance company for purposes of prior authorization if necessary.There are exceptions to this confidentiality where disclosure is mandatory. Exceptions include the following:

• If there is a threat to the safety of others we are required by law to take protective measures including reporting the threat to the potential victim(s), notifying the police, and seeking hospitalization
• When there is a threat of harm to yourself, we are required to seek immediate hospitalization, and will likely seek the aid of family members or friends to ensure your safety.
• In legal hearings, you do have the right to refuse our involvement in the hearing. There are rare circumstances, however, in which we will be required by a judge to testify on your emotional or cognitive condition
• If a mental illness prevents you from providing for your own basic needs such as food, water and shelter, we will be required to disclose information to seek hospitalization

These situations rarely occur in an outpatient setting.  If they do arise, we will do our best to discuss the situation with you before taking action. In rare circumstances we may find it helpful to consult with other professionals specialized in such situations (without disclosing your identity to them)