Therapist-client confidentiality for teens: situations when information may be shared

Jon R. Cohen, M.D. Chief Executive Officer & Director - Talkspace
Jon R. Cohen, M.D. Chief Executive Officer & Director - Talkspace
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Going to therapy can be vital for children and teenagers dealing with mental health issues such as social anxiety or depression. However, confidentiality concerns are common, particularly regarding if and when therapists share details with parents. Typically, therapists maintain confidentiality. “Feeling safe in therapy is crucial to being able to develop a relationship with your therapist and confidentiality is a key component in this process,” explains Talkspace therapist Jill Daino, LCSW-R, BC-TMH.

Confidentiality can be broken under specific circumstances, such as when a child shows signs of self-harm or discloses abuse or neglect. Therapists may have to inform parents or authorities to safeguard a child’s well-being. Additionally, if a therapist is subpoenaed, they might have to share information, although this is uncommon. Discussing these confidentiality limits with a therapist can provide comfort and clarity for both minors and parents. The understanding of such boundaries can enhance the therapeutic relationship and contribute to the healing process.

Teenagers can protect their privacy by discussing concerns with their therapist, inquiring about what can be disclosed to parents, and learning the limits of confidentiality. According to Daino, “Therapy is a great opportunity to learn new skills and practice speaking up for oneself.”

Platforms like Talkspace offer secure and confidential online therapy for teens. Talkspace accommodates busy schedules, mitigates the hassle of commuting to appointments, and follows strict ethical guidelines. Its licensed professionals specialize in teen mental health, ensuring therapeutic empathy and understanding. Talkspace allows for regular messaging and video sessions, and switching therapists is a smooth process if the initial match is unsuitable. This adaptability makes therapy accessible and convenient for children and teenagers.



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