LocksI am bound by both state law and national ethical  standards to keep your information private and confidential.  The only common exceptions to this confidentiality are if:  1) you explicitly give written permission to exchange information (e.g. with your family physician), 2) I believe you are in immediate danger of committing suicide or otherwise seriously injuring yourself, or you are in immediate danger of physically assaulting another person, 3) you share information about the abuse or neglect of a minor or disabled person, and 4) if you give permission for occasional professional consultation.  (Typically I seek this consultation without using your name, and this will benefit your experience by brainstorming additional ideas for our time together, but I can always refrain from this if you prefer).  Extremely rare exceptions to confidentiality involve legal proceedings, including if a judge (not just an attorney) orders the therapist to disclose information.