January 26, 2022


Therapy is completely confidential in most all cases.  State and federal laws are in place to protect the identity of clients (you!) in treatment and the information you share with your therapist. In the vast majority of situations, your therapist can only release information about your treatment to others when you provide written authorization for her to do so (e.g., to your psychiatrist or primary care physician).

However, there are some exceptions as indicated below, in which Texas law permits or requires the release of confidential information without a client’s verbal or written consent. Very specifically, these situations include:

•When the therapist has reason to believe that a person may be in imminent danger of harming her/himself or others

•When the therapist knows or suspects that a child, an elderly person, or a person who is disabled is in danger of being physically, emotionally, or sexually abused

•When the therapist knows a client has experienced sexual exploitation from a previous or current therapist/mental health care provider

•If the therapist receives a court subpoena signed by a judge

•When personal health information is required by your medical insurance (e.g., submitting insurance claims).

Grapevine Psychology values the ethical and legal imperatives of confidentiality, and operates as discreetly as possible.  For example, in the rare or unexpected occasion that your paths cross outside of your therapists office and the lobby of Grapevine Psychology, the general practice is that the therapist will not acknowledge or speak to clients unless you approach or speak to the therapist first.  This policy is in place to protect your confidentiality and privacy.