May 3, 2023
Confidentiality– what does it really mean?
In general, when something is “confidential” it means that it is private information, not meant to be shared outside of the context in which it is exchanged. If you’ve been to a therapist before, you’ve likely heard that your information will be kept confidential, with some exceptions.
Why are there exceptions? Basically, to keep you safe. If your therapist learns that someone, including yourself, may be harmed, or has been harmed, they have an ethical obligation to report it to the proper authorities (e.g. Child Protective Services, law enforcement, etc). Of course, each case is different, and the course of action taken will differ based on the situation. Your therapist should explain to you what the exceptions to confidentiality are before you get started, and if you have any questions, you should always ask. There also may be an exception when your therapist receives a subpoena or court order for their notes. If this happens, only the minimum amount of personal information should be shared.
Another time confidentiality comes into play is when you see your therapist in a public place. In general, the rule is that your therapist will not acknowledge you first but will follow your lead if you want to say hello. It might seem like your therapist is ignoring you, but they are trying to protect your privacy.
If you are bringing your child into therapy, you may be wondering what information you will be privy to. Similar rules apply here; you will only be informed of information gathered in sessions if there are concerns for your child’s safety, unless of course your child wants you to know. Sometimes your child’s therapist may ask questions of you to gain additional information, and you may tell them anything you want to about your child, but you should not expect a full report of what your child discusses in therapy. Kids need privacy just like adults do, and they need to be able to trust that their therapist as well.
While this seems like a simple concept, it is actually quite complex, with nuances that may vary between clinicians. Our therapists at OTCW will gladly explain and review any concerns or questions you have regarding confidentiality to ensure that you feel safe and comfortable in your session.
October 7, 2022
What to expect at your first session:
Whether you’re starting therapy for the first time or returning after a break, the first session can be daunting. Even though you are doing something good for yourself, it can feel awkward and uncomfortable at first. That’s OK, we’re here to help you.
Information Gathering
At the initial session, we have everything to learn about each other. It is often difficult to be open and vulnerable with someone you just met. It may help to know that we do not need to know your whole story from start to finish the first time we meet you. The main points to touch on initially will be the reasons you are seeking therapy (e.g. anxiety, depression, trauma, stressful life experiences, relationship struggles, etc.), what symptoms you are experiencing (emotions, physical sensations, sleep disturbance, appetite changes, etc.), and what you feel you need from this therapeutic experience.
Building Rapport
The first session is also a great opportunity for you to ask questions of your therapist, such as what techniques they use, what kind of experience they have with your specific concerns, or anything else that will help you to know if they are the right fit for you. Finding a good fit in a therapist is very important. We want you to feel safe, comfortable, and confident with the person you are working with.
Goal Setting
Coming into your first session, it is helpful to have an idea of what your goals are, or what you hope to gain by coming to therapy. Goals don’t have to be complex, they can be as simple as “I want to feel better.” When thinking about your goals, it may help to consider this question: if a miracle occurred while you’re sleeping tonight, what things would you notice tomorrow that would indicate life had suddenly gotten better?
If you or someone you know are ready to start your therapeutic journey, please reach out to us t Oak Tree Counseling and Wellness. We are ready to help, guide and support you through this process.