Tennessee state law and ethical requirements of the State Board indicate that what is discussed in our counseling sessions is privileged communication. This means that you control the release of information to a third party. I will not tell anyone else what you have told you, or even that you are in therapy with me, without your written permission (aside from certain circumstances mentioned below). You may direct us to share information with whomever you choose and that permission can be revoked at any time.
There are several limits to confidentiality that require me to release information in order to keep you and/or others safe from harm. These limits include:
1. If we have good reason to believe that you will harm another person, we must attempt to inform that person and warn them of your intentions. We must also contact the police and ask them to protect your intended victim.
2. If we have good reason to believe that you are abusing, inflicting psychological harm, or neglecting a child or vulnerable adult, we must inform the Department of Children’s Services and the police within 48 hours. This also applies if you give me information about someone else who is doing this.
3. If we believe that you are in imminent danger of harming yourself, we may legally break confidentiality and call the police, mobile crisis, or someone else who can ensure your safety.
4. If you are involved in a court proceeding and a request is made for information concerning our professional services, such information is protected by the therapist-patient privilege law. We cannot provide any information without your written authorization, or a court order.
Due to Master’s Level Counseling Interns being under supervision by both Megan Thomas and their university advisors, we may share medical records for consultation purposes with supervisors and our group practice owner, Kim Rate, LPC, MHSP. All counseling supervisors including Megan and Kim and university supervisors, are bound by the same rules of confidentiality.