Limits to Confidentiality
What Every Client Should Know
A quick guide for my clients in Alberta – written in plain language and fully compliant with the College of Alberta Psychologists Code of Ethics)
Last updated: Thursday, March 5, 2026
Why Confidentiality Matters
Your privacy is the cornerstone of our therapeutic relationship.
It allows us to explore thoughts and feelings openly, knowing the information stays between us—except in the specific situations outlined below.
Situations Where Confidentiality must be Broken:
Risk of Harm to Self
What it means for you: If you express a serious, imminent intention to harm yourself (e.g., a detailed plan for suicide), I am obligated to intervene to keep you safe.
Ethical basis: Duty to protect life (College of Alberta Psychologists, Standard of Care).
Risk of Harm to Others
What it means for you: If you disclose a credible threat to another person’s safety, I must take reasonable steps to prevent that harm (e.g., notifying authorities or the intended victim).
Ethical basis: Duty to warn/protect (Canadian law & professional ethics).
Child or Vulnerable Adult Abuse
What is means for you: Any suspicion or disclosure of physical, sexual, or emotional abuse involving a child (under 18) or a vulnerable adult (e.g., someone with a cognitive impairment) must be reported to the appropriate protective agency.
Ethical basis: Mandatory reporting statutes in Alberta; ethical duty to protect.
Court Orders / Legal Subpoenas
What it means for you: If a court issues a lawful order for my records or testimony, I must comply, but I will inform you in advance whenever possible and limit disclosure to what is strictly required.
Ethical basis: Legal obligation; the College requires minimal necessary disclosure.
Supervision & Consultation (with your consent)
What it means for you: To provide you with the best care, I may discuss your case with a qualified supervisor or consultant. I will remove identifying details unless you give explicit permission.
Ethical basis: Ethical standard for competence and quality of care.
Insurance or Billing Requirements
What it means for you: Some insurers require a summary of services for reimbursement. I will share only the information needed, never revealing personal details beyond what is necessary.
Ethical basis: Professional practice standards; client consent obtained.
What You Can Expect
Advance Notice – Whenever possible, I will tell you before any disclosure is made, except when immediate action is required to protect safety.
Limited Information – Only the minimum information needed for the specific purpose will be shared.
Documentation – Any breach of confidentiality will be recorded in your file, along with the reason and the parties involved.
Your Rights
Ask Questions – Feel free to inquire about any aspect of confidentiality at any time.
Provide Consent – You control whether we discuss your case in supervision or with other professionals; you can withdraw consent whenever you wish.
Review Records – You have the right to request a copy of your records and to correct any inaccuracies (fee related to this)