Information is gathered in note format throughout your session, and is secured in a locked cabinet within a locked office. For treatment to be effective, the therapist must take notes and refer back to them throughout each session. This enables the therapist to build a treatment plan that will be most effective for the client. 

In order to build rapport it is vital that the client knows what they are discussing is confidential, and stays between the client and therapist. The only occasions when confidentiality must be broken by the therapist are as follows:

Crime: A therapist cannot be legally bound to confidentiality about a crime. Courts have concluded that it is defensible to breach confidence, in good faith, in order to assist the prevention or detection of a crime

Prevention of serious harm to the client or others: The Department of Health offers the following guidance on what counts as serious crime. ‘Murder, manslaughter, rape, treason, kidnapping, child abuse or other cases where individuals have suffered serious harm may all warrant breaching confidentiality

Statutory obligations: The Terrorism Act 2000 makes it a criminal offence for a person to fail to disclose, without reasonable excuse, any information which he either knows or believes might help prevent another person carrying out an act of terrorism or might help in bringing a terrorist to justice in the UK

Court order: A court may order disclosure, or order the therapist to attend court and to bring notes and records with them. Refusal to answer the questions of the court may constitute contempt of the court

Requirements to produce therapy notes: Family courts dealing with child protection cases have different rules of evidence from other civil and criminal courts. They may order the production of documents including personal medical reports which would otherwise have been protected from disclosure

Child protection: A ‘child’ is defined as a person under the age of eighteen. The Children Act 1989 (CA 1989) in conjunction with subsequent legislation including the Children Act 2004, places a statutory duty on health, education and other services to co-operate with local authorities in child protection


Written consent will be obtained from a client prior to the above taking place.