Psychiatrists, psychologists and therapists all receive rigorous training in ethics, including the importance of maintaining confidentiality. With extremely rare exceptions – such as when a patient is a danger to him or herself (suicidal) or to another (homicidal) – therapists cannot disclose any personal information about their clients without prior permission (and this is usually done only in rare instances, such as when a client wishes the therapist to consult with his or her doctor). If you are considering therapy, but have concerns about confidentiality, it is good to discuss the issue up front, before beginning your first session. Whatever your question or concern, don't be afraid to ask!