What an individual tells his or her therapist is usually confidential; however, there are certain circumstances when a therapist must break that promise of confidentiality. Laws in all 50 states require a therapist to contact authorities if a patient is a danger to him/herself, to others, and/or if the therapist suspects that a known child has been abused.

In the State of Texas and as a part of licensing requirements, the Containment Approach of Treatment operates in the context of multi-agency collaboration, explicit policies, and consistent practices that combine case evaluation and risk assessment, sex offender treatment, and intense community surveillance, all designed specifically to maximize public safety. Understanding this limitation to the confidentiality offered in sex-specific treatment is important, and applies to anyone seeking medical care or mental health services. What this means is that, if there is concern the community is at risk by actions of the client, the therapist must discuss those concerns with the necessary individuals or organizations to address the risk.

It is also important to understand that it is the philosophy of OpenDoor that communication with the client’s support system is imperative and it will be expected that you give your therapist permission to speak with your probation officer, spouse, pastor, parent or anyone else important to your recovery.

The good news is that treatment for people with sexual behavior problems can and does work. There is hope and there is help!

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