Is therapy fully confidential?

Cóilín is self-employed and does not report to anyone. All sessions are fully confidential with the following very rare exceptions:

If you tell me that a child is being abused in the present time, I will report that to the authorities in order to protect the child. If you have serious intentions of killing someone, I will report that, and if you were imminently suicidal (absolutely determined to kill yourself), I would endeavour to prevent that happening. (Bear in mind that it is not unusual for clients to be somewhat suicidal, i.e, thinking you would be better off dead, and that degree of suicidal ideation is something that we work through in therapy).

To put those scenarios in perspective, so far none of the above situations has arisen in my practice.