The law protects the relationship between a patient and a psychotherapist, and information cannot be disclosed without written permission. Exceptions include patient safety, mandatory reporting requirements (e.g., duty to report with suicidal or homicidal patients; mandated reporting of abuse to minors, elders, or partners), as well as privacy and data security.
If a patient intends to harm himself or herself, we will make every effort to enlist their cooperation in ensuring their safety. If they do not cooperate, we will take further measures without their permission that are afforded to us by law in order to ensure their safety. Our TeleMental Health (TMH) services use a platform that encrypts all data, your sessions are anonymous, and none of your information is stored. The platform adheres to HIPAA, PIPEDA, and GDPR data privacy requirements, therefore all patient sessions are anonymous (the platform will not know who you are) and no patient information is stored persistently. We use the AES cipher with 128-bit keys to encrypt audio/video, and HMAC-SHA1 to verify data integrity.