Ms. Bledsoe follows the Federal HIPPA guidelines. Everything that is shared in therapy is considered to be confidential, and cannot be shared with other parties without permission of all adult clients who were present in the session. [Note, this means that one member of a couple may not acquire the couple’s therapy record without the other’s permission.] The exceptions to these rules are: the therapist deems the client to be at immediate risk of harming him or her self; the client reports intent to harm someone else; or the client reports having recently abused or neglected a person (such as a minor or elderly person) who cannot protect him or her self. In these exceptional circumstances a therapist is required by law to notify the necessary authorities. Usually submission of records to third parties is up to the mutual discretion of therapist and client regarding what is best for the client. However, in very rare circumstances, a court may order submission of therapy records.