Confidentiality is the undisputed cornerstone of the therapeutic process. With the recent surge in insurance regulations and complex litigation, this essential aspect of therapy is at risk. Based on hundreds of interviews with therapists about their concerns, this book provides a framework and guide for addressing issues of confidentiality. This text meets the increasing obligation practitioners have to protect their patients while protecting their practices. It is a practical and authoritative source that no psychotherapist or clinical supervisor should be without.