How much can a child therapist share with the parents?

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How much can a child therapist share with the parents?

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At the beginning of therapy, it is important for the clinician, for the therapist to set the ground rules and for everyone to understand what they are, both the child and the parents. And often, it will be the therapist will tell the child what you tell me is private unless I am worried about your safety. And if I am worried about your safety, I have to do whatever I can do to let people know to make sure that you stay safe. Sometimes the rules may be different. It may be that the things that you tell me we are going to talk about with your parents. Maybe sometimes we are seeing the whole family together. But in general, for individual therapy with a child, the information stays private unless someone is worried about the child´s safety.

Watch David Fassler, MD's video on How much can a child therapist share with the parents?...

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David Fassler, MD

Child & Adolescent Psychiatrist

David Fassler, MD, is a child and adolescent psychiatrist practicing in Burlington, Vermont. A graduate of Yale University School of Medicine, he completed his training in adult psychiatry at the University of Vermont, and in child psychiatry at Cambridge Hospital, Harvard Medical School. He currently serves as clinical director of Otter Creek Associates, a multidisciplinary practice providing comprehensive mental health and substance abuse treatment services. Dr. Fassler is also a Clinical Professor of Psychiatry at the University of Vermont, and the Director of Advocacy and Public Policy at the Vermont Center for Children, Youth and Families.

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Transcription: 
At the beginning of therapy, it is important for the clinician, for the therapist to set the ground rules and for everyone to understand what they are, both the child and the parents. And often, it will be the therapist will tell the child what you tell me is private unless I am worried about your safety. And if I am worried about your safety, I have to do whatever I can do to let people know to make sure that you stay safe. Sometimes the rules may be different. It may be that the things that you tell me we are going to talk about with your parents. Maybe sometimes we are seeing the whole family together. But in general, for individual therapy with a child, the information stays private unless someone is worried about the child´s safety.