For the most part, what is said in therapy, stays in therapy. The only exceptions include: Court Subpoenas, information revealed regarding the abuse of children, older or disabled persons and if a client declares intension of suicide or homicide. It’s also important to note that if one wishes to submit a super bill toward the possibility of being reimbursed by their health insurance for an out of network provider, some information, (like a diagnosis), must be submitted by the therapist to the health insurance company, justifying those visits.