Your records are confidential and will not be sent out, discussed, or shown to others without your expressed permission.  There are exceptions:  In situations of potential harm to oneself or others, cases of suspected child abuse for neglect, and instances where the court orders information, confidential material may be released.  In certain circumstances where a therapist releases information to help prevent imminent danger to self or others, NJ law requires the therapist to contact the local police chief so that access to firearms can be assessed or prevented.   Our HIPAA privacy policy provides more details on the nature and limits of privacy.  Some insurance companies also require the release of information (usually a diagnosis, symptom profile, and treatment plan) in order to process or authorize covered care.