Start by asking how confidentiality works
You can ask at the beginning of an assessment or therapy what will be recorded, who can see it, whether information is routinely shared with your GP, and what circumstances could lead the clinician to share information without asking you first.
It is not the same as absolute secrecy
Health professionals have duties to protect confidential information. There are also circumstances where information may be shared for care or because there is a serious safety, safeguarding or legal reason. The exact decision depends on the situation, so ask the clinician to explain the limits that apply to you.
Family and supporters
If you want a partner, friend or relative involved, say what you are comfortable being shared. If you do not want particular information shared, say that too and ask how the service will record your preference.
A useful question
Try: “Before we start, can you explain confidentiality, what goes in my record, who normally receives it, and when you might have to share something without my permission?”
Put the things you do not want to forget into one private note before you go.
Open appointment prep →Trusted source
NHS / NHS England guidance ↗General information, not a diagnosis or personal treatment plan. Exact pathways and options vary. Reviewed 8 September 2026.