22/04/2026
How does confidentiality work for children and young people in therapy❓
When a child or young person starts therapy, it’s natural for parents and carers to have questions about what will be shared with them. Confidentiality can sometimes feel unclear, but it plays a key role in creating a safe and trusting space for children and young people to explore their feelings.
Therapists have a duty of care to keep a child safe, while also respecting a child or young person’s right to confidentiality. This means that, in most cases, what’s shared in sessions stays private, helping children and young people feel able to open up honestly.
It’s about balancing support, trust, and safety for everyone involved.
In therapy:
🟪 Children and young people have the same rights to confidentiality as adults, although there are some legal and safety exceptions.
🟪 A young person under the age of 16 who is competent can consent to their own therapy if they're believed to have enough awareness and understanding to fully appreciate what's involved.
🟪 When parents or carers arrange therapy, they don’t automatically have the right to access what’s discussed or to therapy records.
🟪 Therapists will usually only share information without consent if there is a risk of serious harm or safeguarding concerns, which they will explain when agreeing how they work together with the child or young person.
🟪 Parents or carers can share concerns or helpful background information, but therapists will prioritise what the child or young person wants to discuss in sessions.
🟪 Clear boundaries and expectations around confidentiality should always be discussed at the start, so everyone involved understands how information will be handled.
While it can feel difficult for parents/carers not knowing everything, confidentiality helps young people feel safe, heard, and supported in therapy.