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Can My Therapist Tell My Grandma…?

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If I am 19, what can my therapist tell my grandma? My grandma takes me to appointments. I am a type one diabetic with a history (been in treatment 7 times) of purging, restriction and not taking my insulin to lose weight. Can my therapist tell my grandma that I need to go to the ER for my very dangerous uncontrolled diabetes?

Can My Therapist Tell My Grandma…?

Answered by on -


Unless you have explicitly signed a legal agreement allowing your therapist to tell your grandmother about your therapy sessions, your therapist cannot reveal information about your case to anyone. Therapy sessions are confidential.

There might come a time, however, when your grandmother learns about your dire health situation. It likely won’t be from your therapist directly, but rather after medical intervention, when necessary, due to your refusal to eat or take life-sustaining insulin. Your therapist is legally bound to initiate involuntary commitment procedures in cases where clients are engaging in behavior that endangers their lives.

You are focused on the wrong issues. You should be less concerned about your grandmother finding out about your secrets and more concerned about saving your life. Eating disorders and diabetes, when left untreated, are deadly. This is a matter of life or death. It’s imperative that you do what’s necessary to save your life. Please take care.

Dr. Kristina Randle

Can My Therapist Tell My Grandma…?

Kristina Randle, Ph.D., LCSW

Kristina Randle, Ph.D., LCSW is a licensed psychotherapist and Assistant Professor of Social Work and Forensics with extensive experience in the field of mental health. She works in private practice with adults, adolescents and families. Kristina has worked in a large array of settings including community mental health, college counseling and university research centers.

APA Reference
Randle, K. (2018). Can My Therapist Tell My Grandma…?. Psych Central. Retrieved on May 23, 2019, from
Scientifically Reviewed
Last updated: 8 May 2018
Last reviewed: By a member of our scientific advisory board on 8 May 2018
Published on Psych All rights reserved.