Which is NOT a valid basis for breaching confidentiality without client consent?

• A. A court order
• B. Written authorization from the client
• C. Safety concerns or mandated reporting under law or policy
• D. The client's request to share with the treatment team

Answer: (D)

Confidentiality is protected unless there’s explicit permission or a recognized legal obligation to disclose. Disclosures are allowed without a client’s separate consent only in limited situations: a court order requiring disclosure, mandated reporting or safety-related obligations under law or policy, and when the client has given written authorization to share with specific people. The client’s request to share with the treatment team is not a breach—it’s consent to share within the care team. This reflects the client’s approval for those disclosures and aligns with coordinated, ethical care.