What must a therapist obtain to release psychotherapy notes?

To release psychotherapy notes, a therapist must obtain a written authorization from the client, except in rare cases as defined by law. Psychotherapy notes are considered highly confidential and are given a higher level of protection than other types of health information because they contain the therapist's personal insights, impressions, and therapy techniques specific to the client. This confidentiality is reinforced by regulations such as HIPAA in the United States.

Written authorization ensures that clients have control over their sensitive information and understand what will be shared, with whom, and for what purpose. This process is crucial for maintaining trust in the therapeutic relationship and upholding ethical standards in practice. While there may be exceptions to this requirement—for instance, in cases involving imminent danger or abuse—these are not the norm and do not override the general need for written consent.