*Although confidentiality extends to communications by text, email, telephone, and/or other electronic means, I cannot guarantee that electronic communications will remain confidential and/or that a third party will not access our communications. There is a risk that our electronic communications may be compromised, unsecured, and/or accessed by a third party. Privacy risks are also present by paying for psychotherapy services using a credit/debit card, or by using insurance to pay for services. I recommend that you familiarize yourself with the privacy policies of all electronic communication and/or payment services before using them so you can make an informed choice about the data you may be sharing with these providers.