Therapists are required by law and a professional code of ethics to keep all patient information in the strictest confidence. When appropriate, and with the patient’s written permission only, a therapist may exchange information with physicians, hospitals, or other professionals. The only exceptions are those mandated by law. Maryland law, for instance, dictates that situations involving child abuse (present or past) must be reported. Other exceptions include court subpoenas and instances where someone’s life is in danger.