In California and many other states, therapists are mandated reporters, which means they are legally required to report certain situations to the appropriate authorities, such as cases of child abuse, elder abuse, or when there is a credible threat of harm to oneself or others. However, laws can vary, and it's important to verify the reporting requirements with the therapist or seek legal advice if you have specific concerns.
Regarding your question about using a fake name or withholding information, it's essential to consider the potential impact on the therapeutic process. While using a fake name might provide a sense of anonymity, it can also limit the effectiveness of therapy. Establishing trust and open communication is vital in therapy, and being honest and transparent with your therapist allows them to provide you with the best possible support and guidance.
Therapists are bound by confidentiality rules, meaning they cannot share the information you disclose in therapy without your consent, except in situations where they are legally obligated to report. Sharing sensitive and difficult experiences, such as past sexual assault, can be challenging, but doing so can be an essential step toward healing and growth. Your therapist is there to support you and create a safe and non-judgmental space for you to discuss your concerns.
If you have concerns about confidentiality or reporting requirements, I recommend discussing them with your therapist during the first session. Understanding their obligations and the limits of confidentiality can help you make informed decisions about what to disclose and how to proceed with therapy. A therapist's primary goal is to help you work through your challenges and provide support, so being open and honest about your needs and concerns can contribute to a more productive therapeutic relationship.