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Therapists are bound by strict ethical guidelines and legal requirements that prioritize client confidentiality and privacy. Generally, therapists are not allowed to discuss their patients' issues with others, including among themselves, without the explicit consent of the client. Client confidentiality is a fundamental aspect of the therapeutic relationship, and breaching it can lead to severe consequences for the therapist, including professional sanctions and legal action.

Therapists adhere to professional codes of ethics, such as those provided by organizations like the American Psychological Association (APA) or the National Association of Social Workers (NASW), which include specific guidelines regarding client confidentiality. These guidelines typically state that therapists should not disclose any information about their clients, except in specific circumstances where there is a legal or ethical duty to report, such as cases of child abuse or threats of harm to self or others.

Therapists may participate in professional supervision or case consultation to seek guidance and support for their work. However, during these consultations, therapists must ensure that they do not reveal any personally identifiable information about their clients that could breach confidentiality.

In summary, therapists are generally prohibited from discussing their patients' issues among themselves or with anyone else without explicit consent, except in situations where there is a legal or ethical obligation to disclose information. This commitment to confidentiality is essential to create a safe and trusting environment for clients seeking therapy.

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