When is confidentiality legally or ethically breached in mental health care?

• A. Confidentiality is never breached under any circumstances.
• B. It is breached only when a court orders disclosure.
• C. It should be breached if a patient requests it.
• D. It is breached for danger to self or others, child or elder abuse, court orders, or mandated reporting; also when there is a duty to warn or protect a specific person, depending on jurisdiction.

Answer: (D)